The YMCA of San Diego County (YMCA) will expand trauma-focused treatment for youth (ages 3-18) and their parents/caregivers through "Finding Youth Resilience" (FYR) that will provide Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR) to youth throughout San Diego County who have experienced and exhibit symptoms of trauma. FYR will also offer trauma training to youth-serving personnel to increase their knowledge and awareness of the effects and symptoms of trauma on youth. San Diego County has over 714,000 youth under the age of 18; 43.3% report having experienced at least one Adverse Childhood Experience (ACE), while 14.4% report experiencing two or more ACEs that can lead to trauma. In San Diego County, one in 13 children has an emotional disturbance that limits participation in daily activities, and only 25-35% of affected youth access treatment due to the lack of mental health providers relative to demand for treatment (1:270). There is also an elevated incidence of mental health distress among the nearly 25% of individuals who are foreign-born.
Specific FYR program goals and measurable objectives include:
1. Goal: Increase access to effective trauma-focused treatment and services to under-resourced youth and families. Objective: 1a. Screen 200 youth annually (100 in Year 1) for history of exposure to trauma and/or ACEs and distress levels. 1b. 100% of those who meet eligibility criteria will be referred to project services or linked to other appropriate services. 1c. Enroll a minimum of 75 (50 in Year 1) in TF-CBT or EMDR.
2. Goal: Decrease trauma symptoms in youth. Objective: A minimum of 75% of enrolled youth will complete at least five sessions of TF-CBT or EMDR, and 75% of those completing at least 8 sessions will demonstrate decreases in trauma symptoms.
3. Goal: Increase coping and self-regulation skills in youth. Objective: 75% of youth completing at least six sessions will demonstrate increased coping skills.
4. Goal: Increase parent/caregiver knowledge of trauma and appropriate co-regulation skills. Objective: 100% of parents/caregivers who attend a treatment session will receive evidence-informed psycho-education on childhood trauma symptoms and co-regulation, and 75% of parents/caregivers attending at least one parent psycho-education group session will report an increase in knowledge of childhood trauma and its symptoms.
5. Goal: Increase understanding of trauma for youth-serving systems. Objective: 100% of King-Chavez Neighborhood of Schools personnel and Girl Scouts San Diego staff and volunteers who receive trauma training will have a greater understanding and increased knowledge of trauma and its effects on children.
FYR will utilize TF-CBT and EMDR to increase knowledge of trauma and trauma symptomatology in youth and their parents/caregivers, and will increase appropriate parenting practices and trauma-related emotional distress through psycho-education. 75 youth and their parents/caregivers will receive TF-CBT or EMDR treatment annually (50 in Year 1), totaling 350 youth and their parents/caregivers throughout the five-year project term. FYR will also provide trauma training to approximately 150 school-based personnel, 80 Girl Scouts staff and volunteers, and 45 YMCA ELP staff annually, for a total of approximately 1,375 adults trained over five years.