Childrens Center

GALVESTON MULTICULTURAL INSTITUTE/THE CHILDREN'S CENTER, INC RESIDENTIAL SERVICES FOR UAC

UNACCOMPANIED CHIDREN-GALVESTON MULTICULTURAL INSTITUTE

HEAD START AND EARLY HEAD START SERVICES

CLINICAL RESEARCH IN BIOLOGICAL AND SOCIAL PSYCHIATRY

PHYSICAL HEALTH IN MIDLIFE:INFLUENCES OF ADVERSITIES AND RELATIONSHIPS

THE CENTER FOR TRAUMATIC STRESS AND COMORBIDITY (CTSC) - THE CENTER FOR TRAUMATIC STRESS AND COMORBIDITY (CTSC) WILL PROVIDE COMPREHENSIVE TRAINING, IMPLEMENTATION, AND TECHNICAL ASSISTANCE TO SUPPORT NCTSN CATEGORY III SITES CURRENTLY IMPLEMENTING TRAUMA-FOCUSED TREATMENTS BY TRAINING PARTICIPATING AGENCIES IN TWO COMPLEMENTARY TRAUMA-INFORMED EVIDENCE-BASED PRACTICES (EBPS), THE MODULAR APPROACH TO THERAPY FOR CHILDREN (MATCH) AND PARENT CHILD INTERACTION THERAPY (PCIT). THE GOALS OF THE CTSC ARE TO: 1) IMPROVE YOUTH AND FAMILY OUTCOMES RELATED TO TRAUMATIC STRESS, COMORBID CONDITIONS, AND ASSOCIATED FAMILY PROBLEMS BY INCREASING THE QUALITY OF TRAUMA-INFORMED CARE; 2) INCREASE AGENCY CAPACITY TO TREAT TRAUMATIC STRESS AND COMORBIDITIES SUCH AS ANXIETY, DEPRESSION AND BEHAVIOR PROBLEMS BY IMPLEMENTING AND SUSTAINING COMPLEMENTARY TRAUMA-INFORMED EBPS; 3) IMPROVE CLINICIAN EMPOWERMENT (ATTITUDES, SELF-EFFICACY, AND SATISFACTION) FOR IMPLEMENTATION OF EBPS FOR TRAUMATIZED YOUTH; AND 4) INCREASE THE CAPACITY OF NCTSN MEMBERS TO PARTNER WITH SURROUNDING COMMUNITIES AND POLICYMAKERS TO INTEGRATE COMPLEMENTARY EBPS INTO TRAUMA-INFORMED TREATMENT. HIGHLY EFFECTIVE EBPS ARE AVAILABLE TO TREAT TRAUMATIC STRESS SYMPTOMS IN CHILDREN; HOWEVER, NONE OF THESE TREATMENTS HAVE THE CAPACITY TO INCLUSIVELY TREAT TRAUMA-RELATED DISORDERS AND POTENTIAL COMORBIDITIES THAT COULD INTENSIFY THE SERIOUS MENTAL AND PHYSICAL HEALTH CONSEQUENCES ASSOCIATED WITH TRAUMA EXPOSURE. RESEARCH AND A RECENT SURVEY OF NCTSN SITES DEMONSTRATE A CRUCIAL NEED FOR TRAINING AND EDUCATION IN THE CONCURRENT USE OF EBPS TO ADDRESS TRAUMATIC STRESS AND COMORBID CONDITIONS. THROUGH THIS INITIATIVE, THE CTSC WOULD: A) PROMOTE COMPREHENSIVE TREATMENT OF CHILDHOOD TRAUMA AND RELATED SEQUELAE; AND B) HELP NCTSN SITES USE CLINICAL EVIDENCE AND DECISION-MAKING FRAMEWORKS TO TREAT CHILD TRAUMATIC STRESS WHILE SKILLFULLY ADAPTING TREATMENT TO ADDRESS COMORBIDITIES AND STRESSORS THAT INTERFERE WITH TREATMENT. CTSC WILL PROVIDE TRAINING AND IMPLEMENTATION FOR TWO EBPS, MATCH AND PCIT. THESE TRAUMA-INFORMED EBPS OFFER A UNIQUE COMPLEMENT TO EXISTING TREATMENTS FOR TRAUMATIC STRESS. COLLECTIVELY, THESE TWO PROGRAMS PROVIDE SERVICES FOR YOUTH AGES 2-17 AND COVER APPROXIMATELY 80% OF THE COMORBID PROBLEMS ASSOCIATED WITH TRAUMATIC STRESS. CTSC WILL PROVIDE MULTIPLE MATCH AND PCIT TRAININGS USING A STRUCTURED IMPLEMENTATION FRAMEWORK, THE LEARNING COLLABORATIVE METHODOLOGY, IN A REGIONALLY STAGED APPROACH OVER THE 5 YEARS OF THIS INITIATIVE. CTSC WILL TRAIN OVER 138 PROVIDERS IN THE MODELS ACROSS APPROXIMATELY 26 SITES AND BUILD SUSTAINABLE TRAINING CAPACITY AT EACH AGENCY, ALLOWING SITES TO INDEPENDENTLY TRAIN ADDITIONAL PROVIDERS IN THESE EBPS INDEFINITELY. THE RESULTS OF THIS INITIATIVE WILL PROVIDE TRAUMA-INFORMED SERVICES TO OVER 3,400 YOUTH ANNUALLY AND 17,000 YOUTH OVER THE 5 PROJECT YEARS. CTSC WILL ALSO PROVIDE TECHNICAL ASSISTANCE AND CONSULTATION AND DEVELOP TRAUMA-INFORMED TOOLKITS AND PROCESS MANAGEMENT GUIDES TO SUPPORT THE IMPLEMENTATION OF COMPLEMENTARY EBPS FOR TRAUMATIC STRESS AND COLLABORATE WITH COMMUNITY PROVIDERS AND NCTSN PARTNERS TO ENHANCE THE TREATMENT OF TRAUMA AND COMORBIDITY IN YOUTH.

TRAUMA-INFORMED CARE FOR VERY YOUNG CHILDREN PROJECT (TIC-YC) - PENFIELD CHILDREN’S CENTER (PCC) WILL USE SAMHSA FUNDING TO PROVIDE EVIDENCE-BASED HOME-BASED TRAUMA-FOCUSED TREATMENT IN MILWAUKEE COUNTY, WI, AS WELL AS EXPAND SERVICES TO NEIGHBORING WAUKESHA COUNTY, FOR CHILDREN, AGES 0 TO 6, WHO HAVE BEEN EXPOSED TO (EXPERIENCED OR WITNESSED) POTENTIALLY TRAUMATIC EVENTS AND HAVE TRAUMA SYMPTOMS. A TOTAL OF 1,625 CHILDREN AND THEIR FAMILIES WILL BE SERVED ( 275 IN YEAR 1, 300 IN YEAR 2, AND 350 IN EACH OF YEARS 3-5). THE EBP, EARLY PATHWAYS (EP), WAS DEVELOPED SPECIFICALLY AT PCC TO TREAT VERY YOUNG CHILDREN EXPOSED TO TRAUMA BY MARQUETTE UNIVERSITY (MU) FACULTY. THE SUCCESS OF THIS HOME-BASED APPROACH FOR THIS POPULATION HAS BEEN WELL-DOCUMENTED IN MULTIPLE STUDIES, INCLUDING FOUR RANDOMIZED CONTROLLED TRIALS (RCTS) DOCUMENTING EFFECTIVENESS FOR REDUCING DISRUPTIVE BEHAVIOR DISORDERS AND EXTERNALIZING/ANTISOCIAL BEHAVIORS, IMPROVING THE FAMILY-CHILD RELATIONSHIP, IMPROVING GENERAL FUNCTIONING AND WELL-BEING, IMPROVING SOCIAL FUNCTIONING/COMPETENCE, REDUCING UNSPECIFIED AND OTHER MENTAL HEALTH DISORDERS, AND IMPROVING PARENTING BEHAVIORS. TRAINING AND PROJECT EVALUATION WILL BE LED BY MU’S ALAN BURKARD, PH.D., PROFESSOR OF COUNSELING PSYCHOLOGY. IMPACT PLANNING AND EVALUATION, WHICH HAS CONDUCTED PROGRAM EVALUATIONS FOR 30 FEDERAL GRANTS (25 SAMHSA), WILL PROVIDE CONSULTATION ON COLLECTION OF CMHS NOMS DATA AND IMPLEMENT THE PROCESS EVALUATION. PROJECT OBJECTIVES ARE (1) PROVIDE THE EBP TRAUMA-INFORMED EARLY PATHWAYS PROGRAM TO CHILDREN, 0-6 BEGINNING MONTH 2; (2) PROVIDE EP IN WAUKESHA COUNTY BY MONTH 4; (3) ENROLL 1,625 CHILDREN 0-6 YEARS OF AGE OVER THE 5-YEAR GRANT PERIOD; (4) 75% OF PARENT/CAREGIVERS (P/CGS) WHO COMPLETE TREATMENT WILL IMPROVE ADHERENCE TO EP PROGRAM OVER THE COURSE OF ENROLLMENT; (5) 90% OF P/CGS WILL REPORT HIGH RATES OF SATISFACTION WITH THE EP PROGRAM AND RELATED SERVICES PROVIDED; (6) TARGET CHILDREN WILL DEMONSTRATE A STATISTICALLY AND CLINICALLY SIGNIFICANT (S&CS) PRE-POST REDUCTION OF BEHAVIOR PROBLEMS; (7) TARGET CHILDREN WILL DEMONSTRATE A S&CS PRE-POST INCREASE IN PROSOCIAL BEHAVIOR; (8) TARGET CHILDREN WILL DEMONSTRATE A S&CS PRE-POST REDUCTION OF TRAUMA SYMPTOMS; AND (9) TARGET CHILDREN WILL DEMONSTRATE A S&CS PRE-POST IMPROVEMENT IN CHILD-P/CG INTERACTIONS.

THE CHAMPIONING ACCESS TO TRAUMA-INFORMED-TREATMENTS TO ACHIEVE LOWCOUNTRY YOUTH SERVICES TRANSFORMATION (CATALYST) PROJECT - THE CHAMPIONING ACCESS TO TRAUMA-INFORMED-TREATMENTS TO ACHIEVE LOWCOUNTRY YOUTH SERVICES TRANSFORMATION (CATALYST) PROJECT AIMS TO REDUCE THE IMPACT OF TRAUMA ON CHILDREN’S LIVES BY PROVIDING AND INCREASING ACCESS TO EFFECTIVE TRAUMA TREATMENTS AND SERVICES FOR CHILDREN AND THEIR FAMILIES WHILE ALSO IMPROVING THE QUALITY OF SERVICES BY APPLYING THEM WITH IMPROVED CULTURAL AND RACIAL EQUITY. A TOTAL OF 6,644 UNIQUE INDIVIDUALS IN THE SOUTH CAROLINA LOWCOUNTRY WILL BE SERVED DURING THE PROPOSED PROJECT. THE PROPOSED PROJECT WILL ACHIEVE THESE AIMS BY 1) PROVIDING OUTREACH, ENGAGEMENT AND PREVENTION SERVICES WITH 500 CHILDREN AND 500 CAREGIVERS, 2) PROVIDING SCREENING WITH 5,589 CHILDREN AND EFFECTIVE TRAUMA TREATMENTS FOR 627 CHILD VICTIMS OF CHILD ABUSE, AND THEIR FAMILIES, IN OUR SERVICE AREA, AND 3) IMPROVING THE QUALITY OF TRAUMA TREATMENT AND SERVICES DELIVERED AND IMPROVE CHILD OUTCOMES BY LEARNING AND APPLYING EBPS FROM A CULTURAL AND RACIAL EQUITY LENS. THE CATALYST PROJECT WILL BE HEADQUARTERED AT THE DEE NORTON LOWCOUNTRY CHILDREN’S CENTER, INC. (“DEE NORTON”), THE ONLY ACCREDITED CHILDREN’S ADVOCACY CENTER (CAC) SERVING CHILD TRAUMA VICTIMS IN CHARLESTON COUNTY. DEE NORTON IS A SPECIALTY OUTPATIENT CHILD MALTREATMENT CENTER THAT SERVES OVER 1,500 CHILDREN EACH YEAR. CHILD MALTREATMENT IS A PUBLIC HEALTH PROBLEM WITH CLEARLY DOCUMENTED NEGATIVE PHYSICAL AND MENTAL HEALTH EFFECTS FOR CHILD VICTIMS (E.G., FELITTI ET AL., 1998). UNTREATED CHILDHOOD POSTTRAUMATIC STRESS DISORDER IS ASSOCIATED WITH OTHER SERIOUS PSYCHIATRIC PROBLEMS IN ADOLESCENCE, INCLUDING MOOD DISORDERS, DELINQUENCY, ANGER MANAGEMENT AND IMPULSE CONTROL DIFFICULTIES, SUICIDAL IDEATION AND SELF-INJURY, AND DRUG AND ALCOHOL ABUSE. THESE CLINICAL CORRELATES CAN PERSIST AND BECOME EXACERBATED IN ADULTHOOD (DANIELSON ET AL., 2006). CHILDREN OF COLOR ARE DISPROPORTIONATELY REPRESENTED IN CHILD WELFARE, YET BECAUSE OF SYSTEMIC RACISM, FAMILIES OF COLOR MAY DISTRUST THE LEGAL, SOCIAL WELFARE, AND MENTAL HEALTH SYSTEMS (OFFICE OF THE SURGEON GENERAL, 2001). OTHER CULTURAL GROUPS, SUCH AS SEXUAL MINORITIES (E.G., LGBTQ) ARE AT HIGH RISK BUT SIMILARLY UNDERUTILIZE MENTAL HEALTH SERVICES (JEE & SIMMS, 2006). THERE IS A CLEAR NEED TO INCREASE ACCESS TO EVIDENCE-BASED TRAUMA SERVICES AND TO ENSURE SERVICES ARE CULTURALLY SENSITIVE. THE PROPOSED PROJECT WILL INCREASE ACCESS TO EVIDENCE-BASED TREATMENTS, WITH PARTICULAR ATTENTION TO IMPROVING THE QUALITY OF AND OUTCOMES FOR CHILDREN RECEIVING TREATMENT FROM DIVERSE BACKGROUNDS, INCLUDING RACIAL AND SEXUAL MINORITIES. TO ACHIEVE SERVICE TRANSFORMATION, 55 CHILD-SERVING PROFESSIONALS WILL BE TRAINED ON QUALITY IMPROVEMENTS DURING THE PROJECT. FURTHER, THE PROPOSED PROJECT WILL DIRECTLY IMPACT CHILDREN AGES 2-17 BY 5,889 CHILDREN RECEIVING TRAUMA-INFORMED SCREENING AND REFERRAL SERVICES. WE FURTHER EXPECT THAT 627 CHILDREN WILL RECEIVE EVIDENCE-BASED, TRAUMA-INFORMED TREATMENT, OVER THE COURSE OF THE PROPOSED PROJECT.

COMMUNITY-DRIVEN DRUG PREVENTION IMPLEMENTATION STRATEGIES FOR NATIVE HAWAIIAN AND PACIFIC ISLANDER YOUTH IN RURAL HAWAI'I - PROJECT SUMMARY/ABSTRACT I AM AN IMPLEMENTATION SCIENTIST, YOUTH SUBSTANCE USE AND MENTAL HEALTH SERVICES RESEARCHER, CLINICAL PSYCHOLOGIST, AND DESCENDANT OF OKINAWAN-JAPANESE IMMIGRANTS TO HAWAIʻI. I PROPOSE TO USE A COMMUNITY- BASED PARTICIPATORY RESEARCH APPROACH TO STUDY THE IMPLEMENTATION OF A CULTURALLY GROUNDED SUBSTANCE USE PREVENTION CURRICULUM, HO`OUNA PONO. THE INTERVENTION HAS BEEN CREATED, EVALUATED, AND SPREAD THROUGH SEVERAL NIDA-FUNDED GRANTS TO ADDRESS THE HIGH RATES OF SUBSTANCE USE IN NATIVE HAWAIIAN AND PACIFIC ISLANDER YOUTH, ESPECIALLY IN RURAL AREAS. OUR WORK HAS REVEALED THAT MANY IMPLEMENTATION BARRIERS INTERSECT AT THE YOUTH, FAMILY, AND TEACHER LEVELS, INDICATING A PRESSING NEED FOR COMMUNITY-LED IMPLEMENTATION EFFORTS. IN THIS RACIAL EQUITY INITIATIVE VISIONARY AWARD, I PROPOSE AN INNOVATIVE COMBINATION OF IMPLEMENTATION SCIENCE AND PARTICIPATORY METHODS TO SPREAD AND SUSTAIN HO`OUNA PONO IN THE WINDWARD DISTRICT OF THE HAWAIʻI STATE DEPARTMENT OF EDUCATION. I HYPOTHESIZE THAT HO`OUNA PONO ADOPTION AND SUSTAINABILITY WILL INCREASE BY USING COMMUNITY-LED INNOVATION TOURNAMENTS, WHICH ACTIVELY PROMOTE ENGAGEMENT AND OWNERSHIP IN THE IMPLEMENTATION PROCESS. I ALSO HYPOTHESIZE THAT REAL-TIME ASSESSMENTS OF IMPLEMENTATION THROUGH ECOLOGICAL MOMENTARY ASSESSMENT WILL ENABLE RAPID AND ACCURATE IMPLEMENTATION AND INTERVENTION ADAPTATION. THESE TWO INNOVATIVE APPROACHES HAVE NEVER BEEN TESTED FOR NATIVE HAWAIIAN AND PACIFIC ISLANDER YOUTH LIVING IN GEOGRAPHICALLY REMOTE AND RURAL AREAS, MAKING THIS A NOVEL HIGH-RISK, HIGH-REWARD STUDY. MOREOVER, THIS IS THE FIRST STUDY TO USE ECOLOGICAL MOMENTARY ASSESSMENT TO FACILITATE IMPLEMENTATION OF YOUTH SUBSTANCE USE PREVENTION. I INTEND TO CHALLENGE THE EXISTING RESEARCH PARADIGM THROUGH THIS RACIAL EQUITY INITIATIVE VISIONARY AWARD THROUGH REDISTRIBUTING POWER TO COMMUNITY TO LEAD THE RESEARCH EFFORT. TRADITIONALLY, IMPLEMENTATION SCIENCE AND RESEARCH HAS PRIVILEGED THE RESEARCHERS' VOICE, OFTEN LEADING TO HIGHLY CONTROLLED, COMMUNITY-BASED STUDIES THAT CREATE MISTRUST IN THE SCIENTIFIC PROCESS AND PRODUCE UNSUSTAINABLE INTERVENTIONS WITH LIMITED COMMUNITY ACCEPTABILITY. THESE CONCERNS ARE EVEN MORE PRONOUNCED IN POPULATIONS THAT HAVE SYSTEMATICALLY BEEN THE FOCUS OF INCREASED SCIENTIFIC INQUIRY, LIKE INDIGENOUS AND RURAL POPULATIONS. THE IMPACT OF THIS PARADIGM-SHIFTING PROJECT HAS THE POTENTIAL TO CHANGE HOW IMPLEMENTATION RESEARCH IS CONDUCTED BY PUTTING COMMUNITY IN THE LEADERSHIP ROLE. FURTHERMORE, IT WILL BUILD SCIENTIFIC SKILLS AND EXPERTISE DIRECTLY INTO THE COMMUNITY TO FOSTER ONGOING IMPLEMENTATION AND GENERALIZABILITY TOWARD FUTURE IMPLEMENTATION EFFORTS. IT IS IMPERATIVE THAT STUDIES WITH THE POTENTIAL FOR RESHAPING INSTITUTIONAL STRUCTURES AND SYSTEMS BE CONDUCTED TO FURTHER ADVANCE RACIAL EQUITY, ESPECIALLY FOR NATIVE HAWAIIAN AND PACIFIC ISLANDER YOUTH. THE PROPOSED STUDY ADDRESSES THIS IMPERATIVE.

DEPELCHIN CHILD TRAUMA PROGRAM (DCTP)

THE METROWEST EVIDENCE-BASED TRAUMA-INFORMED REFERRAL & TREATMENT INITIATIVE FOR CHILDREN (METRIC) - THE METROWEST EVIDENCE-BASED TRAUMA-INFORMED REFERRAL & TREATMENT INITIATIVE FOR CHILDREN (METRIC) WILL INCREASE ACCESS TO TRAUMA-FOCUSED, EVIDENCE-BASED SERVICES FOR CHILDREN AND ADOLESCENTS AGES 2 TO 18, AND THEIR FAMILIES, IN SCHOOL AND COMMUNITY-BASED SETTINGS IN WALTHAM AND SURROUNDING METROWEST COMMUNITIES. BASED AT THE BAKER CENTER WALTHAM (BCW), A DIVISION OF THE JUDGE BAKER CHILDREN'S CENTER, THIS INITIATIVE WILL PROVIDE TRAUMA-FOCUSED SERVICES TO A PROJECTED 2,350 CHILDREN AND ADOLESCENTS AND THEIR FAMILIES DURING THE FIVE-YEAR GRANT-PERIOD. THE METRIC INITIATIVE INCLUDES COLLABORATION AMONG BCW EXPERT STAFF, THE WALTHAM PUBLIC SCHOOLS AND NCTSI-II CENTERS, INCLUDING THE CHILD TRAUMA TRAINING CENTER AT UMASS MEDICAL CENTER. METRIC WILL INCLUDE COMPREHENSIVE SCREENING; ASSESSMENT, EVIDENCE-BASED TRAUMA-FOCUSED TREATMENT, TRAINING FOR SCHOOL AND OUTPATIENT CLINICIANS, AND REFERRAL SYSTEMS TO STRENGTHEN THE INFRASTRUCTURE SUPPORTING THE LONG-TERM NEEDS OF THE COMMUNITY. METRIC'S MULTILINGUAL CLINICAL STAFF WILL BE TRAINED IN FOUR EVIDENCE-BASED PRACTICES TO MEET THE NEEDS OF CHILDREN AND ADOLESCENTS IMPACTED BY TRAUMATIC STRESS. THROUGHOUT THE FIVE-YEAR PROJECT, WE WILL ENGAGE METROWEST STAKEHOLDERS INCLUDING SCHOOLS, EARLY CARE AND EDUCATION PROVIDERS, PEDIATRIC PROVIDERS, HOSPITALS, CHILD WELFARE STAFF, FAITH-BASED ORGANIZATIONS, AND OTHER CHILD-SERVING ORGANIZATIONS THROUGH EDUCATIONAL OUTREACH, DEVELOPMENT OF SCREENING AND REFERRAL MECHANISMS, AND CONSULTATION. METRIC WILL ALSO EMPLOY A NEW FAMILY SUPPORT COORDINATOR (FSC) AT THE BAKER CENTER WALTHAM TO ASSIST PARENTS AND CAREGIVERS IN NAVIGATING THE TREATMENT PROCESS AND REFER CAREGIVERS TO NEEDED COMMUNITY-BASED, CULTURALLY COMPETENT SERVICES. THE FSC WILL ALSO HELP FAMILIES ENROLL IN MASSHEALTH (MEDICAID) OR PRIVATE INSURANCE AS NEEDED IN ORDER TO ENSURE ACCESS TO CARE. METRIC WILL ADD TO THE KNOWLEDGE BASE OF BOTH THE NATIONAL CHILD TRAUMATIC STRESS INITIATIVE NETWORK AND ONGOING TRAUMA-FOCUSED INITIATIVES IN MASSACHUSETTS SUCH AS THE CHILDHOOD TRAUMA TASK FORCE. WE WILL WORK COLLABORATIVELY WITH LOCAL AND STATE LEADERSHIP TO PROMOTE HIGH QUALITY TRAUMA-FOCUSED CARE FOR VULNERABLE CHILDREN AND FAMILIES AND DERIVE IMPORTANT LESSONS LEARNED FROM THIS INITIATIVE THAT CAN BE APPLIED ACROSS OUR COMMONWEALTH. THE METRIC INITIATIVE WILL POSITIVELY IMPACT THOUSANDS OF UNDERSERVED CHILDREN AND ADOLESCENTS IN WALTHAM AND THE METROWEST REGION OF BOSTON. METRIC WILL IMPROVE THE QUALITY OF TRAUMA-FOCUSED CARE, FURTHER DEVELOP A TRAUMA-INFORMED SYSTEM OF CARE, AND INCREASE ACCESS FOR UNDERSERVED POPULATIONS INCLUDING ECONOMICALLY DISADVANTAGED, BLACK AND LATINX CHILDREN AND TEENS AND LGBTQ+ YOUTH. THIS FIVE-YEAR INITIATIVE WILL PROVIDE MUCH NEEDED SUPPORT TO VULNERABLE FAMILIES FOR MANY YEARS TO COME AND THROUGH METRIC WE WILL ESTABLISH THE NECESSARY INFRASTRUCTURE AND MECHANISMS TO SUSTAIN THIS WORK INTO THE FUTURE.

MALNUTRITION AND MENTAL HEALTH: A RAT MODEL

PREVENTION OF DEPRESSION IN AT-RISK ADOLESCENTS

TRAUMA-INFORMED CARE FOR VERY YOUNG CHILDREN IN POVERTY

EVIDENCE-BASED TRTMNT INTERV FOR CHILD & ADOLESC W/SEXUAL BEHAVIOR PR

THE CATALYST PROJECT

SUPPORTING EVIDENCE-BASED HOME VISITATION PROGRAMS

THE CATALYST PROJECT

TRAUMA-INFORMED CARE FOR VERY YOUNG CHILDREN IN POVERTY

THE IMPROVING MULTIDISCIPLINARY PARTNERSHIPS TO ADDRESS CHILD TRAFFICKING (IMPACT) PROGRAM IS HEADQUARTERED AT THE DEE NORTON LOWCOUNTRY CHILDREN’S CENTER, INC, IN CHARLESTON, SC. THE IMPACT PROGRAM AIMS TO EXPAND AND STRENGTHEN THE TRAUMA-INFORMED SERVICES FOR MINOR VICTIMS OF HUMAN TRAFFICKING. THESE SERVICES ARE EXPECTED TO SUPPORT INCREASED SAFETY, INDEPENDENCE, SELF-SUFFICIENCY, AND WELL-BEING FOR THESE VICTIMS. CONSISTENT WITH RECOMMENDATIONS TO RESPOND TO THE COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN WITH A COORDINATED, COMMUNITY-WIDE APPROACH, THE IMPACT 1) CONVENES REGULAR MEETINGS OF A MULTIDISCIPLINARY TEAM THAT IMPLEMENTS THE PROTOCOL FOR RESPONDING TO MINOR TRAFFICKING VICTIMS IN THE SERVICE AREA; 2) PROVIDES INTENSIVE, CHILD-CENTERED CASE MANAGEMENT TO INCREASE ACCESS TO DEVELOPMENTALLY- AND CULTURALLY-APPROPRIATE SERVICES; AND 3) PROVIDES REFERRALS TO AND PROVISION OF TRAUMA-INFORMED ASSESSMENTS AND EVIDENCE-BASED INTERVENTIONS TO REDUCE THE IMPACT OF CHILD TRAFFICKING ON THE MINOR VICTIM AND THEIR FAMILY. SPECIFIC TYPES OF SERVICES TO BE PROVIDED BY IMPACT STAFF INCLUDE: 1) INFORMATION AND REFERRAL, 2) PERSONAL ADVOCACY/ACCOMPANIMENT, AND 3) EMOTIONAL SUPPORT, SAFETY, AND HEALTH SERVICES. THE PROPOSED PROJECT WILL ADDRESS ALL FORMS OF TRAFFICKING OF MINORS (I.E., SEX TRAFFICKING AND LABOR TRAFFICKING) IN THE PROGRAM’S PRIMARY GEOGRAPHIC SERVICE AREA, CHARLESTON AND BERKELEY COUNTIES, SOUTH CAROLINA. THE TARGET POPULATION FOR THE PROPOSED PROJECT IS MINORS FROM BIRTH TO AGE 17 WHO ARE SUSPECTED TO BE, OR CONFIRMED, VICTIMS OF HUMAN TRAFFICKING. THE PROPOSED PROJECT WILL CONTINUE THE IMPACT PROGRAM’S ROLE IN SERVING YOUTH VICTIMS IN THE REGION AND WILL FURTHER IMPROVE THE IDENTIFICATION OF MINOR VICTIMS OF SEX AND LABOR TRAFFICKING. THE IMPACT PROGRAM ANTICIPATES DELIVERING SERVICES TO AT LEAST 200 YOUTH OVER THE PROJECT PERIOD BASED ON THE TREMENDOUS NEED FOR SERVICES IN THE COMMUNITY. THE IMPACT PROGRAM ALSO PROPOSES TO IMPROVE SERVICES AND EQUITY IN ACCESS TO CARE AMONG MINORITY/MARGINALIZED YOUTH BY APPLYING A CULTURAL EQUITY LENS.

BASIC CENTER PROGRAM COASTAL BEND SERVING CORPUS CHRISTI AREA.

BASIC CENTER PROGRAM

BEHAVIORAL AND AFFECTIVE SKILLS IN COPING: PRACTICE-ADAPTED CHILD PSYCHOTHERAPY

BASIC CENTER PROGRAM GALVESTON AND PASADENA AREA IS TO PROVIDE OUTREACH AND SHELTER SERVICES FOR NON-SYSTEM YOUTH.

TRAJECTORIES OF ADVERSE CHILDHOOD EXPERIENCES AND ADOLESCENT SUBSTANCE ABUSE

THE PURPOSE OF THE TCCI BASIC CENTER GRANT TO PROVIDE OUTREACH AND SHELTER SERVICES FOR NON-SYSTEM YOUTH FOR AN EXPANSION TO THE OTHER TEN COUNTIES OF THE REGION.

TCCI VICTORIA/GOLDEN CRESCENT 2020 BASIC CENTER PROGRAM WILL SERVE THE RHY IN VICTORIA, TEXAS AND THE SURROUNDING COUNTIES WITH TRAUMA-INFORMED CARE.

BASIC CENTER PROGRAM

THE CHILDREN'S CENTER INC BASIC CENTER PROGRAM THAT PROVIDES EMERGENCY SHELTER FOR RHY IN GALVESTON AND HARRIS COUNTY TEXAS.

CONSUMER AND CLINICIAN FEEDBACK IN YOUTH MENTAL HEALTH CARE

BASIC CENTER PROGRAM

BASIC CENTER PROGRAM GOLDEN TRIANGLE AND HOMELESS YOUTH PROGRAM IN THE BEAUMONT, ORANGE AND PORT ARTHUR AREA WITH TRAUMA-INFORMED COMPREHENSIVE YOUTH-CENTERED SERVICES.

IMPROVING MULTIDISCIPLINARY PARTNERSHIPS TO ADDRESS CHILD TRAFFICKING (IMPACT)

HOMELESS ASSISTANCE

IMPROVING MULTIDISCIPLINARY PARTNERSHIPS TO ADDRESS CHILD TRAFFICKING (IMPACT) PROGRAM

BASIC CENTER PROGRAM

RIO GRANDE VALLEY 2021 TCCI BASIC CENTER PROGRAM WILL SERVE RUNAWAY AND HOMELESS YOUTH IN THE FOUR COUNTIES OF THE RIO GRANDE VALLEY, INCLUDING CAMERON, STARR, WILLACY AND HIDALGO.

THE PROGRAM WILL SERVE RUNAWAY AND HOMELESS YOUTH IN EAST HARRIS, LIBERTY AND CHAMBERS COUNTIES IN TEXAS.

WEST HARRIS WALLER FORT BEND TCCI BASIC CENTER PROGRAM WILL SERVE RUNAWAY AND HOMELESS YOUTH IN THIS AREA.

MENTAL HEALTH OUTCOMES FOLLOWING CHILDHOOD MALNUTRITION

HOMELESS ASSISTANCE

TCCI GALVESTON BAY 2022 BCP WILL ASSIST RUNAWAY AND HOMELESS YOUTH WITH TRAUMA-INFORMED CARE IN THE GALVESTON, GALVESTON COUNTY, LOWER HARRIS COUNTY/PASADENA AREA.

THE TCCI HOUSTON METRO BASIC CENTER PROGRAM WILL PROVIDE TRAUMA INFORMED CARE TO RHY IN THE HOUSTON METROPOLITAN AREA

CONTINUUM OF CARE PROGRAM

STREET OUTREACH PROGRAM

CHILD ABUSE AND NEGLECT NON-COMPETITIVE

ADOPTION OPPORTUNITIES

CONTINUUM OF CARE PROGRAM

S.T.E.P.S.-SEXUAL BEHAVIOR PROBLEM TREATMENT, EDUCATION, PREVENTION AND SUPPORT FOR YOUTH AND FAMILIES

TCCI CORPUS CHRISTI COASTAL BEND BCP 2022 WILL PROVIDE TRAUMA-INFORMED CARE TO RHY IN THE COASTAL BEND AREA AS DESCRIBED IN THE BCP PROGRAM NOFA.

TCCI BEAUMONT GOLDEN TRIANGLE BCP 2022 WILL PROVIDE TRAUMA-INFORMED CARE TO RUNAWAY AND HOMELESS YOUTH IN THE GOLDEN TRIANGLE REGION OF TEXAS IN COMPLIANCE WITH THE BCP PROGRAM RULES IN THE NOFA.

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

STREET OUTREACH PROGRAM FOR RUNAWAY AND HOMELESS YOUTH

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

BASIC CENTER PROGRAM FOR RUNAWAY AND HOMELESS YOUTH

PRACTICE BASED EVIDENCE: ENHANCING THE EVIDENCE BASE FOR ADOLESCENT DEPRESSION

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

SUPPORTIVE HOUSING PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

REAP RENEWABLE ENERGY SYSTEM (RES) GRANT UNRESTRICTED AMOUNT

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

HILLSIDE CHILDREN'S CENTER LIVINGSTON COUNTY, NY, COMMUNITY SERVICE/YOUTH COURT PROGRAM

THE TCCI VICTORIA/GOLDEN CRESCENT 2023 BASIC CENTER PROGRAM WILL PROVIDE TRAUMA INFORMED CARE TO RHY IN THIS REGION.

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

CONTINUUM OF CARE PROGRAM

BASIC CENTER PROGRAM FOR RUNAWAY AND HOMELESS YOUTH (BCP)

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

BASIC CENTER PROGRAM FOR RUNAWAY AND HOMELESS YOUTH

TRANSITIONAL LIVING PROGRAM