Center for adjustment, resilience &recovery (carre) - over five years, carre will: (1) deliver 100 trainings to 5,000 providers; 120 technical assistance engagements; and 20 quarterly resource…

The Department of Health and Human Services Substance Abuse and Mental Health Services Administration awarded $600,000 to International Rescue Committee, Inc. on September 30, 2026, under the Center for Mental Health Services Projects of Regional and National Significance program (CFDA 93.532).

Over five years, the Center for Adjustment, Resilience & Recovery (CARRE) will deliver 100 trainings to 5,000 providers; conduct 120 technical assistance engagements; and produce 20 quarterly resource products. CARRE will adapt two evidence-based treatments—Child and Family Traumatic Stress Intervention (CFTSI) and Strength After Stress for Children Separated from Parents (SPARCS-ST)—for crisis-, conflict-, and disaster-affected populations; implement pilots at a minimum of four sites reaching at least 130 families; and evaluate outcomes with rigorous fidelity monitoring. The recipient will conduct five annual needs assessments, engage six lived-experience content validators, establish a 12-member advisory committee, and build 25 or more partnerships across the National Child Traumatic Stress Network Centers, community-based organizations, and SAMHSA-funded technical assistance centers.

The program addresses treatment gaps for children and families exposed to crisis, conflict, and disaster, who face compounding traumatic exposures; existing treatment systems are poorly equipped to serve this population, and evidence-based treatments have not been systematically adapted for these populations. CARRE will employ a peer delivery model to reduce cost and provider-degree barriers in under-resourced communities.

Performance will occur in New York, New York through September 29, 2031.

Center for adjustment, resilience &recovery (carre) - over five years, carre will: (1) deliver 100 trainings to 5,000 providers; 120 technical assistance engagements; and 20 quarterly resource products; (2) adapt cftsi and sparcs-ST for CCD-affected populations; implement pilots at a minimum of four sites reaching at least 130 families; and evaluate outcomes with rigorous fidelity monitoring; and (3) conduct five annual needs assessments, engage six lived-experience content validators, establish a 12-member advisory committee, and build 25+ partnerships across nctsi centers, cbos, and samhsa-funded TA centers. Nearly half of all U.S. Children experience at least one traumatic event, and children and families affected by crisis, conflict, and disaster (CCD) face compounding exposures that existing treatment systems are poorly equipped to address - with ptsd prevalence among CCD-affected individuals estimated as high as 47%. Three interconnected gaps define the need: evidence-based treatments have not been systematically adapted for CCD-affected populations; effective interventions cannot scale when delivery is limited to scarce, costly licensed clinicians; and many at-risk families need a prevention-focused workforce to reach them before they cross clinical thresholds. Carre's aim is to ensure that american citizen and qualified alien children, youth, and families affected by CCD receive evidence-based, trauma-focused treatment and services - delivered across community, clinical, and child-serving systems - to prevent the long-term impacts of childhood traumatic stress. Grounded in gold-standard science and samhsa's strategic priority of improving access to evidence-based treatment, carre will adapt and scale two nctsn-recognized ebts through a peer delivery model that reduces cost and provider-degree barriers in under-resourced communities. Carre directly advances samhsa's priority of improving access to evidence-based treatment by expanding non-pharmacological, adapted interventions into community settings. Its early intervention model interrupts the documented pathway from childhood traumatic stress to substance use, addiction, and serious mental illness - consistent with samhsa's prevention priorities and maha's goals of reducing childhood chronic disease. Carre centers on two complementary, non-pharmacological ebts. Cftsi (child and family traumatic stress intervention) cftsi, a brief early intervention for children ages 3-18 and their caregivers, and sparcs-ST, a modular group treatment for adolescents ages 12-21. Sparcs-ST (structured psychotherapy for adolescents responding to chronic stress - skills training), a flexible group treatment for adolescents ages 12-21. Together they form a continuum: cftsi intervenes acutely; sparcs-ST addresses longer-term chronic traumatic stress. Carre will adapt both ebts for CCD-affected populations and develop peer delivery and CO-facilitation models for community, school, and crisis settings. All direct services will be provided to american citizens and qualified aliens in compliance with prwora.