C-START Project


KRISTI HOUSE began its Miami C-START project in 2012 for the Miami-Dade community of providers who serve children who are overcoming trauma.

With major support from SAMHSA, Miami C-START has focused on building community-wide capacity to deliver evidence-based interventions for treating child trauma and grief. Most interventions are grounded in Trauma-Focused Cognitive Behavioral Therapy. Nearly 300 mental health clinicians and case workers in two dozen agencies have been trained through year-long Community Based Learning Collaboratives since C-START’s inception.

C-START utilizes a Community-Based Learning Collaborative model that seeks to engage multiple stakeholders to ensure that children receive appropriate screening, referral to services when appropriate, and quality treatment. Children in the child welfare system in Miami-Dade are of particular focus.

The Community-Based Learning Collaborative includes clinicians, case managers, supervisors and senior leaders from agencies who come into contact with children who have experienced sexual abuse. Two collaboratives were focused Trauma Focused Cognitive Behavior Therapy. Led by national master trainers, the TF-CBT training and practice took place over 12 months through in-person Learning Sessions and regular consultation calls between sessions. Two other cohorts focused on training and practice on an intervention for children with problematic sexual behavior, PSB-CBT; another cohort focused on Risk Reducation through Family Therapy for youth overcoming trauma and substance use disorders; and another training cohort focused on TF-CBT adapted for sex trafficking survivors.

Children with Problematic Sexual Behavior – Cognitive Behavioral Therapy

Developed by Oklahoma University, the Problematic Sexual Behaviors-Cognitive Behavioral Therapy (OU PSB-CBT) group treatment model, addresses problematic sexual behavior in school-aged children. These outpatient group treatment programs are recognized and supported by research as effective for reducing or eliminating problematic sexual behavior in youth. The programs work with caregivers and the youth to increase safety and communication as well as promote healthy, positive choices in youth with PSB. For more information about the program contact Kristi House Clinical Supervisor Josefina Costa.

Risk Reduction through Family Therapy (RRFT)

RRFT is a treatment developed to reduce risk of substance use, other high-risk behaviors, and trauma-related psychopathology in adolescents who have experienced sexual assault. It incorporates TF-CBT, substance abuse and caregiver engagement.

RRFT takes an integrated approach to addressing the varied symptoms experienced by trauma-exposed adolescents.

Classified as an empirically supported treatment and promising practice, RRFT addresses the multiple and varied symptoms experienced by trauma-exposed adolescents. It is appropriate for all forms of trauma, including but not limited to sexual abuse and assault, physical abuse and assault, exposure to domestic violence, community violence, and traumatic grief.

RRFT entails seven key components: Psychoeducation, Coping, Family Communication, Substance Abuse, PTSD, Health Dating & Sexual Decision Making, and Re-victimization Risk Reduction. The program included on-site training, ongoing practice and technical consultation from RRFT’s expert-developers Carla Danielson, Ph.D. and Zack Adams, Ph.D. of the National Crime Victims Research and Treatment Center (NCVC) at Medical University of South Carolina.

Contact Programs Director Dr. Vanessa Ramirez at (305) 547-6846 for more information.



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C-START is a program of Kristi House, Inc. It is funded by the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, in conjunction with the National Child Traumatic Stress Network, as a Community Treatment and Services Center Category III site.


C-START Roster of TF-CBT Clinicians and Brokers

The following individuals completed training and clinicians completed practice cases in TF-CBT as part of C-START:

For information about consultation calls, registering cases or data, contact Kristi House’s Stephanie Mayoliz at (305) 547-6800.