Centerstone's Trauma and Grief Treatment (C-TGT) for Children, Adolescents, and Families - 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.
