Our NCTSI-II Center, Enhancing Equity, Quality and Impact of evidence-based Practices using
Technology (EQUIPTT), aims to increase equitable access and quality of trauma-focused
evidence-based interventions (EBIs) across diverse youth and families by (1) developing,
disseminating and implementing technology-based scalable products and (2) serving as a national
resource for training, education and technical assistance. Child trauma is prevalent and increases
risk for severe, lifelong mental and physical health problems. Traditionally underserved youth (i.e.,
racial/ethnic/sexual/gender minorities; those in rural or low-income homes) fare even worse.
Racial discrimination (90% incidence among Black youth) and COVID-19 have exacerbated these
inequities and created tremendous need for accessible EBIs; yet >50% of youth in need of trauma-related
EBIs do not receive them. Technology-based training and treatment resources can address
this need by offering accessible, cost efficient solutions to families and the providers who serve
them. Our Center has four goals: (1) increase availability of technology-enhanced, evidence-based
resources across the NCTSN; (2) build workforce capacity to deliver two EBIs: Trauma-Focused
Cognitive Behavioral Therapy (TFCBT) and Risk Reduction through Family Therapy (RRFT) for
youth with traumatic stress and high-risk behavior; (3) disseminate technology-based resources to
improve sustained delivery of trauma-focused EBIs; and (4) expand access to trauma-focused EBIs
across service systems. Our strategies are to (1) support NCTSN Centers’ efforts to develop and
disseminate technology-based products by providing consultation and creating a Technology
Development Toolkit (TDT) for national dissemination; (2) build workforce capacity by
conducting Learning Collaboratives supplemented by technology-assisted training and provider
assistance tools in TFCBT, RRFT, and traumatic grief (CTGWeb) to address grief and loss,
which has been exacerbated by COVID; and (3) launch mobile app-based EBIs to address PTSD
and depression among disaster-affected youth and adapt to a broad array of traumatic events. Our
objectives will be measured by (1) numbers of consultation/mentorship requests and TDT
downloads (national resource goal, #1); (2) numbers of training requests, training completers,
cases registered, pre/post-training changes in knowledge and practice, positive treatment
outcomes, and registrants/completers for the online training courses (training/implementation
goal, #2); and (3) numbers of users, satisfaction data, and downloads (product development goals
3,4). Our planned activities will directly train ~200 service professionals, reaching over 10,000
youth and families; and will include launch and dissemination of provider learning courses
(CTGWeb, RRFTWeb) and resources (SPARK) that will collectively reach tens of thousands of
providers and families, as well as technology-based EBIs (BBN, BBN adaptation) that will reach
many more. Consistent with our aim to improve equitable access of EBIs, our dissemination efforts
will prioritize partnerships that have strong reach into underserved populations, including
racial/ethnic/sexual/gender minority youth and those in rural, low-income households.