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Statewide implementation of child trauma-focused practices using the community-based learning collaborative model.

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Summary
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Implementing a community-based learning collaborative (CBLC) model effectively disseminates trauma-informed practices for youth. This approach enhances interprofessional collaboration, leading to increased use of evidence-based trauma treatments.

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Area of Science:

  • Public Health
  • Psychology
  • Implementation Science

Background:

  • Youth trauma significantly increases risks for lifelong physical and behavioral health issues.
  • Disseminating and implementing youth trauma-specific treatments remains a challenge.
  • Trauma-informed, evidence-based practices are crucial for recovery.

Purpose of the Study:

  • To describe and evaluate a community-based learning collaborative (CBLC) model for implementing trauma-focused practices.
  • To assess the feasibility and efficacy of the CBLC model in promoting sustained implementation.
  • To examine participant completion rates, practice changes, and perceived utility.

Main Methods:

  • The study examined data from three completed phases of Project BEST, a statewide initiative.
  • A community-based learning collaborative (CBLC) model was developed, integrating clinical and nonclinical professionals.
  • Participant completion data, practice frequency changes, and perceived utility were analyzed.

Main Results:

  • High participant completion rates were observed across 13 CBLCs (N=1,190).
  • Significant increases in reported trauma-focused practices were noted post-CBLC (N=639).
  • Participants rated CBLC components positively for utility.

Conclusions:

  • The community-based learning collaborative (CBLC) model shows provisional support for feasibility and efficacy.
  • Interprofessional collaboration within CBLCs builds capacity for sustained trauma-focused practice implementation.
  • The model offers valuable implications for improving trauma care dissemination and implementation efforts.