Children And Youth Cabinet

CULTURALLY RELEVANT TIERED TRAUMA TREATMENT

FAMILY-CENTERED TIERED TRAUMA TREATMENT - THE CHILDREN AND YOUTH CABINET PROPOSES FAMILY-CENTERED TIERED TRAUMA TREATMENT, A CONTINUUM OF TRAUMA-INFORMED CARE FOR CHILDREN AND YOUTH AGES 6–18 AND THEIR FAMILIES IN PROVIDENCE, CENTRAL FALLS, PAWTUCKET, AND WOONSOCKET, RHODE ISLAND, PRIORITIZING YOUTH AT RISK OF OR INVOLVED WITH CHILD WELFARE AND JUVENILE JUSTICE SYSTEMS. THE PROJECT WILL SCREEN 250 YOUTH ANNUALLY, PROVIDE 1:1 COGNITIVE BEHAVIORAL THERAPY TO 50 YOUTH ANNUALLY, AND PROVIDE HOME-BASED FUNCTIONAL FAMILY THERAPY FOR YOUTH AGES 11–18 TO 50 FAMILIES IN YEAR 1 AND APPROXIMATELY 100 ANNUALLY BEGINNING IN YEAR 2. HEAR, ACKNOWLEDGE, VALIDATE, SHIFT TRAUMA TRAINING WILL REACH 100 YOUTH-SERVING WORKFORCE AND COMMUNITY MEMBERS ANNUALLY AND EXPAND TO FAMILIES IN YEAR 2. THE PROJECT WILL REACH APPROXIMATELY 625 INDIVIDUALS IN YEAR 1 AND 740 ANNUALLY THEREAFTER, TOTALING AN ESTIMATED 3,586 UNDUPLICATED CHILDREN, YOUTH, FAMILIES, AND PROVIDERS OVER FIVE YEARS. OBJECTIVES INCLUDE LAUNCHING 1:1 CBT WITHIN FOUR MONTHS OF AWARD, CERTIFYING 5 FFT CLINICIANS IN YEAR 1 AND 1 SUPERVISOR IN YEAR 2, MAINTAINING AT LEAST 80% TREATMENT ENGAGEMENT, AND GENERATING 130 REFERRALS IN YEAR 1 AND 200 ANNUALLY IN YEARS 2–5 FROM RHODE ISLAND’S CHILD WELFARE DEPARTMENT (DCYF) AND COMMUNITY PARTNERS. THE PROJECT WILL ALSO ESTABLISH STEP-UP AND STEP-DOWN PATHWAYS ACROSS TREATMENT LEVELS AND IDENTIFY AT LEAST ONE NON-GRANT SUSTAINABLE FUNDING PATHWAY BY YEAR 4.

EVIDENCE FOR ALL - EVIDENCE-BASED AND TRAUMA-INFORMED FAMILY STRENGTHENING - EVIDENCE FOR ALL (EFA) WILL ESTABLISH A NATIONAL NCTSI CATEGORY II TREATMENT AND SERVICE ADAPTATION CENTER TO DEVELOP AND DISSEMINATE FUNCTIONAL FAMILY THERAPY FOR TRAUMA (FFT-T) FOR YOUTH AGES 11-18 AND THEIR FAMILIES INVOLVED IN CHILD WELFARE OR JUVENILE JUSTICE, INCLUDING YOUTH EXPERIENCING MALTREATMENT, COMPLEX TRAUMA, PLACEMENT INSTABILITY, OR TRAUMA RELATED TO JUSTICE-SYSTEM INVOLVEMENT. PRIORITY OUTREACH WILL TARGET NCTSN SITES IN 34 STATES WHERE FFT IS INCLUDED IN APPROVED FFPSA TITLE IV-E PREVENTION PLANS. EFA WILL DEEPEN FFT’S TRAUMA TREATMENT FUNCTIONS AND SUPPORT IMPLEMENTATION THROUGH SITE CONTEXTUALIZATION, IMPLEMENTATION-SCIENCE COACHING AND FIDELITY MONITORING, REAL-TIME FAMILY FEEDBACK THROUGH THE CONTENT RELEVANCE AND PARTICIPANT ENGAGEMENT SURVEY, AND FINANCING STRATEGIES USING TITLE IV-E, MEDICAID, AND OTHER PUBLIC FUNDING. IN YEAR 1, EFA WILL COMPLETE THE FFT-T ADAPTATION AND IDENTIFY AT LEAST 50 PIPELINE SITES. DURING YEARS 1-4, IT WILL CONDUCT OUTREACH TO APPROXIMATELY 12 SITES ANNUALLY, LAUNCH FFT-T AT 10 SITES, CERTIFY AT LEAST 15 CLINICAL STAFF ANNUALLY, AND COMPLETE AT LEAST 2 FIDELITY REVIEWS PER SITE EACH YEAR. BY YEAR 2, 4 MODULAR TOOLKITS WILL BE PUBLICLY AVAILABLE AND FAMILY FEEDBACK WILL BE INTEGRATED INTO CARE4; FINANCING GUIDANCE WILL FOLLOW IN YEAR 3 AND A CONTEXTUALIZATION ROADMAP IN YEAR 4. DURING YEARS 2-5, EFA WILL PROVIDE AT LEAST 10 NCTSN LEARNING COLLABORATIVE SESSIONS ANNUALLY, REACHING APPROXIMATELY 300 INDIVIDUALS PER YEAR.