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Family Service of Rhode Island, the Roger Williams University Justice System Training and Research Institute and the Institute for Intergovernmental Research will create a Center for Trauma-Informed Policing to improve outcomes for traumatized children encountered on crime scenes. A state-of-the-art, virtual law enforcement training program will be developed and the FSRI Go Team police/mental health partnership program will be formally evaluated. A Project Advisory Committee including child trauma experts, law enforcement, clinicians, and family with lived experience will advise on all project activities. Following a New England-based pilot to test the initial training and technical assistance program and two Learning Communities involving police departments across the country to improve upon and refine the program and related intervention products, the final trauma-informed law enforcement Learning Management System (LMS) will be launched and broadly disseminated. Project goals and objectives: 1. Develop a best practice Trauma-Informed Policing training curriculum for law enforcement to respond to the needs of children impacted by traumatic stress (informed by a nationwide law enforcement survey, LMS design and build out, pilot testing, and two Learning Communities. 2. Evaluating FSRI's Go Team program to assess its efficacy in reducing child trauma symptomology as a promising addition to the inventory of evidence-based practices (including a point-in-time-self study, stakeholder survey, key informant interviews, Go Team service recipient focus groups, service utilization data, and measures for post intervention child trauma symptomology synthesized into a comprehensive evaluative report for journal publication. 3. Evaluation of overall project impact resulting in a Project Evaluation Report. 4. Dissemination of the Trauma-Informed Policing training program, LMS, intervention products, and evaluative findings (as promoted through project partner, SAMHSA, and NCTSN networks and presented at regional and national law enforcement and child mental health conferences, regional meetings, and other relevant venues. The Center for Trauma-Informed Policing or "TIP Center" will serve as an ongoing resource for law enforcement interested in becoming trauma-informed, implementing best practice response approaches, and developing or enhancing partnerships with community-based mental health organizations to mitigate the short- and long-term effects of childhood trauma exposure and reduce the risk of revictimization. Ten diverse police departments at various stages of trauma-informed readiness are expected to participate in the Year two pilot and 20 are expected to participate in the Year three and four Learning Communities. A total of 3,000 law enforcement professionals, community-based mental health professionals, and other key stakeholders are expected to benefit from TIP Center training, technical assistance, consultation, and intervention products across the five year project period.

Health disparities and systemic inequities cause child traumatic stress to have a disproportionate impact on marginalized communities. Addressing these disparities requires a diverse, skilled, well-supported, and resilient workforce. The proposed project, titled the "Center for Equity and Resilience in Trauma-Responsive Organizations," will create a Treatment and Service Adaptation Center to develop and implement a comprehensive approach to addressing these issues. Secondary traumatic stress is a major contributor to turnover in the helping professions, and it impedes the ability of providers to respond effectively to the children and families they serve. A lack of diversity in the workforce contributes to mental health disparities, lack of treatment engagement, and attrition among Black, Indigenous, and People of Color. Supporting a diverse workforce and preventing and addressing secondary traumatic stress are upstream approaches that can reach multitudes of children and families by improving the workforce’s ability to provide good care. The Center will be a partnership between the University of Denver Butler Institute for Families, and the University of Colorado Kempe Center for the Prevention and Treatment of Child Abuse and Neglect. Butler and Kempe have developed an approach with promising initial evaluation. With the support of this funding opportunity, the Center will expand, evaluate, refine, and disseminate this approach to build a diverse, skilled, well-supported, and resilient workforce among across child-, youth-, and family-serving systems in Colorado and nationwide. The central activities for the project include the development, implementation, and dissemination of the comprehensive approach which will strengthen the resilience and well-being of the workforce (Goal #1) and support a diverse workforce by advancing equity and addressing race-based traumatic stress in the workplace (Goal #2). These efforts will be complemented by improving the knowledge and skills of the workforce to care for children and families impacted by trauma with a lens of equity (Goal #3). Additionally, the project will develop materials addressing the above outcomes for national dissemination in partnership with the NCTSN (Goal #4). The comprehensive approach will be evaluated using equitable evaluation principles and refined to ensure effectiveness. Measurable objectives include the following: 1) at least 500 people complete the 16-hour Strengthening Resilience to Prevent and Address STS training series and 80% of those will show decreases in rates of burnout and STS; 2) at least 200 supervisors in the behavioral health, education, and child-, youth-, and family-serving systems complete Trauma-Informed Supervision training; 3) 100 supervisors and administrators and 200 staff complete the From Historical Trauma to Modern Oppression: Understanding Racism, Race-Based Traumatic Stress, and Cultural Healing module; 4) 20 agencies participate in a Zoom-facilitated Community of Practice and coaching and 80% of those agencies will show improvements in workplace equity and increases in staff intent to stay, particularly among BIPOC staff; 5) materials for all 4 Strengthening Resilience modules and the Historical Trauma training are transcreated and piloted with native Spanish speakers; and 6) two asynchronous web-based trainings (one in Spanish) are developed.

The Alaska Child Trauma Center at Alaska Behavioral Health is proposing a Rural Child Trauma Center to raise the standard of care and improve access to evidence-based treatments for rural children impacted by child trauma. The Center will provide training in rural communities to improve identification of child trauma and training to mental health professionals to improve the quality and accessibility of child trauma treatment in rural areas. The Rural Child Trauma Center will use four strategies; (1) rural community training on child trauma to improve local awareness, identification and responsiveness to child trauma (2) training and ongoing professional consultation on evidence-based treatments to mental health professionals serving rural areas (3) training on the provision of child trauma treatments using telehealth, to extend services to areas with mental health professional shortages (4) rural child trauma-focused Learning Communities to improve professional and organizational rural-service competency (5) an annual Rural Child Trauma Institute to disseminate best practices in rural child trauma treatment nationwide. The Rural Child Trauma Center will provide training to over 10,000 persons living in, or serving, rural areas over the project period. The sought outcomes of the Center are increased identification of child trauma in rural areas, improvement in the availability of evidence-based trauma treatments in rural areas and improvement in access to those services for children and families in rural communities.

The Coalition for Compassionate Schools (C2S) draws upon long-standing local partnerships between city agencies, the NCTSN Project Fleur-de-lis, Tulane University, and community organizations to support transformative change in New Orleans schools through the implementation and sustainment of a healing-centered, multitiered trauma-informed schools service approach to improve the psychological, behavioral, and educational outcomes of youth exposed to trauma and to prevent new exposure in schools. The C2S will address critical gaps in the trauma-informed schools service approach by integrating social justice and racial equity into our training content, tools, and implementation strategies; employing a multi-year strategy grounded in implementation science to increase the capacity of the K-8 education workforce in the TIS-SA; and expanding our approach into afterschool programs and other youth service systems. We will partner with the NCTSN Center for Safe Supportive Schools (Maryland) and the NCTSN Cullen Center (Ohio) to disseminate and replicate our implementation model, filling the need for a schools-focused NCTSN Category II Center in the Southern/Central region of the US. Our goals are to: 1) Increase the capacity of New Orleans K-8 public schools to implement and sustain a TIS-SA to improve outcomes for youth exposed to trauma and prevent new exposure in schools; 2) Expand implementation of TIS-SA to afterschool programs and coordinate training and consultation across service systems to support service providers and youth affected by traumatic events; and 3) Develop additional products to support a TIS-SA and provide training, consultation, and implementation support for the replication and dissemination of our TIS-SA to schools across the country.

The Stronger Together: Attachment, Resilience, & Support (STARS): Helping Children and Youth Reach Their Full Potential project seeks to promote resilience of children impacted by trauma by expanding the EBT workforce through training, consultation, and TA in EBTs (PSB-CBT; PCIT; TF-CBT) to ameliorate the behavioral sequelae of trauma with advanced trainings to fill identified gaps in standard training. Notably, 75 clinicians will receive training in PSB-CBT with an additional 12 clinicians receiving training in PCIT through the STARS training team. Further, to increase providers' understanding of trauma, all therapists will complete the NCTSN on-line Core Concepts of Trauma training. Advanced training in PCIT-PSB (up to 20 clinicians) and TF-CBT-PSB (up to 180 clinicians) will allow the cross-pollination of provider skills in EBT with interventions to treat behavioral sequelae of trauma. As part of the project, we additionally seek to enhance resilience of our EBT workforce through management and reduction of secondary traumatic stress (STS) by providing specialized training to up to the 400 clinicians and supervisors in the Components for Enhancing Clinician Experience and Reducing Trauma (CE-CERT) model. STARS will further facilitate sustainability of EBT within agencies through the provision of trainer training or advanced clinical populations in EBT for behavioral sequelae of trauma for up to 32 PSB-CBT providers. A total of 319 therapists will be trained in EBT and up to 400 will receive training to address STS as a result of the award with countless families and community members impacted and served. In addition to clinical training, the STARS project seeks to address systemic racism and inequities in agencies responding to problematic sexual behavior of youth and enhance engagement of families in EBT through culturally congruent communication and therapy practices. To this end, we will develop the STARS Equity Workgroup with PSB-CBT, PCIT, and TF-CBT leads, our existing PSB Youth Partnership and Parent Partnership Boards, and partners across the country including EBT trained clinicians. The workgroup will assess our current programming, develop a plan to address equity, and create and disseminate resources for equity practices and policies through the course of the project. The STARS team is composed of EBT and module developers, nationally recognized trainers, and consultants who have made significant impacts in their areas of expertise. The OUHSC STARS team also has extensive expertise in service provision to children and families impacted by trauma with infrastructure to conduct large-scale trainings, implementation, technical assistance and rigorous evaluation. Members will participate fully in NCTSN activities and works groups to further the Network's mission. Through the STARS program the outcomes of children who have experienced trauma can be brighter.

The Center for Trauma Recovery and Juvenile Justice (CTRJJ) brings together juvenile justice (JJ) and mental health services experts with lived and professional experience to increase the capacity nationally to deliver culturally responsive evidence-based trauma treatment (EBTT) and trauma informed (TI) services to JJ-involved youth (JJIY) and youth at risk (JJAR), families, and JJ staff, and to increase traumatized JJIY/JJAR access nationally to TI services and EBTT's. Since 2012, CTRJJ partnered with NCCTS to form an NCTSN JJ Coordinating Committee and has created an array of trainings, educational products and presentations, and programmatic/ policy consultation for, and in collaboration with, leading national JJ advocacy organizations, professional societies, justice-related federal agencies and >75 municipal or regional juvenile justice systems in 25 states/territories. CTRJJ faculty have done >2,000 presentation/trainings for to more than 40,000 multidisciplinary providers, JJ personnel, attorneys, and judges, and school, child welfare, law enforcement, homelessness, family preservation, violence prevention, and health care services providers who serve >75,000 JJIY/JJAR, in collaboration with >20 Category II and >30 Category III NCTSN Centers/Affiliates, while producing >25 peer review publications and >50 educational products such as Working Together in the Pandemic for Trauma Informed Juvenile Justice and Trauma-Informed Services for Unaccompanied Minors. Over the five-year funding period, CTRJJ will provide training and technical assistance to more than 2500 youth/family serving programs and 10,000 professional/peer service providers to enable them to adapt, deliver, and evaluate EBTT's validated for JJIY/JJAR (TARGET and TGCTA) and a unique TI services curriculum for front-line staff (Think Trauma) and effectively serve > 50,000 traumatized JJIY/JJAR and their families. CTRJJ will continue partnering with the NCTSN National Center to lead and coordinate NCTSN JJ initiatives, and with Category II and III Centers to produce 500 public and professional TIJJ training and education products and presentations. CTRJJ will add faculty with unique expertise on racial/ethnic, identity-related, and historical trauma, implementation science, and JJ systems, in order to launch 2 major initiatives: (1) a TI JJ System Enhancement Academy (SEA) designed to guide 25 multi-constituency multi-disciplinary teams anchored by NCTSN Category III Center/Affiliates in developing coordinated TI enhancements of their local JJ services to prevent and reduce JJ involvement, increase youth and staff safety and prevent re-traumatization, and, increase involvement of parents and family members as partners while also reducing the adverse effects of secondary traumatic stress on JJ personnel and providers; (2) a Core Skills Consortium (CSC) of 15 NCTSN Category II Centers, that will identify core skills for TI/EBTT training, assessment, intervention, collaborative multi- disciplinary multi-system services planning and coordination, and service system transformation. Together, the SEA and CSC will create a framework for, and serve as first steps toward, a long-term initiative to integrate and sustain TI services within and across JJ and related systems.

Clayton County Juvenile Justice Fund doing business as Clayton County System of Care is applying for the NCTSI-II grant opportunity to build out the infrastructure of our Clayton County School Justice Partnership. Our Clayton County model often referred to as the “Teske” model, is recognized as the first of its kind and renown in utilizing a School Justice Partnership to promote early intervention, enhance mental health and prevent long term consequences of Adverse Childhood Experiences or trauma. Since our inception in 2004, we have been promulgating best practices by providing Technical Assistance (TA) through our in-house Progressive Assistance for Change and Empowerment (PACE) partnership to establish and sustain a trauma informed SJP to provide early trauma intervention that promotes health and wellness by increasing academic achievement and reducing unnecessary juvenile court referrals that lead to adult incarceration. PACE has lifted up Clayton County’s model which received recognition for serving as a national model and ideal solution to excessive school suspension and expulsions (Edleman, 2017, Howell et al. 2014, and NCJFCJ, 2015). Under the leadership of Judge Teske, PACE uses our national platform to provide training and technical assistance to forty-one different sites across twenty-three states and several of our sites have gone on to establish an SJP and have reported positive outcomes. Despite our nation’s progress towards implementing SJP’s many jurisdictions continually fail to realize the prevalence of ACEs among youth in the juvenile justice system. Jamieson (2019) notes that 90% of youth in the juvenile justice system have reported exposure to at least one ACE. The CCSJP will enhance national access to our dual in-person and remote platforms to help jurisdictions broker community buy-in and establish and sustain a trauma-informed School Justice Partnership. Moreover, our comprehensive approach includes data guidance and technical assistance to assist jurisdictions in collaborating across systems and agencies to measure and monitor their data driven needs and success. The incorporation of the data assistance will help overcome the current gaps of knowledge that jurisdictions struggle with when seeking to replicate the Clayton County School Justice Partnership (NCJFCJ, 2015). Lastly our unique marketing and resource assessment and technical assistance coordination allows jurisdictions to mobilize and sustain their School Justice Partnership. By providing services through our comprehensive CCSJP helpdesk we aim to replicate efficacious trauma informed School Justice Partnerships across the nation to embolden healthy future outcomes for children, families and communities.