Program Overview

A recent national survey of the incidence and prevalence of children’s exposure to violence and trauma revealed that 60% of American children have been exposed to violence, crime, or abuse. Forty percent were direct victims of two or more violent acts. Prolonged exposure to violence and trauma can seriously undermine children’s ability to focus, behave appropriately, and learn. It often leads to school failure, truancy, suspension or expulsion, dropping out, or involvement in the juvenile justice system.

Handle With Care will be the ideal fit with the State of Tennessee and Building Strong Brains initiative, which is already focusing on collaborative areas to address childhood traumas and Adverse Childhood Experiences (ACEs). The goals and the work of the program allow for children and youth to remain in school and in their classrooms for better learning, allow for all members of our community to understand and respond to trauma in a positive manner, and provide for the possibility of on-site mental health services at the schools.

Model Handle With Care (“HWC”) programs promote safe and supportive homes, schools, and communities that protect children, and help traumatized children heal and thrive. HWC promotes school-community partnerships aimed at ensuring that children who are exposed to trauma in their home, school, or community receive appropriate interventions to help them achieve academically at their highest levels despite whatever traumatic circumstances they may have endured. The ultimate goal of HWC is to help students to succeed in school. Regardless of the source of trauma, the common thread for effective intervention is the school. Research now shows that trauma can undermine children’s ability to learn, form relationships, and function appropriately in the classroom. HWC programs support children exposed to trauma and violence through improved communication and collaboration between law enforcement, schools, and mental health providers, and connects families, schools, and communities to mental health services.


“Handle With Care” was an initiative piloted at Mary C. Snow West Side Elementary School in Charleston, WV in 2013. The school, located in an urban area of the city plagued by drug and violent crime, housed approximately 500 students. Ninety-three percent of the students came from low-income families. The school ranked 398 out of 404 elementary schools in West Virginia for poor performance. In conjunction with “Handle With Care,” the United States Attorney’s Office launched a Drug Market Intervention in the area to address high level drug and street crime.


“Handle With Care” provides the school with a “heads up” when a child has been identified at the scene of a traumatic event. It could be a meth lab explosion, a domestic violence situation, a shooting in the neighborhood, witnessing a malicious wounding, a drug raid at the home, etc. Police are trained to identify children at the scene, find out where they go to school and send the school a confidential email or fax that simply says . . . “Handle Johnny With Care”. That’s it. No other details.

In addition to providing notice, officers also build positive relationships with students by interacting on a regular basis. They visit classrooms, stop by for lunch, and simply chat with students to help promote positive relationships and perceptions of officers.


Teachers have been trained on the impact of trauma on learning, and are incorporating many interventions to mitigate the negative impact of trauma for identified students, including: sending students to the clinic to rest (when a HWC has been received and the child is having trouble staying awake or focusing); re-teaching lessons; postponing testing; small group counseling by school counselors; and referrals to counseling, social service, or advocacy programs. The school has also implemented many school-wide interventions to help create a trauma sensitive school (Greeters; pairing students with an adult mentor in the school; utilization of a therapy dog; and “thumbs up/thumbs down” to indicate if a student is having a good day or a bad day).


When identified students exhibit continued behavioral or emotional problems in the classroom, the counselor or principal refers the parent or guardian to a counseling agency which provides treatment and potentially trauma-focused therapy.  Once the counseling agency has received a referral and parental consent, students can receive on-site counseling while at school.

The counseling is provided to children and families at times which are least disruptive for the student. The mental health therapists may also participate in meetings deemed necessary by school personnel, and as authorized by the child’s parent or guardian. Counselors and mental health therapists may provide assessments of the child’s need, psychological testing, treatment recommendations, accommodation recommendations, and status updates to key school personnel as authorized by the child’s parent or guardian.

Components of this program were developed with guidance and technical assistance from the Massachusetts Advocates for Children: Trauma and Learning Policy Initiative, in collaboration with Harvard Law School and the Task Force on Children Affected by Domestic Violence. Special thanks to Joe Ristuccia, Ed.M., co-author of Helping Traumatized Children Learn, Edward Jacoubs with the Plymouth County District Attorney’s Office in Brockton, MA, and Huntington, WV community activist and volunteer Leon White.