1. The National Child Traumatic Stress Network The National Child Traumatic Stress Network is supported through funding from the Donald J. Cohen National Child Traumatic Stress Initiative, administered by the Department of Health and Human Services (DHHS), Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA).

2. National Child Traumatic Stress Network Mission Statement The mission of the National Child Traumatic Stress Network (NCTSN) is to raise the standard of care and improve access to services for traumatized children, their families and communities throughout the United States.

3. National Child Traumatic Stress Network Vision Statement The NCTSN will raise public awareness of the scope and serious impact of child traumatic stress on the safety and healthy development of our nation’s children and families. We will improve the standard of care by integrating developmental and cultural knowledge to advance a broad range of effective services and interventions that will preserve and restore the future of our nation’s traumatized children. We will work with established systems of care, including the health, mental health, education, law enforcement, child welfare and juvenile justice systems, to ensure that there is a comprehensive continuum of care available and accessible to all traumatized children and their families. We will be a community dedicated to collaboration within and beyond the Network to ensure that widely shared knowledge and skills create a national resource to address the problem of child traumatic stress.

4. The National Child Traumatic Stress Network Innovative Collaborative Venture UCLA-Duke University National Center for Child Traumatic Stress (Category I) 15 Intervention Development and Evaluation Centers (Category II) 38 Community Treatment and Service Centers (Category III) Unique legislative initiative Unique opportunity

5. National Child Traumatic Stress Network Sites LOS ANGELES Category I - National Center MA CT NY PA NM UT CO MO OH VA Category II – Intervention, Development, and Evaluation Centers Category III – Community Treatment and Service Centers ME FL AL CA OR WA IL DC Terrorism and Disaster Branch NC DURHAM OK MT ID WI MI SC NJ MD TX TN GA LA MS NYC

6. Range of Traumatic Events Trauma embedded in the fabric of daily life –Child abuse and maltreatment –Domestic violence –Community violence and criminal victimization –Medical trauma –Traumatic loss –Accidents/fires

7. Range of Traumatic Events Humanitarian crises –Natural and man-made disasters Earthquakes Floods, mudslides Hurricanes Tornadoes Volcanic eruptions Major transportation accidents Industrial accidents Technological disasters –Catastrophes of human origin Armed conflicts/wars Genocide Terrorist attacks

8. Service Sectors Pediatric Emergency, Hospital, Outpatient and Rehabilitation Services Child Mental Health Hospitals and Clinics Child Advocacy Centers School Districts Juvenile Justice and Law Enforcement Regional pediatric and child mental health systems

9. NCTSN Five Functional Cores Data Core – Building a national consensus on metrics (clinical, service and quality of care) Learning from Research and Clinical Practice Core – Evidenced-based practices and adaptability Service Systems Core – Developing integrated models of care Training Core – Platforms to produce systemic change Policy Core – Informing public decision-making

10. NCTSN Evidenced-based Intervention Protocols Domestic Violence -Dyadic (Parent-young child) Sexual Abuse Community Violence War Disaster and Terrorism Traumatic Bereavement Life-threatening Medical Illness Immigrant Populations with Trauma Histories

11. Additional NCTSN Components National Resource Center School Unit Terrorism and Disaster Branch

12. NCTSN Partnerships Collaboration is central to our mission We bridge geographical, cultural, service sector, consumer and professional interests Building a nation-wide system of collaborations