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Grants will assist traumatized children
(December 2007 Issue)

By Catherine Robertson Souter

Childhood trauma is an unfortunate fact of life. According to the Web site for the National Child Traumatic Stress Network, a U.S. Congress-funded initiative, one in four children in the U.S. will experience a traumatic event by age 16. While not all of these children will develop signs of traumatic stress, the network's goals to improve therapeutic services to ameliorate the effects of traumatic stress on children and adolescents has become a driving force behind several recently announced grants.

In September, the Substance Abuse and Mental Health Services Administration (SAMHSA), announced the recipients of 15 grants totaling close to $28 million over four years, as part of the National Child Traumatic Stress Initiative. The grantees included three in New England: the Latino Health Institute in Boston, Children's Hospital Boston, and the Community Counseling Center in Portland, Maine.

"These grants will strengthen the nation's capacity to provide help to children of all ages who experience traumatic events, such as interpersonal violence, natural disasters or acts of terrorism," said Terry Cline, Ph.D., SAMHSA administrator, in a release.

The $400,000-per-year grant for the Community Counseling Center in Portland will be used to develop a system of care for the center's 12-town base of communities. The center is the lead agency for the Greater Portland Children's Trauma Response Initiative, a coalition of 24 organizations working to provide a range of services from outreach to education, assessment, triage, training and treatment. Using the evidence-based Trauma Focused Cognitive Behavioral Therapy Model (TF-CBT), the initiative plans to develop treatment and evaluation services for children and adolescents throughout the region.

"The big picture is that we've been funded by SAMSHA to do a system of care transformation," says Laura Gottfried, LCSW, vice president of program services for the counseling center. "In addition to funding actual services, we will provide leadership in greater Portland to provide services for children and adolescents who have experienced trauma."

Children's Hospital Boston received a grant of $599,998 for each of the four years to develop services for refugee children now living in the U.S. who have been exposed to the tragedies of war, political oppression, torture or forced displacement. The grant will fund the creation of a treatment center that will focus specifically on working with network centers around the issue of refugee children and families, raising public awareness and developing and disseminating effective interventions to resettlement agencies, schools and social service agencies who work with refugees.

"The number of refugees in this country comes in waves depending on the international situation," says Glenn Saxe, M.D., associate chief of psychiatry for research and development and the director of the Center for Behavioral Science at Children's Hospital Boston/ Harvard Medical School. "Ten years ago, Bosnia was a big issue. Over the past five to 10 years, wars in Africa have increased the refugees: Somalia, Sudan, and Sierra Leone. Now, we are expecting a wave from Iraq."

The Latino Health Institute was awarded $399,999 in the first year to address the needs of Massachusetts Latino children who have experienced trauma as well as train mental health care providers in TF-CBT interventions for working with these clients who often have limited access to care because of limited bilingual services and a lack of care for lower-income families, who may be more in need of these types of services.

"We are thrilled to be among the list of grantees," says M. Barton Lewis, Ph.D., senior investigator in social science and policy for the Institute and an assistant professor of public health and family medicine at Tufts University School of Medicine. "If you look at the list of grantees, they are mostly academic and large providers. There is a real need here that we want to be able to meet."