NCTSN: THE NETWORK NEWS Dateline: June 28, 2002 Vol. 1, Issue 5 Network Site Spotlight Steering Committee Featured Site: The Mental Health Corporation of Denver's Family Trauma Treatment Program serves the city and county of Denver by providing a wide array of mental health services for children and adolescents aged birth through 17 years. Their programs include a day treatment preschool, day treatment for children ages 7-13, intensive home-based services, and outpatient services. Services are provided in clinics, at schools, in youth detention facilities, and in youth shelters for homeless youth or children in social services custody. The MHC of Denver serves approximately 1500 children per year including many who are poor and have few resources. The primary ethnic groups served are AfricanAmerican, Latino and Caucasian. MHC of Denver also includes a Deaf Counseling Services program for families with a child and/or parents who are deaf or hard of hearing. We are very excited to announce that the first meeting of the NCTSN Steering Committee was held in Durham, NC on June 21-22. Present at the meeting were Steering Committee members Judy Cohen (AGH Center for Child Abuse and Traumatic Loss), Robert DeMartino (SAMHSA), Angela Diaz (Mount Sinai Adolescent Health Center), John Fairbank (NCCTS-Duke), Kevin Gully (Child Trauma Treatment Network Intermountain West), Dennis Hunt (Center for Multicultural Human Services), Sandy Kaplan (North Shore Adolescent Trauma Treatment Development Center), Cheryl Lanktree (Miller Children's Hospital Abuse and Violence Intervention Center), Alicia Lieberman (Early Trauma Treatment Network), Steve Marans (Childhood Violent Trauma Center), Bob Pynoos (NCCTS - UCLA), Glenn Saxe (Center for Medical and Refugee Trauma) and Bessel van der Kolk (Trauma Center, Massachusetts MHI). Karen Mallah, Project Director, states that the Family Trauma Treatment Program will provide services at three outpatient sites. One major program objective is to evaluate the effectiveness of Allegheny Hospital's (Pittsburgh, PA) traumafocused cognitive behavioral therapy protocol by randomly assigning half of the new clients with trauma symptoms to clinicians using the CBT Manual, and half to clinicians using treatment methodologies already in place. Pre and post testing, as well as a six-month follow-up will be done to assess the effectiveness of the CBT Manualized approach. Grant funding will be used to 1) train the clinicians in the use of the CBT Manual, 2) fund the ongoing assessment and research efforts, and 3) disseminate best practices information regarding child traumatic stress across the entire child and family department. MHCD's Family Trauma Treatment Program hopes to have its own Community Advisory Council in place this fall. Ranga Krishnan, Chair of the Duke Department of Psychiatry & Behavioral Sciences, and Rob Califf, Director of the Duke Clinical Research Institute, welcomed the participants and offered the support of Duke University to the NCTSN. Observers included: Christine Guthrie, Malcolm Gordon and Ken Curl from SAMHSA; Cynthia Binanay, Brian McCourt and Susan Silva from Duke Clinical Research Institute (DCRI); Janis Kupersmidt, Jenny Kozik, and Elizabeth Ezell from Innovation Research and Training (IRT); Alan Steinberg and Jenifer Wood from NCCTS UCLA; and Andy Broughton and Judy Holland from NCCTS - Duke. Don Meek, a consultant to the National Center with Clearview Partners, made a presentation on the development of a Network "identity" and moderated several meeting sessions. Catherine Gruetze from DCRI and Thérèse Murdza from NCCTS-Duke provided invaluable administrative services in planning and coordinating meeting activities, providing materials, and in taking minutes of the meeting. Steering Committee Accomplishments The Steering Committee took the following actions: 1) Adopted a Mission Statement for the National Child Traumatic Stress Network To raise the standard of care and improve access to services for traumatized children, their families, and communities throughout the United States 2) Established a process for finalizing the Network Vision and Strategic Priorities, and 3) Endorsed the use of Short Interval Planning (SIP) as a way to plan and monitor cross-Network activities. Other Discussion Topics 1) Governance - The Steering Committee engaged in a lively discussion about governance of the Network and the roles of the Steering Committee, Network committees, task forces and the Executive Committee. The scope of oversight of the Steering Committee was discussed as extending to those Network policies, procedures, and activities that require "buy-in" by the Network and/or have Network-wide impact. National Center staff will propose a process for initiating new Network activities that incorporates the role of the Steering Committee in setting strategic Network priorities. 2) Training - Ideas about both topics for training and priorities were discussed and will be given to the Training Committee as a starting point for its first meeting in late July. 3) Growth and Expansion - The challenges and opportunities of integrating the new sites was discussed. The Steering Committee has asked the National Center to convene a Network meeting for all member sites in December 2002. Steering Committee Meetings and Minutes 1) The Steering Committee will have monthly telephone conference calls beginning in August. 2) Face to face meetings of the SC will be held twice yearly, one at the same time as the annual Network meeting. 3) Minutes from all SC meetings will be available on the Web, on the Network member site. Minutes from the June meeting will be posted by July 22, 2002. Network Expansion SAMHSA has announced additional support for 18 new sites. Six sites will join the Network on July 1, 2002 and the remaining twelve will be added September 1, 2002. We will then have ten Category II sites and twenty-five Category III sites. Please see the attached SAMHSA press release for more details on the new sites. In order to welcome these new sites, the National Center is preparing a Network orientation package, including a CD-ROM containing the program presentations made by each site at the February Kick-off Meeting. The National Center has also organized an intra-network growth advisory group to assist in the development of detailed plans for the integration of new sites, including site visits, regional meetings, and the establishment of a "buddy system." NCTSN Website On July 1, all Project Directors will receive an announcement about the launch of the NCTSN Web site. The Web site will have a public portion and private member access to chat rooms, message boards, and other materials for Network discussion. The introductory email will include instructions on how to use the chat room and message board, will provide a basic orientation to the features and content of the new sites, and will include login id's and passwords for the members-only site. Upcoming Meeting/Conference Highlights 14th International Congress on Child Abuse & Neglect July 7-10, 2002 Denver, CO Sponsors: International Society for the Prevention of Child Abuse and Neglect (ISPCAN), Kempe Children's Foundation, and Kempe Children's Center Contact: www.kempe.org Please contact Frank Bennett FrankBennett@aumhc.org or Karen Mallah kmallah@mhcd.com if you are planning to attend the ISPCAN conference. Developing Local Systems of Care for Children and Adolescents with Emotional Disturbances and their Families: Training Institutes July 10-July 14, 2002 Sponsor: National T.A. Center for Children's Mental Health, Georgetown University This conference is a major child mental health training event. NCTSN will have a poster session featuring the Child Traumatic Stress Network Washington, DC Contact: Institutes2002@mindspring.com Please email Judy Holland jholland@psych.mc.duke.edu if you are planning to attend the Training Institutes. Victimization of Children and Youth: An International Research Conference August 4-7, 2002 Family Research Lab & Crimes Against Children Research Center, UNH Sheraton Harborside Hotel & Conference Center Portsmouth, NH Contact: www.unh.edu/frl or Melissa Averill Hurd maverill@cisunix.unh.edu. *Complex Psychological Trauma: Its Correlates and Effects November 7-10, 2002 Baltimore, MD Contact: http://www.istss.org/ or Deb Pederson at 847/480-9028 or conference@istss.org Sponsor: International Society for Traumatic Stress Studies The NCTSN is co-sponsoring two pre-meeting institutes. NCTSN members are presenting several symposia and workshops. Call for Papers "Psychosocial Reactions to Terrorist Attacks" Call for papers deadline July 26, 2002 Innovations in Disaster Psychology Conference September 29-October 1, 2002 Sponsor: Disaster Mental Health Institute Rapid City, SD For more information: http://www.usd.edu/dmhi/conf02/ Items of Interest Websites 1) A new website, http://www.GovBenefits.gov, is designed to help people determine if they qualify for some federal benefits programs, including health programs like Medicare, Medicaid and the State Children's Health Insurance Program (SCHIP). 2) The National Health Law Program, NheLP, seeks to provide a seat at the table for representatives of low-income people, to protect consumers in the emerging managed care systems, and to find creative financing solutions that also preserve government's responsibility as provider of last resort. NHeLP also produces the Capital Communique which reports briefly on recent and forthcoming developments relating to federal health policy. http://www.healthlaw.org New Resources 1) "Providing Language Interpretation Services in Health Care Settings: Examples from the Field," is a nationwide survey of interpreter services in various health care settings and offers recommendations for how to expand those services. The study was co- written by NHELP and the Commonwealth Fund. A free copy can be obtained by calling 212-606-3800 or downloading it from http://www.cmwf.org or http://www.healthlaw.org. 2) HHS's revised "Providers Guide to Quality and Culture," adds a new section on the health care needs of Muslims, to help practitioners provide culturally sensitive care. Contact http://erc.msh.org/quality&culture 3) A new research brief summarizes what is known about the outcomes of child maltreatment. The Multiple Dimensions of Child Abuse and Neglect: New Insights into an Old Problem draws on available data and recent research studies to summarize what is known about the outcomes of child maltreatment in several critical areas -- physical and mental health, cognitive and education attainment, and social and behavioral development. The authors of this research brief are Child Trends in partnership with several foundations. For more information, see http://www.childtrends.org/PDF/ChildAbuseRB.pd f. Funding Opportunity Information 1) National Children's Alliance, under a cooperative agreement with the Office of Juvenile Justice and Delinquency Prevention (OJJDP), U.S. Department of Justice, will administer $4,989,000 in federal funds for the establishment and expansion of children's advocacy centers (CACs) during 2003. CACs provide a comprehensive approach to serving children who are abused through coordination of investigation and intervention services. Grants are available for team and leadership training and for program development and support, including tribal program development. The RFP and grant application is now available . Competitive applications are due by September 6, 2002. Grant information is available at <http://www.ncanline.org/grants.html>. All current and sample forms related to grants are available at <http://www.nca-online.org/funds1.html>. 2) Good information about seeking funding from foundations, including a list of websites compiled by the W.K. Kellogg Foundation, is available through the listserv 4-The-Child@yahoogroups.com. This listserv is part of the Caring for Every Child's Mental Health Campaign, CMHS, DHHS. As always, please send Network News feedback and information to Judy Holland, 919/687-4686 x 302 jholland@psych.mc.duke.edu I'm especially interested in comments about content and length of the newsletter.