Interborough Developmental & Consultation Center Inc

IDCC ENHANCED CMHC - THE INTERBOROUGH DEVELOPMENTAL & CONSULTATION CENTER, INC. (IDCC) CMHC WILL PROVIDE A CONTINUUM OF NEW YORK STATE (NYS) LICENSED OUTPATIENT MENTAL HEALTH, SUBSTANCE ABUSE AND MEDICAL SERVICES TO VULNERABLE CHILDREN, FAMILIES AND ADULTS IN FIVE BROOKLYN NEIGHBORHOODS SERIOUSLY DEVASTATED BY THE COVID19 PANDEMIC; FLATBUSH, CROWN HEIGHTS, WILLIAMSBURG, CANARSIE, AND CONEY ISLAND. THE PURPOSE OF THE PROPOSED PROGRAM IS TO SUPPORT, RESPOND TO, AND RESTORE THE DELIVERY OF CLINICAL SERVICES THAT WERE IMPACTED BY THE COVID-19 PANDEMIC. THE PROGRAM WILL SERVE 1,000 BROOKLYN RESIDENTS (500 EACH YEAR FOR TWO YEARS) WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND CO-OCCURRING DISORDERS (COD), MOST OF WHOM ARE FROM MINORITY POPULATIONS AND ECONOMICALLY DISADVANTAGED COMMUNITIES. STRATEGIES/INTERVENTIONS. TREATMENT MODALITIES WILL INCLUDE OUTPATIENT TREATMENT FOR SMI, COD, SUD, SED; TRAUMA- INFORMED CARE; PRIMARY CARE SCREENING; CASE MANAGEMENT; PSYCHIATRIC REHABILITATION; SOCIAL/COMMUNITY SUPPORT; AND CRISIS INTERVENTION. THESE AND OTHER SERVICES WILL BE PROVIDED USING THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY; COGNITIVE-BEHAVIORAL TREATMENT; DIALECTICAL BEHAVIORAL THERAPY (DBT); COMMUNITY REINFORCEMENT AND FAMILY TRAINING MODEL (CRAFT); MOTIVATIONAL INTERVIEWING; INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS; AND MEDICATION-ASSISTED TREATMENT. PROJECT GOALS AND MEASURABLE OBJECTIVES. GOAL 1: DURING THE GRANT PERIOD, THE IDCC CMHC PROJECT WILL STRENGTHEN THE AGENCY INFRASTRUCTURE NECESSARY TO INCREASE HIPAA COMPLIANT TELEHEALTH CAPABILITIES BY OFFERING BOTH TELEHEALTH AND IN-PERSON SCREENINGS AND ASSESSMENTS TO 1,000 ADULTS AND CHILDREN. GOAL 2:THE PROJECT WILL PROVIDE OUTPATIENT SERVICES, CLINICAL AND/OR RECOVERY SUPPORT SERVICES (E.G., PSYCHOSOCIAL REHABILITATION, CASE MANAGEMENT SERVICES, PEER SUPPORT) FOR 1,000 INDIVIDUALS WITH SED, SMI, AND/OR COD IN THE CATCHMENT AREA. GOAL 3: THE PROJECT WILL PROVIDE TRAUMA INFORMED SCREENING, ASSESSMENT, DIAGNOSIS, AND PATIENT-CENTERED TREATMENT PLANNING AND TREATMENT DELIVERY FOR 1,000 CLIENTS. GOAL 4: EVERY TWO MONTHS DURING THE GRANT PERIOD, THE IDCC CMHC PROGRAM DIRECTOR WILL COORDINATE STAFF SUPPORT SESSIONS ON RESILIENCY AND SELF-CARE TO ADDRESS THE MENTAL HEALTH NEEDS OF CMHC STAFF. GOAL 5: IDCC WILL PROVIDE 8 QUARTERLY STAFF TRAININGS ON TOPICS RELATED TO BEHAVIORAL HEALTH DISPARITIES INCLUDING CULTURAL AND LINGUISTIC COMPETENCE AND STRATEGIES TO ENGAGE AND RETAIN DIVERSE CLIENT POPULATIONS.

INTERBOROUGH CCBHC CONEY ISLAND - THE IMPROVED AND ADVANCED INTERBOROUGH DEVELOPMENT AND CONSULTATION CENTER CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IDCCCCBHCIA WILL PROVIDE MORE EFFICIENT AND TARGETED CCBHC SERVICES TO ALL CCBHC CLIENTS, WITH AN EMPHASIS ON TWO HIGH-NEED POPULATIONS: 1 ADOLESCENTS AND YOUNG ADULTS AT HIGH RISK OF SUICIDE, AND 2 CLIENTS WITH COMORBID MULTIPLE CHRONIC MEDICAL CONDITIONS AND SERIOUS MENTAL ILLNESS. WE WILL DO THIS BY CREATING SPECIALIZED CARE PATHWAYS FOR EACH OF THESE POPULATIONS. CARE PATHWAYS ARE CLINICAL TOOLS FOR ASSESSING, TRIAGING, AND DIRECTING CLIENTS TO CARE, WHICH WILL BE BASED ON EACH CLIENTS COMPREHENSIVE INTAKE ASSESSMENT AND INCORPORATED INTO CARELOGIC, OUR ELECTRONIC MEDICAL RECORD. IDCC CURRENTLY OPERATES A CCBHC IN CONEY ISLAND, BROOKLYN, NY CI, IN WHICH THE CARE PATHWAYS WILL BE DEVELOPED AND IMPLEMENTED. WE WILL SERVE 200 TO 300 CLIENTS ANNUALLY, ALL OF WHOM FALL UNDER ONE OF THE FOLLOWING CATEGORIES SERIOUS MENTAL ILLNESS SMI; SUBSTANCE USE DISORDERS SUD, INCLUDING OPIOID USE DISORDERS; COOCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS COD; AND CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE SED. SERVICES WILL BE AVAILABLE TO ANY INDIVIDUAL WITH A MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER, INCLUDING INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. THE IDCCCCBHC IA WILL SERVE ADOLESCENTS AND ADULTS ACROSS THE LIFESPAN, INCLUDING PREGNANT WOMEN AND THEIR CHILDREN; VETERANS AND THEIR FAMILIES; AND THE UNDERSERVED RACIAL, ETHNIC AND CULTURAL COMMUNITIES THAT RESIDE IN BROOKLYN, NY. THE CONEY ISLAND COMMUNITY HAS A TOTAL POPULATION OF 106,459. FIFTY-THREE PERCENT OF RESIDENTS ARE FOREIGN-BORN, COMPARED WITH A NYC RATE OF 37%, AND 43% REPORT LIMITED ENGLISH PROFICIENCY 23% NYC RATE. CI DEMOGRAPHICS INCLUDE 56% WHITE, 16% LATINO, 14% ASIAN, AND 12% BLACK. THE POVERTY RATE IS 24%, WITH UNEMPLOYMENT OF 11% IN 2018. VETERANS MAKE UP 2.1% OF THE POPULATION. 5.1% OF NEW YORK CITYS POPULATION IS LGBTQIA. RATES OF OBESITY, DIABETES, AND HYPERTENSION ARE HIGHER IN CONEY ISLAND THAN THE REST OF BROOKLYN OR IN NYC. THE RATE OF AVOIDABLE HOSPITALIZATIONS IS 47.5% HIGHER THAN THE OVERALL NYC RATE, AND THE RATE OF PSYCHIATRIC HOSPITALIZATIONS IS 13.2% HIGHER THAN THE OVERALL NYC RATE. NYC COMMUNITY HEALTH PROFILE, 2018, CD13. COMPARED TO THE NYC RATE, DRUG RELATED DEATHS ARE 45% HIGHER, AND THE SUICIDE RATE IS 35% HIGHER, FOR ADULTS UNDER 65 IN CONEY ISLAND. THE NUMBER OF YOUTH AND YOUNG ADULTS WHO ARE AT HIGH RISK FOR SUICIDE INCREASED GREATLY DURING THE RECENT PANDEMIC, BOTH NATIONALLY AND IN OUR OWN SERVICE AREA. IN MAY 2020, DURING THE COVID19 PANDEMIC, EMERGENCY DEPARTMENT ED VISITS FOR SUSPECTED SUICIDE ATTEMPTS BEGAN TO INCREASE AMONG ADOLESCENTS AGED 12 TO 17 YEARS, ESPECIALLY GIRLS. DURING FEBRUARY 21 THROUGH MARCH 20, 2021, SUSPECTED SUICIDE ATTEMPT ED VISITS WERE 50.6% HIGHER AMONG GIRLS AGED 12 TO 17 YEARS THAN DURING THE SAME PERIOD IN 2019; AMONG BOYS AGED 12 TO17 YEARS, SUSPECTED SUICIDE ATTEMPT ED VISITS INCREASED 3.7%. THE IDCC CCBHCIA HAS THE FOLLOWING GOALS AND MEASURABLE OBJECTIVES: 1, CLIENTS ASSIGNED TO THE HIGH RISK SUICIDE CARE PATHWAY WILL SHOW A REDUCTION IN DEPRESSION, ANXIETY, SUICIDALITY AND TRAUMA-RELATED SYMPTOMS; AND 2, CLIENTS ASSIGNED TO THE HIGH MEDICAL NEED CARE PATHWAY WILL SHOW SIGNIFICANT IMPROVEMENTS IN BMI, A1C AND IN KEEPING MEDICAL APPOINTMENTS. THESE GOALS WILL BE ACHIEVED BY IMPROVING OUR SCREENING, ASSESSMENT, AND DIAGNOSIS, INCLUDING RISK ASSESSMENT; OUR PATIENT-CENTERED APPROACH TO TREATMENT PLANNING; OUR OUTPATIENT PRIMARY CARE SCREENING AND MONITORING OF KEY HEALTH INDICATORS AND HEALTH RISKS; OUR TARGETED CASE MANAGEMENT; AND OUR PSYCHIATRIC REHABILITATION SERVICES. ALL NINE REQUIRED CCBHC SERVICES WILL BE AVAILABLE TO ALL IDCC CCBHC IA CLIENTS.

IDCC CCBHC

YOUNG PEOPLES RECOVERY PROGRAM (YPRP) - INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER (IDCC) PROPOSES TO SERVE 450 TRANSITIONAL AGED YOUTH (TAY) BETWEEN THE AGES OF 16-25 YEARS DIAGNOSED WITH SUBSTANCE USE DISORDERS AND OR CO-OCCURRING SUD AND MENTAL DISORDERS AND THEIR FAMILIES/PRIMARY CAREGIVERS WITH AGE APPROPRIATE, HIGHLY COORDINATED, RECOVERY-ORIENTED EVIDENCE-BASED PRACTICES THAT ENSURE YOUTH VOICE AND CHOICE (50 IN YEAR 1 AND 100 IN EACH YEAR THEREAFTER). THE PROJECTS GEOGRAPHICAL CATCHMENT AREA IS BROOKLYN, NEW YORK, WITH PARTICULAR FOCUS ON THE HIGHLY DIVERSE, DISPROPORTIONATELY IMPOVERISHED AND STRESSED NEIGHBORHOODS OF BROWNSVILLE, BEDFORD STUYVESANT, CROWN HEIGHTS, AND EAST NEW YORK WHERE 228,226 TAYS RESIDE. THE PROPOSED PROJECT WILL BUILD A POSITIVE, MULTI-SYSTEM, FAMILY-FOCUSED APPROACH INTO YOUTH CLINICAL AND RECOVERY AND WRAPAROUND SERVICES. THE GOAL OF THE PROJECT IS TO ENSURE YOUTH AND FAMILY ACCESS TO, ENGAGEMENT AND RETENTION IN IDCCS EXISTING, ROBUST CONTINUUM OF SUBSTANCE ABUSE AND BEHAVIORAL HEALTH SERVICES AND RECOVERY SUPPORTS THROUGH IMPLEMENTATION OF EVIDENCE-BASED CRAFT AND A-CRA; ADDING YOUTH AND PEERS SUPPORTS; AND BY SYSTEMATIC COMMUNITY DEVELOPMENT TO BROADEN THE RANGE OF CULTURALLY, LINGUISTICALLY, AND RELIGIOUSLY DIVERSE SUPPORTS TO YOUTH AND FAMILIES TO ENSURE SUCCESS DURING TREATMENT AND AS YOUTH TRANSITION TO INDEPENDENCE IN THE COMMUNITY. OVER THE LIFE OF THE PROJECT, IDCC WILL BUILD RELATIONSHIPS WITH 30 NEW DIVERSE COMMUNITY AGENCIES PER YEAR WHOSE INCREASING ENGAGEMENT IN THERAPEUTIC AND RECOVERY-ORIENTED SUPPORTS WILL BE REFLECTED IN EACH INDIVIDUAL TREATMENT PLAN. ADDITIONAL PROJECT STAFF WILL ALSO ALLOW FOR SYSTEMATIC TRAINING OF ALL IDCC SUBSTANCE ABUSE AND BEHAVIORAL HEALTH STAFF IN THE PROJECT EBPS, CRAFT AND A-CRA AND PROVIDE ONGOING TECHNICAL ASSISTANCE AS THEY ENCOUNTER COMPLEX, REAL WORLD SITUATIONS. ADDITIONAL YOUTH AND FAMILY PEER SUPPORT STAFF WILL HELP TAYS AND THEIR FAMILIES ENGAGE FULLY IN TREATMENT AND RECOVERY PLANNING. TAYS AND FAMILIES WILL ACCESS IDCCS RICH ARRAY OF SUBSTANCE ABUSE, BEHAVIORAL HEALTH AND RECOVERY ORIENTED SERVICE AND BE SECURELY CONNECTED TO RECOVERY ORIENTED SUPPORTS INCLUDING THOSE OF THE MEDICAID MANAGED CARE HEALTH HOMES AND A WEALTH OF COMMUNITY PROVIDERS WITH WHOM IDCC HAS LONG TERM AND FULLY OPERATIONALIZED PARTNERSHIPS. THE PROJECT EVALUATION WILL DEMONSTRATE SIGNIFICANT INCREASES IN TREATMENT RETENTION, ABSTENTION FROM REDUCTION OF SUBSTANCE USE AND IMPROVED FAMILY FUNCTION.

LSA MEDICATION ASSISTED TREATMENT " LSA MAT" - IN BROOKLYN, NY, PRESCRIPTION AND ILLICIT OPIOID USE CONTINUES TO INCREASE AS TREATMENT PROGRAMS STRUGGLE TO MEET THIS INCREASED NEED. LSA RECOVERY WILL PROVIDE MAT AND OTHER EVIDENCE-BASED PRACTICES TO REDUCE OPIOID MISUSE AMONG FOUR CURRENTLY UNDERSERVED POPULATIONS INDIVIDUALS LEAVING JAIL, FAMILIES, ORTHODOX JEWISH INDIVIDUALS, AND EXISTING PATIENTS WITH CO OCCURRING MENTAL HEALTH DISORDERS, SERVING 60 NEW PATIENTS ANNUALLY (300 TOTAL) OVER FIVE YEARS. THE PROPOSED PROJECT WILL BE LED BY INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER, DBA LSA RECOVERY, REFERRED TO AS LSA IN THIS PROPOSAL). WE PROPOSE TO ADDRESS THE PERSISTENTLY HIGH NEED FOR EFFECTIVE OPIOID TREATMENT IN BROOKLYN, NY BY EXPANDING OUR EXISTING OPIOID DEPENDENCY TREATMENT SERVICES TO FOUR CURRENTLY UNDERSERVED POPULATIONS. THESE INCLUDE EXPANSION OF TWO OF OUR CURRENT SERVICES: OUR REENTRY PROGRAM FOR INMATES RELEASED FROM NYC JAILS IN COLLABORATION WITH THE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION AND OUR PROGRAM TO SERVE FAMILIES WITH OPIOID DEPENDENT MEMBERS IN COLLABORATION WITH THE NYC ADMINISTRATION FOR CHILDRENS SERVICES. WE ALSO PROPOSE TWO NEW SERVICES: OUTREACH TO THE ORTHODOX JEWISH COMMUNITY, WHERE MAT ENGAGEMENT IS EXTREMELY LOW; AND INREACH TO EXISTING MENTAL HEALTH PATIENTS WITH OPIOID DEPENDENCE IN OUR LICENSED MENTAL HEALTH CLINICS WHERE MAT FOR OUD IS NOT CURRENTLY PROVIDED. EACH OF THESE GROUPS ARE IN NEED OF OPIOID TREATMENT SERVICES. BROOKLYN HAS THE SECOND HIGHEST NUMBER OF OVERDOSE DEATHS OF ANY NYC BOROUGH. INDIVIDUALS LEAVING JAIL ARE 12 TIMES MORE LIKELY TO OVERDOSE COMPARED TO THE GENERAL POPULATION. IN NYS, 28 OF EVERY 1,000 CHILDREN ARE AFFECTED BY THE OPIOID EPIDEMIC. BROOKLYN IS HOME TO THE LARGEST ORTHODOX JEWISH POPULATION OUTSIDE OF ISRAEL, AND OPIOID USE AND OVERDOSE ARE COMMON BUT UNDER-REPORTED IN THIS COMMUNITY DUE TO THE STIGMA ASSOCIATED WITH DRUG USE. OUR OWN EXISTING MENTAL HEALTH PATIENTS ALSO HAVE UNMET NEEDS FOR OPIOID DEPENDENCY TREATMENT. ELIGIBLE PARTICIPANTS WILL BE OPIOID-DEPENDENT ADULTS LIVING IN (OR PLANNING TO LIVE IN, FOR JAIL PRISONERS AWAITING RELEASE) BROOKLYN, NY. LSAS CATCHMENT AREA FOR THE PROPOSED PROJECT INCLUDE THE BROOKLYN NEIGHBORHOODS OF CANARSIE, CROWN HEIGHTS, CONEY ISLAND, FLATBUSH AND WILLIAMSBURG; ALL NEIGHBORHOODS AFFECTED BY THE ONGOING OPIOID EPIDEMIC. PROJECT GOALS INCLUDE DELIVERING MAT AND OTHER EVIDENCE-BASED PRACTICES TO EACH OF THESE POPULATIONS, AND TO DECREASE OPIOID USE AND PRESCRIPTION OPIOID MISUSE WITHIN SIX MONTHS FOR ALL PARTICIPANTS. WE PROPOSE TO ENGAGE AND SCREEN 900 INDIVIDUALS AND PROVIDE MAT AND OTHER EVIDENCE-BASED SERVICES TO 300 OF THESE INDIVIDUALS OVER THE COURSE OF THE FIVE YEAR GRANT PROJECT, INCREASING OUR MAT CAPACITY TEN-FOLD. EVIDENCE-BASED MAT INCLUDES VIVITROL AND SUBOXONE, AND OTHER EVIDENCE-BASED INTERVENTION INCLUDE MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIOR THERAPY, TRAUMA-INFORMED CARE, COMMUNITY REINFORCEMENT AND FAMILY TRAINING, AND RECOVERY COACHING.

IDCC CHILD AND ADOLESCENT TRAUMA (CATS) - THE INTERBOROUGH DEVELOPMENTAL & CONSULTATION CENTER, INC. IDCC CHILD AND ADOLESCENT TRAUMA CATS PROJECT WILL PROVIDE EVIDENCE-BASED, TRAUMA FOCUSED DIRECT SERVICES THROUGH A STRENGTHENED ORGANIZATIONAL AND CLINICAL INFRASTRUCTURE TO 1800 UNDUPLICATED DIVERSE CHILDREN AND ADOLESCENTS AGES 0 -21, WHO HAVE EXPERIENCED TRAUMA, IN BROOKLYN, NEW YORK MOST POPULOUS BOROUGH 200 UNDUPLICATED IN YEAR 1; 400 UNDUPLICATED PER YEAR AFTER. AT IDCC, 48% OF THE 2,796 DIVERSE CHILDREN, AGES 0-21 AND LIVING IN BROOKLYN, WHO RECEIVED MENTAL HEALTH TREATMENT IN 2020 THROUGHOUT ITS NETWORK OF MENTAL HEALTH, SUBSTANCE ABUSE, AND SCHOOL-BASED CLINICS REPORTED AT LEAST ONE ADVERSE CHILDHOOD EVENT OR TRAUMA EXPERIENCE. ALMOST 2/3 OF CHILDREN SELF-IDENTIFY AS BLACK, LATINX, OR ASIAN AND NEARLY HALF LIVE IN FAMILIES WITH INCOME BELOW THE POVERTY LEVEL. TO IMMEDIATELY IMPACT DIRECT TRAUMA-FOCUSED EVIDENCE-BASED TREATMENT SERVICES, IDCC WILL BUILD ON ITS PRACTICE OF IMPLEMENTATION-BASED SCIENCE-TO-SERVICE TRAINING AND ROBUST CONTINUUM OF CLINICAL SUPPORT SERVICES TO ADDRESS COMPLEX TRAUMA IN A CULTURALLY APPROPRIATE MANNER. TWO SENIOR CLINICAL LEADS WILL SUPPORT A NEWLY DEVELOPED, AGENCY-WIDE TRAUMA TEAM (TT) WHOSE MEMBERS HAVE ADVANCED CLINICAL EXPERTISE, REFLECT THE CHILDREN'S CULTURAL AND LINGUISTIC DIVERSITY, AND PROVIDE DIRECT TECHNICAL ASSISTANCE TO STAFF AS THEY IMPLEMENT EBPS. CATS WILL PROVIDE AGENCY-WIDE TRAINING ON EBPS RECOGNIZED AS EFFECTIVE FOR CHILDREN WITH TRAUMA AND WILL UTILIZE THE TT AND ITS WELL-DEVELOPED SUPERVISORY STRUCTURE TO IMMEDIATELY INTEGRATE THESE EBPS WITH FIDELITY INTO PRACTICE SO CHILDREN RECEIVE IMMEDIATE AND CULTURALLY APPROPRIATE TREATMENT. THE PROJECT DIRECTOR AND SCLS WILL ORGANIZE AND CO-LEAD EBP TRAINING FOR 548 MASTER LEVEL CLINICIANS, 18 PHD LEVEL CLINICIANS, 11 CARE MANAGEMENT STAFF, AND 14 POST-GRADUATE DEGREE-SEEKING INTERNS PROVIDING SERVICES THROUGHOUT ITS NETWORK OF 8 MENTAL HEALTH CLINICS (3 FOCUSED ON SUBSTANCE USE DISORDERS) AND 40 SCHOOL-BASED CLINICS. SAMHSA AND THE NCTSN HAVE NOTED THAT ORGANIZATIONAL-WIDE TRAUMA-INFORMED TRANSFORMATION REQUIRES CORE STAFF COMPETENCIES. THROUGH CATS, IDCC WILL BUILD THOSE COMPETENCIES AND ENHANCE TRAUMA PRACTICE SKILLS. GOAL 1: IDCC WILL TRAIN 95% OF ITS STAFF IN CLINIC, SCHOOL, CARE MANAGEMENT AND POST-GRADUATE INTERNSHIP POSITIONS IN THESE EBPS: TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY (TF-CBT), DIALECTICAL BEHAVIORAL THERAPY (DBT), ATTACHMENT, SELF-REGULATION, AND COMPETENCY (ARC), COGNITIVE BEHAVIORAL INTERVENTION FOR TRAUMA IN SCHOOLS (CBITS); GOAL 2: 100% OF CHILDREN SERVED BY IDCC RECEIVE IMMEDIATE AND EFFECTIVE SCREENING, TREATMENT, CARE MANAGEMENT BY STAFF WHO UNDERSTAND TRAUMA, INCORPORATE EBPS AND IMPLEMENT CULTURALLY APPROPRIATE CARE INTO THEIR TREATMENT PRACTICE; GOAL 3: INCREASE AWARENESS, KNOWLEDGE AND SENSITIVITY ABOUT THE IMPACT AND SIGNS OF TRAUMA BY SHARING INFORMATION WITH SCHOOL STAFF, COMMUNITY PARTNERS, PARENTS/CAREGIVERS AND CHILDREN THROUGH PRESENTATIONS AND WORKSHOPS. CATS WILL ENSURE AGENCY-WIDE STAFF PROVIDES IMMEDIATE, CULTURALLY CONGRUENT AND APPROPRIATE TRAUMA-INFORMED TREATMENT THROUGHOUT OUR EXTENSIVE NETWORK OF DIRECT SERVICES FROM OUTREACH THROUGH TREATMENT.