Thursday, December 26, 2024
12/26/2024
ABSTRACT SUMMARY The University of Southern California Child and Adolescent Collaborative for Trauma-Informed Care (USC-CACTIC) will apply evidence-based, trauma-informed principles to raise the standard of care and expand access to evidence-based trauma, grief, and loss mental health services for children and youth ages 0-21 with complex trauma by implementing sustainable methods that are culturally, linguistically, and developmentally appropriate in multiple settings. To achieve the aims of this project, we will establish a synergistic public-private collaboration with three organizational partners: the University of Southern California (USC; private university), LAC+USC Medical Center (LAC+USC; public medical center owned by the County of Los Angeles), and the Violence Intervention Program (VIP; private non-profit public benefit corporation). Five clinics will partner to improve and expand services: 3 VIP clinics: Community Mental Health Center (CMHC), Outpatient Care Services (OCS), and the VIP Medical HUB (co-located at LAC+USC) and 2 LAC+USC clinics: Child and Adolescent Outpatient Psychiatry Clinic (CAOPC) and Pediatric Primary Care (PPC). The majority of clients served at all 5 clinics are from socioeconomically disadvantaged, predominantly Latino communities in metro Los Angeles. Faculty from the Department of Psychiatry and the Behavioral Sciences at the Keck School of Medicine of USC are individually credentialed attending staff at LAC+USC. The specific aims of the USC-CACTIC are threefold: (1) expand access and improve culturally responsive, evidence-based trauma screening, assessment, trauma-informed psychotherapy, outreach, and prevention services for unserved, underserved, or inappropriately served, primarily low-income, Latino children and youth ages 0-21 with complex trauma; (2) cultivate and support a collaborative, trauma-informed system of care that is recovery-oriented and equity-based across all pediatric psychiatry and behavioral health services at the Violence Intervention Program (VIP) and Los Angeles County + USC Medical Center (LAC+USC); and (3) reduce secondary traumatic stress, compassion fatigue, and burnout for personnel at VIP and LAC+USC pediatric services who work directly with trauma-exposed youth. We anticipate that over five years, an estimated 7,440 children, adolescents, and their families will receive trauma screening, case management, individual therapy, or group interventions as a result of this project. The USC-CACTIC will expand access and improve direct, evidence-based, trauma-informed mental health treatments and services by increasing the number of clinicians and case managers and training existing and new providers on evidence-based psychotherapies for treating complex trauma. Working with pre-doctoral psychology interns and child psychiatry fellows, we will both improve current services and train the next generation of psychiatric and behavioral health providers on trauma-informed practices early in their careers. We will establish a multicultural Consumer Advisory Board to explore ways to reduce disparities in access to mental healthcare. To create a more trauma-informed workplace, the USC-CACTIC will offer trauma-informed care (TIC) training to pediatric workforce members to increase awareness about the prevalence of complex trauma, recognize signs, symptoms, and long-term impacts, cultivate understanding of institutionalized trauma, and teach skills to avoid retraumatization of vulnerable youth. Vicarious trauma has been associated with providing care for multiply-traumatized children and youth, so addressing workforce wellness is essential to our success. We will evaluate secondary traumatic stress (STS) in our pediatric providers and staff and implement training and strategies to STS, compassion fatigue, and burnout.
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).