Centerstone's trauma and grief treatment (C-TGT) for children, adolescents, and families - centerstone's trauma and grief treatment (C-TGT) will increase access to effective trauma- and…

Centerstone's trauma and grief treatment (C-TGT) for children, adolescents, and families - centerstone's trauma and grief treatment (C-TGT) will increase access to effective trauma- and grief-focused treatment and service systems in 3 florida counties (desoto, manatee, and sarasota) for 570 children/adolescents (ages 0-17) and their families who experience traumatic events, including under-served/resourced children of lgbtq+, rural, racial/ethnic minority, and non-english speaking communities and veteran/military families (YR. 1: 90; YRS. 2-5: 120/year). C-TGT's focus population demographics are expected to mirror those in the catchment area under age 18 with: 51%, male; 49%, female; 57%, white; 11%, black; and 25%, hispanic/latino individuals. C-TGT will serve underserved/-resourced subpopulations from among the area's 5,506 lgbt, 6,495 rural, 60,162 racial/ethnic minority, and 22,385 non-english speaking children/adolescents, and the 17,680 veteran families. Consistent with florida youths' clinical characteristics, 72,754 (52%) will face an adverse childhood experience (ACE); 34,978 (25%) will experience 2+ aces; and an expected 18,190 under age 18 will have a serious emotional disturbance. In 2021, child abuse cases in desoto, 752; manatee, 1,103; and sarasota, 631, exceeded florida, 540/100,000. Trauma risks among area children include food insecurity among 26,675 facing; no insurance among 12,800; and chronic school absence among 17,425. C-TGT's core evidence-based strategies/interventions will leverage cultural competency guidance from samhsa's tip 59: improving cultural competency and include nctsn-endorsed assessment-based treatment for traumatized children: trauma assessment pathway (TAP); trauma-focused cognitive behavioral therapy (TF-CBT); child-parent psychotherapy (CPP); and trauma and grief component therapy for adolescents (TGCTA). Additional population-specific strategies/interventions include skills-based prevention/recovery (e.g., nctsn's skills for psychological recovery), let's connect, affirm, and dimensions tobacco free program. C-TGT's goals include: (1) implement community-based, culturally competent, quality, accessible programming for the focus population; (2) develop infrastructure and expand community capacity to implement/sustain trauma-/grief-informed services for the focus population; (3) improve the health status and outcomes for young children (ages 0-10) and children/adolescents (ages 11-17); and (4) develop/disseminate a replicable service model. Measurable objectives include: train 5 project staff on the impact of complex trauma, etc.; provide age-appropriate screening/assessment/referral and triage into appropriate evidence-based trauma-/grief-informed therapies, care management, etc., for an unduplicated 570 children/adolescents and their families; provide language access services to 100%; establish mobile services in 1 county; screen/assess 100% of parents/caregivers; develop/implement outreach/referral pathways with 50 stakeholders/organizations; increase letters of commitment by 10; develop/implement screening/referral procedures with 10 partners; coordinate with/provide training for 3,000 centerstone and other child-serving organization staff; annually develop/revise training/onboarding procedures; collaborate biannually with treatment and service adaptation centers; convene and advisory council comprising 20% focus population youth/families; outreach to 10,000 area individuals; link/coordinate with 2 funding mechanism; and report biannually on an evaluation and subpopulation disparities. C-TGT will reduce mental health symptomatology among 60%, tobacco/nicotine use among 50% receiving dimensions, past-30 day criminal justice involvement among 60% with criminal justice history, and past-30 day unexcused absences by 30%; improve social connectedness among 60%, everyday functioning among 60%, housing stability among 80% receiving resources; and parenting skills/confidence among 60% of parents/caregivers; and achieve satisfaction among 80% and an 80% retention rate.