H.A.T. (Healing After Trauma) Center - The H.A.T. (Healing After Trauma) Center will serve as the single entry point trauma therapy center for children and adolescents age 0-17 in Clearfield and Jefferson Counties, PA who have experienced a traumatic event. Both counties are largely rural. Clearfield County (1,145 sq. miles) has a population density of only 71 persons, and Jefferson County (652 sq. miles) has 69 persons per square mile. There will be two populations of focus. The first are those children, adolescents and their families who are victims of physical or sexual abuse, other forms of child maltreatment, or have experienced other traumatic life events. The second are children and adolescents with Problematic Sexual Behaviors. These populations of focus experience social and economic risk factors, which increase likelihood for trauma and related mental health problems. CenClear will have a dedicated team comprised of the Project Director, a Clinical Supervisor, 5 Licensed Mental Health Therapists, a Mental Health Assessor, a Mental Health Navigator, a Departmental Assistant, and a Mental Health Data Reports Manager to cohesively operate the H.A.T. Center and provide trauma services to consumers in both counties. CenClear has also contracted with a Professor from the Prevention Research Center at The Pennsylvania State University to provide services under the Lead Evaluator role. This contractor will provide data collection, performance measurement, program evaluation, and analyze and evaluate the overall performance of the project.
The H.A.T Center planning team considered utilizing a number of Evidence Based Programs (EBPs), but determined that the ones listed below are the most relevant to the population of focus and outcomes to be achieved:
• Trauma-Focused Cognitive Behavioral Therapy (TF-CBT): This is an evidence-based intervention that addresses the multiple domains of trauma impact including, but not limited to, Posttraumatic Stress Disorder, depression, anxiety, externalizing behavior problems, relationship and attachment problems, school problems and cognitive problems. TF-CBT includes skills for regulating affect, behavior, thoughts and relationships, trauma processing, and enhancing safety, trust, parenting skills and family communication. TF-CBT is an effective intervention that targets trauma victims from ages 3-17, which falls within the age range of our population of focus.
• Eye Movement Desensitization and Reprocessing (EMDR): This is an evidence-based intervention that is an integrative psychotherapeutic approach that emphasizes the role of the brains information processing system in improving the somatic and psychological consequences of distressing events. This intervention is effective for a variety of traumas, including trauma stemming from sexual abuse.
• Problematic Sexual Behavior – Cognitive Behavioral Therapy for School-Age Children (PSB-CBT): A therapeutic intervention approach that is used on children and adolescents who are identified with problematic sexual behaviors geared toward other children and adolescents. Children with problematic sexual behavior may have a history of trauma to include sexual abuse, physical abuse, and/or witnessing domestic violence.
CenClear has established and defined goals and objectives for the H.A.T. Center. Through the implementation of this project, CenClear will have the ability to expand access to evidence-based trauma focused treatment and trauma-informed services to children, adolescents and families who are in dire need in both counties; provide an array of evidence-based trauma-focused treatment services for those children, adolescents, and families; enhance the capacity of the child-serving systems and local and regional infrastructures to develop a trauma-informed systems of care across agencies; and, further CenClear will be able to greatly reduce the overall trauma symptoms for clients receiving services at the H.A.T. Center by utilizing the stated evidence based programs.