Thursday, November 21, 2024
11/21/2024
Centerstone’s Trauma and Grief Treatment (C-TGT) will increase access to effective trauma- and grief-focused treatment and service systems in 3 Florida counties (DeSoto, Manatee, and Sarasota) for 570 children/adolescents (ages 0-17) and their families who experience traumatic events, including under-served/resourced children of LGBTQ+, rural, racial/ethnic minority, and non-English speaking communities and Veteran/military families (Yr. 1: 90; Yrs. 2-5: 120/year). C-TGT’s focus population demographics are expected to mirror those in the catchment area under age 18 with: 51%, male; 49%, female; 57%, White; 11%, Black; and 25%, Hispanic/Latino individuals. C-TGT will serve underserved/-resourced subpopulations from among the area’s 5,506 LGBT, 6,495 rural, 60,162 racial/ethnic minority, and 22,385 non-English speaking children/adolescents, and the 17,680 Veteran families. Consistent with Florida youths’ clinical characteristics, 72,754 (52%) will face an Adverse Childhood Experience (ACE); 34,978 (25%) will experience 2+ ACEs; and an expected 18,190 under age 18 will have a serious emotional disturbance. In 2021, child abuse cases in DeSoto, 752; Manatee, 1,103; and Sarasota, 631, exceeded Florida, 540/100,000. Trauma risks among area children include food insecurity among 26,675 facing; no insurance among 12,800; and chronic school absence among 17,425. C-TGT’s core evidence-based strategies/interventions will leverage cultural competency guidance from SAMHSA’s TIP 59: Improving Cultural Competency and include NCTSN-endorsed Assessment-Based Treatment for Traumatized Children: Trauma Assessment Pathway (TAP); Trauma-Focused Cognitive Behavioral Therapy (TF-CBT); Child-Parent Psychotherapy (CPP); and Trauma and Grief Component Therapy for Adolescents (TGCTA). Additional population-specific strategies/interventions include skills-based prevention/recovery (e.g., NCTSN’s Skills for Psychological Recovery), Let’s Connect, AFFIRM, and DIMENSIONS Tobacco Free Program. C-TGT’s goals include: (1) Implement community-based, culturally competent, quality, accessible programming for the focus population; (2) Develop infrastructure and expand community capacity to implement/sustain trauma-/grief-informed services for the focus population; (3) Improve the health status and outcomes for young children (ages 0-10) and children/adolescents (ages 11-17); and (4) Develop/disseminate a replicable service model. Measurable objectives include: train 5 project staff on the impact of complex trauma, etc.; provide age-appropriate screening/assessment/referral and triage into appropriate evidence-based trauma-/grief-informed therapies, care management, etc., for an unduplicated 570 children/adolescents and their families; provide language access services to 100%; establish mobile services in 1 county; screen/assess 100% of parents/caregivers; develop/implement outreach/referral pathways with 50 stakeholders/organizations; increase Letters of Commitment by 10; develop/implement screening/referral procedures with 10 partners; coordinate with/provide training for 3,000 Centerstone and other child-serving organization staff; annually develop/revise training/onboarding procedures; collaborate biannually with Treatment and Service Adaptation Centers; convene and Advisory Council comprising 20% focus population youth/families; outreach to 10,000 area individuals; link/coordinate with 2 funding mechanism; and report biannually on an evaluation and subpopulation disparities. C-TGT will reduce mental health symptomatology among 60%, tobacco/nicotine use among 50% receiving DIMENSIONS, past-30 day criminal justice involvement among 60% with criminal justice history, and past-30 day unexcused absences by 30%; improve social connectedness among 60%, everyday functioning among 60%, housing stability among 80% receiving resources; and parenting skills/confidence among 60% of parents/caregivers; and achieve satisfaction among 80% and an 80% retention rate.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
