through four stages: engagement, stability and commitment, awakening, and growth and differentiation.6 o Sanctuary Model
APPENDIX C ADDITIONAL RESOURCES AND MODELS TO CONSIDER Trauma-informed care, harm reduction, motivational interviewing, dialectical behavioral therapy, strength-based, recovery-oriented, person-centered care are all heavily researched, well-known, and highly recommended models of care to utilize when working with individual experiencing homelessness. Programs are encouraged to research and review various models of care including those that are targeted to youth. Provided below are additional resources and models of treatment to consider. o Adolescent Community Reinforcement Approach (A-CRA) is a behavioral intervention that seeks to replace environmental contingencies that have supported alcohol or drug use with pro-social activities and behaviors that support recovery. This model of care has been adapted for use in a drop-in center for homeless youth.1 o Attachment, Self-Regulation and Competency (ARC) Model is a framework for intervention with youth exposed to complex trauma and is designed for youth from early childhood to adolescence and their caregivers and the caregiving systems.2 o Collaborative HIV Prevention and Adolescent Mental Health Project (CHAMP) Family Program is a 12-week, family-focused, developmentally timed intervention for low income communities. This model has been adapted for the needs homeless families in HIV Prevention Outreach for Parents and Early Adolescents) for early adolescent youth and their adult caregivers living in homeless shelters in New York City.3
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Substance Abuse Mental Health Services Administration. (2008) National Registry of Evidence-based Programs and Practices: Adolescent Community Reinforcement Approach. Retrieved from: http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=41 2 The Trauma Center. Attachment, Self-Regulation and Competency (ARC) Clinical Services. Retrieved from http://www.traumacenter.org/research/ascot.php 3 Substance Abuse Mental Health Services Administration. (2012) National Registry of Evidence-based Programs and Practices: Collaborative HIV Prevention and Adolescent Mental Health Project (CHAMP) Family Program. Retrieved from : http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=247
o Lions Quest Skills for Adolescence is a life skills education program designed for schoolwide and classroom implemented for ages 10-14, grades 6-8 to bolster interpersonal relationships and encourage health drug-free lives. This model of care has been adapted to homeless street and at-risk youth.4 o Psychological First Aid for Youth Experiencing Homelessness is a trauma-informed framework and model for intervention by direct care staff so they can better understand and address the needs of homeless youth.5 o Relationship-based Care is a mental health treatment model that was designed specifically for homeless adults with severe mental illness who have difficulty with engagement and sustained interpersonal contact. This interdisciplinary team model of care uses motivational enhancement therapy techniques and conceptualizes the client’s progress through four stages: engagement, stability and commitment, awakening, and growth and differentiation.6 o Sanctuary Model is a theory-based, trauma-informed, evidence-supported, whole culture approach that has a structured method for designing an organizational culture. This approach is designed to facilitate the development of structures, processes, and behaviors on the part of staff, clients, and the community that can expand healing of victims of traumatic experience and extended exposure to adversity.7 o Seeking Safety is a present-focused treatment for clients with a history of trauma and substance abuse that works to develop coping skills through psycho-education and has been
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Substance Abuse Mental Health Services Administration. (2007) National Registry of Evidence-based Programs and Practices: Lions Quest Skills for Adolescence. Retrieved from http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=24 5 Hollywood Homeless Youth Partnership. (2009) Psychological First Aid for Youth Experiencing Homelessness. Retrieved from http://hhyp.org/wp-content/uploads/2012/02/HHYP_PFA_Youth.pdf 6 Substance Abuse Mental Health Services Administration. (2012) National Registry of Evidence-based Programs and Practices: Relationship-Based Care. Retrieved from: http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=274 7 http://www.sanctuaryweb.com/
implemented in programs serving individuals and groups, children and adolescents, and individuals experiencing homelessness.8 o SPARCS: Structured Psychotherapy for Adolescents Responding to Chronic Stress is a manually-guided and empirically-supported group treatment designed to improve the emotional, social, academic, and behavioral functioning of adolescents exposed to chronic interpersonal trauma and/or separate types of trauma.9 o The Academy is a program for older youth transitioning out of foster care and offers a wide range of services including education, employment and recreation under one roof. Characteristics of this program include flexibility, integrated services, and post-care services.10 o Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is the most established evidence-based treatment for children and youth that address systemic issues and addresses trauma and its effects. 11
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Substance Abuse Mental Health Services Administration. (2006) National Registry of Evidence-based Programs and Practices: Seeking Safety. Retrieved from http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=24 9 The National Child Traumatic Stress Network. Structured Psychotherapy for Adolescents Responding to Chronic Stress. Retrieved from http://resources.childhealthcare.org/resources/sparcs_general.pdf 10 Vera Institute of Justice. (2010) The Academy: A Program for Older Youth Transitioning Out of Foster Care. Retrieved from http://www.vera.org/sites/default/files/resources/downloads/Heckscher-Academy-report-final.pdf 11 http://gucchdtacenter.georgetown.edu/TraumaInformedCare/Module4.html
