The Center for Adjustment, Resilience & REcovery (CARRE) seeks to close the gap in knowledge and research, and increase workforce capacity so that refugee, asylum, and other forcibly displaced children, youth, and families in the US receive effective-based, trauma focused, culturally responsive, evidence-based treatments and interventions that prevent the long-term impacts of childhood traumatic stress and promote resilience. Despite refugee and asylum-seeking children and youth experiencing significant traumatic events and ongoing adversities that result in a high prevalence of mental health conditions (studies show an overall prevalence of posttraumatic stress disorder at 22.71%, depression at 13.81%, and anxiety disorders at 15.77%), they are often unable to access trauma-focused services and evidenced-based treatments due to linguistic, cultural, and environmental barriers, and a lack of provider capacity. CARRE will: 1) Increase the knowledge, skills, attitudes and resource of NCTSN partners, NCTSI Centers, Refugee Resettlement Agencies (RA), Ethnic Community Based Organizations (ECBO), and other service providers so that they can successfully serve refugee/asylum-seeking children and families coping w/toxic stress and trauma number; 2) Increase the number of Cat. III Centers, RAs, ECBOs, and other service providers who effectively implement culturally adapted and contextually appropriate evidence-based treatments (EBTs) with refugee/asylum-seeking children and families; and 3) Increase the exchange between intervention, population, and systems experts in the fields of trauma and toxic stress and forced migration, refugee resettlement, asylum, and other forms of humanitarian protection. This project will serve a total of 6,690, including both training, education and consultation with service providers and evidence-based treatment with families and youth. CARRE will train a minimum of 5,000 providers (1,000 annually), provide at least 200 consultations (40 annually), and disseminate three (3) adapted EBTs to 12 geographically diffuse service provider agencies (2-3 annually) reaching a minimum of 180 families and 540 individuals (36 families/youth and 108 individuals annually). CARRE will produce at least 23 unique resource materials that reach at least 950 providers (4-5 materials annually that reach at least 190 individuals). CARRE will provide training, education, and technical assistance, and regularly develop and disseminate resources to NCTSN members on issues related to the unique traumatic factors of forced migration, related service systems, and cultural adaptation frameworks. Conversely, CARRE will partner with NCSTI Cat. II Centers to ensure the RAs and ECBOs, early and common service entry points, have increased knowledge and skills regarding child traumatic stress. CARRE is partnering with Cat. II NCTSI Centers to culturally adapt three EBT models and will expand their implementation to NCTSI Centers, RAs, ECBOs, and other service providers. It will support the successful uptake and sustainability of these interventions by serving as a continuing resource for training, consultation, and technical assistance. CARRE will also engage key stakeholders including refugee/asylum seeking youth and families to collectively leverage knowledge and to improve access to services and effective care.