The Community Collective for Trauma-Informed, Evidence-Based Prevention and Treatment Services - The Center for Resilience and Well-Being (CRW) will partner with family-serving agencies and schools to increase access to trauma-informed, evidence-based prevention practices and treatment services (TI-EBPs) in our local Boulder County and in two rural, underserved regions of Colorado. This project will reduce behavioral health disparities for Latina/o/x families and families living in low-resource rural areas. A unique aspect of this project is the focus on prevention efforts which will expand our reach to all youth and address many of the barriers associated with accessing effective behavioral health supports. Evidence-based prevention is one of the most powerful and cost-effective strategies for promoting health and reducing risk and behavioral health challenges for youth across racial and ethnic identities and low-income status. Populations to be served. Our target areas include our local Boulder County and two rural counties (Garfield, Montrose) and surrounding areas on the Western Slope of Colorado that serve many high needs, underserved communities. Our eight partner agencies for this grant serve large numbers of youth and families who have experienced complex trauma and other adverse life events (e.g., poverty, housing/food insecurity), including a significant number of Latina/o/x families. The number of unduplicated individuals served will total 36,000 families in family service settings (Y1: 2,400; Y2: 4,800; Y3: 7,200; Y4: 9,600; Y5: 12,000), and 45,000 educators and youth in schools (Y1: 3,000; Y2: 6,000; Y3: 9,000; Y4: 12,000; Y5: 15,000). Strategies/Interventions. (1) Let's Connect® is a parent-child intervention with demonstrated efficacy at building parents' social emotional competence (SEC) and teaching parenting skills that promote healthy communication, supportive relationships, and youth SEC and behavioral health; (2) Supporting Caregivers is a group-based adaptation of Let's Connect® for parents impacted by trauma or disaster, (3) Resilience in Schools and Educators is a K-12 school prevention program that builds educators' wellbeing and SEC and teaches skills that promote supportive relationships, youth SEC and mental health, and safe supportive environments, (4) Calm and Connected Toolkit is a prevention program that teaches adults skills to destigmatize and support youth mental health challenges; (5) Trauma-Focused Cognitive Behavioral Therapy® is the best supported treatment for youth and caregivers for reducing trauma-related difficulties and enhances parental support and youth resilience; (6) Alternatives for Families: Cognitive Behavioral Therapy® is a treatment for families involved in high conflict violence, and abuse with demonstrated efficacy for increasing positive parenting, youth coping and social skills and reducing family violence, behavior problems, and abuse recidivism. Goals/Objectives. Goal 1. Develop the collaborative infrastructure for a community-based prevention hub to provide trauma-informed, prevention services for families and schools in our local community. Objectives: Convene communities of practice (CoP), consumer advisory groups (CAG), and a diversity, equity, inclusion, and belonging consultation team to conduct strengths-needs-gaps (SNG) assessment and action plan; partner agencies will establish systems for implementing services with fidelity and outcomes tracking. Goal 2. Improve behavioral health outcomes and reduce health disparities by implementing and sustaining culturally-responsive TI-EBPs in our local and rural communities. Objectives: Convene CoPs and CAGs, conduct SNG in rural regions; 85% of providers at partners will implement one TI-EBP and 70% will implement two; 5 school districts will implement TI-EBPs; 75% increase in referrals to TI-EBPs; local housing authority will offer TI-EBP. Goal 3. Promote long-term sustainability of TI-EBPs. Objectives: 80% of supervisors show TI-EBP supervision skills; 5 family/5 school staff complete Trainer programs.
