AHP is a subcontractor to SAMHSA’s National Center for Trauma-Informed Care and Alternatives to Restraint & Seclusion (NCTIC). A diverse team of staff and consultants, many of them trauma survivors and nationally recognized leaders, provide technical assistance (TA) and participate in developing products and materials under this contract. The National Association of State Mental Health Program Directors (NASMHPD) is the prime contractor for NCTIC.
NCTIC supports SAMHSA’s commitment to provide information, technical assistance, and support to increase awareness about the impact of trauma on people with mental health or substance use disorders, as well as people served by public health, education, and corrections systems.
A key focus of this work has been to promote alternatives to seclusion, restraint, and other coercive interventions to minimize the likelihood of re-traumatization. The use of trauma-informed approaches has therefore been incorporated into a broad range of service systems, with input from trauma survivors’ perspectives in all aspects of the contract. NCTIC is guided by the fundamental beliefs that people with personal experiences of trauma can and do recover and heal; Trauma-Informed Care is the hallmark of effective programs to promote recovery and healing through support from peers, consumers, survivors, ex-patients, and recovering persons and mentoring by providers; and leadership teams of peers and providers charting the course for the implementation of Trauma-Informed Care are essential.
The project has made major strides in addressing SAMHSA’s Trauma and Justice Strategic Initiative goals of creating capacity and systems change in the behavioral health and justice systems; implementing and studying trauma-informed approaches throughout health, behavioral health, and related systems; and reducing the impact of disasters on the behavioral health of individuals, families, and communities.
Major accomplishments of the project have included the administration of more than 130 technical assistance events in one year, reaching approximately 10,000 individuals between on-site events, webinars, virtual learning networks (VLNs), and consultation. This project was able to leverage funds with multiple organizations willing to help cover costs for presenting training and technical assistance, which resulted in our ability to present so many events, thereby increasing NCTIC’s visibility and shifting thinking in the field.
Specialized TA was provided in Baltimore, MD, to stakeholders from 76 different agencies following major unrest in that city after a teen died while in police custody. In addition, a training curriculum, Trauma-Informed Approach: Key Assumptions and Principles
, has been developed to provide a framework for understanding trauma and its impact and prevalence, along with the key principles and implementation areas for trauma-informed approaches; and a General Adult Trauma Screening and Brief Response (GATSBR) toolkit is in development to facilitate screening for trauma in primary care.
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