C-START Project


KRISTI HOUSE is continuing its Miami C-START project in 2017 for the Miami-Dade community of providers who serve children who have been victims of sexual abuse and sex trafficking.

With funding from a Health Foundation of South Florida grant, Kristi House is working with the South Dade Safe Families Partnership Network on Trauma-Focused Cognitive Behavioral Therapy and trauma-informed care training in 2017. Click here for Deep South Dade C-START Initiative.

With major support from SAMHSA, Miami C-START will focus on Risk Reduction through Family Therapy (RRFT) in 2017.

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.

About the 2017 Miami-C-START Training in RRFT

The 2017 program involves a year-long commitment from clinicians. The program will include 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.

  • January 3-31, 2017: Application and Pre-work
  • February 6-8, 2017: Three-Day In-Person Training at Kristi House
  • February-August: Monthly Telephone Consultation Calls on Cases
  • August/September: One-Day In-Person Booster Training
  • Assessment tools will be administered to monitor program and client progress and to evaluate client outcomes.

For further information, please contact Kristi House Programs Director Ruthlyn Webster at 305-547-6846 or rwebster@kristihouse.org

Miami C-START Background

The Miami C-START (Child Sexual-related Trauma Advocacy, Response & Treatment) project was launched in 2012 with support from SAMHSA. It was designed to build community-wide capacity to deliver evidence-based, trauma-informed, culturally competent treatment interventions for child victims of trauma, particularly sexual abuse and exploitation. Children in the child welfare system in Miami-Dade are of particular focus.

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.

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 3 Learning Sessions, each 2 days, and through consultation calls in between sessions. Two other cohorts, including the final cohort concluding in summer 2016, focused on training and practice on an intervention for children with problematic sexual behavior, PSB-CBT.

Contact Program Director Ruthlyn Webster 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.