CHERISH PROGRAM EVALUATION

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This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Children with intrauterine drug exposure (IUDE) are at high risk for adverse outcome due to increased risk of developing externalizing and internalizing disorders and continued parental drug use. In addition, children with IUDE have a higher risk of exposure to parental substance abuse, neglect and abuse, and domestic and community violence. The combined effects of IUDE and exposure to traumatic events results in higher morbidity for children with IUDE. To address some of the challenges for this population, the Kennedy Krieger Family Center (KKFC) has recently been awarded a National Child Traumatic Stress (NCTS) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) to: (1) evaluate the effectiveness of treatment protocols from other NCTS sites, that specifically address improving emotional and behavioral dysregulation in the initial phase of treatment, in children with intrauterine drug exposure; 2) evaluate outcomes of clinical practice plans and the Kennedy Krieger Family Center Domain Evaluation Scale (KKFC-DES) designed for chronically traumatized children in, or at risk for out-of-home placement; and 3) improve access to services, train mental health providers on effective treatment strategies and other provider sectors on trauma-informed service delivery, and disseminate findings. This NBRU proposal will assist KKFC in accomplishing the NCTS grant goals by providing psychological evaluations to evaluate 100 children with intrauterine drug exposure referred for specialized treatment at KKFC.