Cognitive Behavioral Intervention for Trauma in Schools (CBITS)
Blueprints Program Rating: Promising
A 10-session group intervention provided by mental health professionals to reduce children's post-traumatic stress disorder (PTSD), depression and anxiety resulting from exposure to violence. Also included are 1-3 individual child sessions, 2 optional parent sessions, and a teacher educational session.
CBITS is a school-based intervention and many districts train existing social work and counseling staff in the delivery of CBITS. CBITS, as a mental health intervention targeted to youth with trauma exposure, can be billed to Medicaid for Medicaid-eligible participants. In addition, core child welfare and mental health funding streams are good options for supporting costs not Medicaid billable or populations not eligible for Medicaid.
Improving the Use of Existing Public Funds
Many school systems train school social workers or other staff to deliver CBITS and then have the potential to access Medicaid to support some costs for these staff. This assumes a high proportion of Medicaid-eligible youth among participants.
Allocating State or Local General Funds
School systems and child welfare agencies might consider supporting CBITS for youth not eligible for Medicaid.
Maximizing Federal Funds
Entitlements: Since CBITS is a targeted intervention aimed at youth exposed to trauma, Medicaid is an important source of funding. When the CBITS group leader is a Medicaid qualified mental health professional, Medicaid can be billed for eligible participants. Billing would be for group therapy unless the Medicaid agency elected to make CBITS a Medicaid service.
Formula Grants: The core child welfare, and behavioral health formula funds are potentially options for needed start-up funding, or to cover ongoing staffing, technical assistance and fidelity monitoring costs that are not billable under Medicaid. They can also be used to pay for children not eligible for Medicaid.
- The Mental Health Services Block Grant (MHSBG) can fund a variety of mental health promotion and intervention activities and is a potential source of support for MTFC programs.
- Title IV-B, Parts 1 & 2 provides fairly flexible funding to state child welfare agencies for child welfare services including prevention and family preservation activities.
Discretionary Grants: Grants that could potentially support CBITS can be found in the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Disease Control (CDC) within the Department of Health and Human Services.
Foundation Grants and Public-Private Partnerships
Foundation grants can be considered for the cost of initial training of group leaders.
All information comes from the responses to a questionnaire submitted by the purveyor, The National Child Traumatic Stress Network, to the Annie E. Casey Foundation.