Resources: Violence, Trauma, and Abuse

Provides information and resources for healthcare and social service organization leaders and providers to improve care coordination and access to services for women with opioid use disorder (OUD) in programs supported by the Health Resources and Services Administration (HRSA), such as health centers, Rural Health Clinics (RHCs), Ryan White HIV/AIDS clinics, and home visiting programs, as well as in other care settings. Focuses on shifting the culture around addiction and treatment, engaging women with OUD in care, and creating and maintaining partnerships that support care coordination for women with OUD. Offers self-assessment tools and metrics to help users monitor and evaluate care coordination in their organizations.

Provides resources for parent training and information centers and community parent resource centers across the U.S. which support families of children with disabilities in effectively participating in their child's education and development. Offers information and training to families, professionals, and other organizations by providing access to a resource library, a directory of parent centers, an online database of experts, webinars, and other resources on a variety of topics, including mental health and trauma-informed care, as well as a Native American resource collection.

Provides training and resources to clergy members, spiritual leaders, and faith communities in rural areas on the various mental health issues faced by veterans, including issues linked to addiction and substance use. Offers education on the resources and services available to support veterans and their family members.

Provides a worksheet to assist rural health departments in developing partnerships with local groups and organizations to address the inter-related issues of suicide, overdose, and adverse childhood experiences (ACEs) in their communities. Discusses risk and protective factors as well as data sources relevant to suicide, overdose, and ACEs. Offers important considerations for current and future partnerships designed to enhance prevention in rural areas.

Offers a 2-day training opportunity to communities, agencies, and organizations seeking to enhance their capacity to provide training in trauma-informed responses to providers working with individuals involved in the criminal justice system. Develops local trainers who can deliver SAMHSA GAINS Center's "How Being Trauma-Informed Improves Criminal Justice System Responses" curriculum to justice system professionals, law enforcement, and mental health and substance use disorder (SUD) providers and peers.

Provides an overview of how Indian Health Service (IHS) is working to address behavioral health in American Indian and Alaska Native (AI/AN) communities. Describes behavioral issues affecting individuals and families, such as alcohol and substance use disorder (SUD), mental health, suicide, domestic violence, and behavior-related chronic disease.

Provides technical assistance to improve and support state systems and local programs implementing the Pyramid Model for Supporting Social-Emotional Competence in Infants and Young Children (Pyramid Model) to improve the social, emotional, and behavioral outcomes of young children with, and at risk for, developmental disabilities or delays. Works with early childhood programs to reduce the use of inappropriate discipline practices, promote family engagement, use data for decision-making, integrate early childhood and infant mental health consultation, and foster inclusion.

Delivers information, resources, technical assistance, and training to K-12 schools and institutions of higher learning to assess school climate, implement evidence-based programs to improve learning conditions, and measure outcomes in 3 core areas: providing a well-rounded education, improving the safety and health of students, and improving the effective use of technology. Offers multiple products, policy guides, toolkits, research, media, online events and training related to issues of substance and opioid misuse for students, families, schools, and communities.

Provides information and resources to raise awareness of the impact trauma, violence, and bullying can have on the behavioral health of children, adolescents, and families. Seeks to enhance treatment and services for trauma-exposed children and adolescents. Includes information and resources on traumatic stress, treatment options, and advice for families, caregivers, child health and welfare professionals, and others about how to help and respond to child traumatic stress.

Provides information about maternal healthcare and health disparities and factors contributing to maternal morbidity and mortality, such as intimate partner violence (IPV), mental health, and substance use disorders (SUDs). Describes specific challenges to maternal health for individuals and families in rural communities. Offers guidance and resources to help religious/faith groups to better support maternal health in their communities.

Assists schools and school districts with the implementation of a Positive Behavioral Interventions and Supports (PBIS) framework to improve students' social, emotional, and physical well-being, reducing disruptive behavior, and creating a positive learning environment. Uses a multi-tiered framework that reaches all students while allowing for more focused intervention and support for at-risk students and students with disabilities. Includes resources and blueprints for implementing school-wide responses to the opioid crisis and substance use. Offers direct onsite technical assistance to district and state leadership teams as well as indirect assistance through online resources, national and regional conferences, and collaborations with other technical assistance centers and organizations.

Provides tools, publications, and other resources for schools to provide services, support, and interventions to address opioid and substance misuse for students and their families. Includes information on substance use and related trauma among students. Discusses implementing positive behavioral interventions and supports (PBIS) to improve school climate and reduce substance use.

Toolkit sharing field guidance, resources, and presentations to support clinical decisions about starting, continuing, or tapering opioid therapy, and other challenges related to safe opioid prescribing. Includes patient and provider education, clinical tools, and other resources.

Lists policy briefs, working papers, journal articles, and other publications on emergency medical services (EMS) and trauma in rural areas published by federally funded Rural Health Research Centers. Includes links to upcoming and archived webinars on the topic and other related research projects.

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to address the challenges incarcerated and justice system-involved individuals face when attempting to seek treatment for and recover from mental illness and substance use disorder (SUD). Seeks to increase access to behavioral health services, minimize costs, and other consequences related to the unnecessary and repetitive incarceration of people with behavioral health issues. Discusses strategies to identify individuals with mental illness and SUD, implement diversion programs, enhancing reentry services, evidence-based practices, screening and assessments, and more.

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to improve the behavioral health of communities and responders while they prepare, respond, and recover from disasters. Provides links to technical assistance resources, a helpline, and treatment locators designed to help states, territories, tribes, and responders effectively plan for and respond to disasters to minimize negative outcomes, such as developing new or exacerbating existing substance use disorder (SUD) or mental illness.

Offers information and resources on challenges faced by children and youth, such as those related to bullying, mental health, substance use, and violence. Highlights several Substance Abuse and Mental Health Services Administration (SAMHSA) programs for educators and parents, including Project AWARE, Trauma-Informed Services in Schools (TISS), and the campaign "Talk. They Hear You."

Offers free, confidential, and anonymous support to Native American individuals who are victims of domestic and sexual violence and their family members. Provides immediate support, crisis intervention, and other culturally appropriate information and services. Call or text 1-844-762-8483 to get help. An online chat option is also available on the program website. Service is available 24 hours a day, 7 a week.

Provides subject matter-based training and technical assistance designed for tribes to enhance their practical and specialized knowledge to implement and strengthen their tribal justice system initiatives and interventions.

Provides training and technical assistance to Office of Juvenile Justice and Delinquency Prevention (OJJDP) tribal grantees and federally recognized tribes to improve juvenile justice systems, with the goal of reducing crime, recidivism, and victimization, and increasing positive outcomes for Native youth. Builds tribal capacity to develop and implement community-led, culturally based approaches to youth prevention and intervention, enhancement of tribal court systems, trauma-informed care, and other efforts to address issues affecting Native youth, such as poverty, addiction, suicide, violence, and gang activity.

Provides access to education materials developed by the VA Pharmacy Benefits Management Services (PBM) Academic Detailing Services (ADS) sharing evidence-based treatments to help providers improve the health of veterans. Offers provider and patient education tools and outreach resources to encourage evidence-based decision making for a variety of medical conditions and diseases, including opioid use disorder (OUD) and substance use disorder (SUD), pain, suicide, dementia, depression, HIV, post-traumatic stress disorder (PTSD), and more.

Describes the enterprise-wide initiatives currently supported by the Veterans Health Administration (VHA) Office of Rural Health. Shares the work of the U.S. Department of Veterans Affairs' (VA) national programs to provide healthcare services in VA hospitals and health systems to veterans residing in rural areas across the nation. Outlines programs to address primary care, specialty care, mental health, care coordination, workforce training and education, transportation, and more. Includes virtual training for providers on substance use disorder (SUD) treatment and recovery, as well as a pharmacy-based program to increase access to medication-assisted treatment (MAT) for rural veterans with opioid use disorder.

Offers tools to help veterans locate mental health treatment services, U.S. Department of Veterans Affairs (VA) medical centers and clinics, suicide prevention coordinators, vet centers, post-traumatic stress disorder (PTSD) programs, community mental health providers, and other mental health and substance use resources.

Provides an overview of violence and abuse in rural America. Answers frequently asked questions on the topic, details successful rural model program examples, and links to additional resources and information for funding, events, and related organizations.

Provides information for state and local early intervention systems regarding the prevalence of infants and toddlers prenatally exposed to substances, and resources and supports needed to promote positive outcomes for these infants and their families. Shares links to key research, policy, guidance, state examples, and evidence-based practices for supporting young children exposed prenatally to substances and their families.