The goal of the Central Missouri Child Trauma Initiative (CM-CTI) is to increase access to sustainable, trauma-focused, evident-based practices (EBPs) for trauma-exposed, culturally diverse children (ages 0-18) and their families throughout central Missouri (Boone, Cole, Randolph, Audrain, Cooper, Howard, Moniteau, and Callaway counties). Trauma-exposed children in central Missouri currently suffer from limited option to access EBPs for trauma and our region had high rates of child maltreatment and opioid misuse. Our area does not currently have a child trauma specialty clinic that provides a variety of trauma-focused EBPs. The specific aims of the CM-CTI project are to: 1) increase children's access to three leading trauma-focused EBPs, Child Parent Psychotherapy (CPP), Trauma and Grief Component Therapy (TGCT), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for 90 unduplicated children per year or 450 total. The use of these therapies will allow us to effectively serve trauma-exposed children from birth to 18 years from a range of cultural backgrounds as well as those exposed to different types of traumatic events, including traumatic grief, significantly mitigate children's trauma-related symptoms by post-treatment as well as reduce trauma symptoms among caregivers receiving CPP, and build a sustainable child trauma workforce in central Missouri by hosting Learning Total Collaboratives for each EBP for mental health professionals. We are partnering with three NCTSN Category II sites: University of California San Francisco, Texan Children's, and Children's Advocacy Services of Greater St. Louis to host these LC through the use of their CPP, TGCT, or TF-CBT trainers. Our LC efforts will result in 50 new CPP providers (25 in YR 3 and 25 in YR 5), 20 new TGCT providers in YR2, and 30 new TF-CBT providers in YR2. As a result of their participation in the LCs, CPP trainees will provide CPP to 3 unduplicated families with trauma-exposed children ages 0-6 (150 total). TGCT trainees will deliver TGCT to 2 unduplicated grief and/or trauma-exposed children ages 8-18 (40 total). TF-CBT trainees will provide TF-CBT to 3 unduplicated trauma-exposed children ages 3-18 (90 total). We will also provide outreach and engagement to increase access to trauma-focused EBP through education to community agencies and members (250 individuals per year, 1,000 total). We will conduct 125 evidence-based, trauma-focused screening for children ages 0-18 per year (700 total). As a result of our efforts, our number of referrals for EBPs will increase 10% each year. Our team has the clinical expertise in traumatic stress and these EBPs to ensure the success of this project. Coupled with our partnerships with leading NCTSN Category II sites and established reputation in the community, the CM-CTI project will be able to make a lasting positive impact on trauma-exposed children's lives in our region will after the project is completed.