Nationwide Children’s Hospital (NCH) “Expanding Access to Peritrauma and Trauma Treatment for Families in Central Ohio (APTT)” will increase capacity for and access to trauma services in Franklin ad Licking County. We will serve 1170 (Yr.1: 65, Yr. 2-5 approximately 277 on average) children and adolescents (ages 0 -17). We will prioritize services to black families in our urban poverty area who are overrepresented in public child serving systems, and rural families in a rapidly urbanizing county. APTT aims to decrease reliance on more intensive or complex trauma treatment by responding to child trauma early, or soon after a traumatic event. We will engage home visitation services, hospital emergency and acute services, and community organizations that represent these families. Goal One of our project aims to improve parent child attachment, reduce child trauma symptoms, and increase child protective factors by training 36 clinicians to provide Child Parent Psychotherapy (CPP) and/or the Perinatal adaptation (P-CPP) to 755 expectant and new mothers. Both services will be aligned with our home visitation program. Goal Two is to improve parent child communication and reduce posttraumatic symptoms in children after a recent traumatic event by training 25 clinicians to provide Child and Family Traumatic Stress Intervention (CFTSI) to 415 families in our hospital and with partners in a continuous county. Goal Three is to improve family engagement and satisfaction by improving our ability to provide integrated, family driven services congruent with cultural and linguistic backgrounds and preferences. APTT will provide CPP to 90 families in collaboration with Ethiopian Tewahedo Social Services, as well as care management to 125 families receiving services at NCH to address social determinants of health and tangible support needs, and provide advocacy to assist families to remain safely in services. A child trauma consultant will provide training and case consultation to reduce health inequities by addressing social and racial barriers to care, and increasing provider confidence to provide culturally relevant services. We will establish a trauma specific family advisory committee and align with their recommendations. Goal Four is to improve child trauma services by disseminating knowledge and building capacity to sustain efforts at the local and regional level, and contribute at the national level to the knowledge about effective trauma treatment with diverse populations. APTT will support CPP Train the Trainer consultation, increasing access to training to support service sustainability. We will provide training utilizing NCTSN material to at least 300 service providers, with a priority on community health workers and prevention services providers. Throughout the grant, staff will support Early Trauma Treatment Network’s effectiveness research with our local, diverse population by providing data and analytic support, and participate in the NCTSN Intimate Partner Collaborative to develop and disseminate one resource by grant year 5.