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Breakthrough Series Collaborative

The Breakthrough Series engaged expert faculty to identify innovative practices and design the learning package.  The Breakthrough Series Collaborative teams represent partnerships between SAMHSA/NCTSN sites, primary care providers, and families in diverse sites from the nation.  Click here to access the BSC Share Site

 

Mission

The overall mission of the BSC is to support participating teams in their efforts dedicated to reducing the morbidity and mortality associated with exposure to trauma and chronic stress in early childhood.  For its part, the BSC will work with families, trauma professionals in community agencies, and primary care professionals to find practical, sustainable ways to integrate trauma/chronic stress prevention, detection, and early intervention into primary care for young children. 

The BSC’s concrete product will be a “toolkit” describing sustainable ways in which primary care practices and specialized community services can collaborate to expand the reach of and shift the emphasis to early recognition and care for traumatized or stressed families.  The toolkit will offer ways of addressing commonly-encountered barriers to primary care-specialized facility integration, as well as ways of measuring the success of the integration and its impact on children and families served in both primary care and in specialized facilities.

 

Overall Goals

The project’s overall goal is to increase the quality and accessibility of child trauma services by integrating behavioral and physical health services.  The BSC’s primary focus within this integration is on identifying ways to sustainably implement prevention, detection, and first-line intervention capacity within primary care.  This capacity will be supported by effective partnerships between primary care practices and trauma-informed mental health/early childhood centers and community resources.

The individuals and organizations participating in a BSC (in our case, the trauma and primary care clinician groups) commit to working over a period of 6 to 15 months, alternating between Learning Sessions in which they come together to learn about the chosen topic and to plan changes or pilot interventions, and Action Periods in which they test the interventions in clinical settings.  During the action periods support is maintained through regular conference calls, online dialogue, and written updates.  Each Learning Session provides guidance and instruction in the theory and practice of improving performance in the Collaborative’s specific topic area – in this case child trauma -- and functions as a milestone along each organization’s own individual path to improvement.  At the BSC, teams report on their methods and results, reflect on lessons learned, and provide social support and encouragement for making further changes.