Implementing Trauma-Informed Care

Katie VolkJuly 10, 2019

Housekeeping Information

• Mute speakers if you are calling in to avoid echo on your end

• This webinar is being recorded, and the recording will be available on MHTTC on Friday, July 12th

• If you have questions during the webinar, please use the “Chat and Questions” box

• If you have questions after the webinar, please e-mail: newengland@mhttcnetwork.org

Learning Objectives

• Describe the implementation process

• Discuss how to apply the process to various types of agencies.

Implementation

ImplementationRoadmap

Buy-in.Awareness.Knowledgebuilding.

Assessment&

StrategicPlanning

CapacityBuilding

EvaluateSustainability

Buy-in.Awareness.Knowledgebuilding.

Allstaff.Alllevels.Alldepartments.

“A trauma survivor who seeks services may interact with a dozen individuals

before actually sitting down with a clinician trained to provide trauma

services. A woman will have to make an appointment and speak with a

receptionist. A man will enter the agency and walk past a security guard or a

maintenance worker. A family may stop for a snack at the hospital cafeteria.

Once they are in the agency they may encounter office workers, intake

personnel, trainees, and anonymous clinicians. Any of these individuals has

the opportunity to make a consumer’s visit to the service agency inviting or

terrifying”

(Harris & Fallot, 2001, p. 7)

What challenges might arise when trying to

generate buy-in within your agency/program?

Assessment&

StrategicPlanning

Conductanassessment.Identifyindicatorsofsuccess.

Formaworkgroup.Setpriorities.

TICOMETER(ti-COM-mitter):apsychometrically-validatedinstrumentthatmeasuresthedegreetowhichan

organizationisprovidingtrauma-informedcareacrossfivedomains.

TM

35items

Scoresatdomainlevelandoverall

15-minuteadministration

Psychometricallyvalidated

Theratingshavebeendeterminedbasedonasampleof424respondentsrepresenting68humanservicesagenciesfromacrosstheUnitedStates,includingbehavioralhealth,housingandhomelessness,childwelfare,domesticviolence,andcommunityhealthandhospitals.

Allstaff,alllevelscancompletetheTICOMETER

Greaterdiversityofstaffwhocompleteit,themoreaccuratetheresults

1. Buildtrauma-informedknowledgeandskills

2. Respectserviceusers

3. Promotetrauma-informedpoliciesandprocedures

4. Establishtrustingrelationships

5. Fostertrauma-informedservices

FIVE DOMAINS

Assessment&

StrategicPlanning

Conductanassessment.Identifyindicatorsofsuccess.

Formaworkgroup.Setpriorities.

What indicators might be helpful to track when implementing trauma-

informed practices?

ImplementationRoadmap

Buy-in.Awareness.Knowledgebuilding.

Assessment&

StrategicPlanning

CapacityBuilding

EvaluateSustainability

CapacityBuilding

SkillbuildingCoaching/consultation

LearningCircles/Communitiesof

Practice

Systemschange– policies,procedures,service

offerings,etc.

ImplementationRoadmap

Evaluate

FormalassessmentParticipantfeedbackStafffeedbackIndicators

ImplementationRoadmap

Buy-in.Awareness.Knowledgebuilding.

Assessment&

StrategicPlanning

CapacityBuilding

EvaluateSustainability

ImplementationRoadmap

Sustainability

Buildinternalcapacityfortraining/coachingHirestaffaccordingtoTICprinciplesGrantwriting

• Mid-size community health center (~60 staff)

• Reliable access to diverse funding

• Broad target population

• Wholistic service model already in place

Case Study #1

Strategies

Train all staff together.

Form a work group.

Write “trauma training” into every grant application.

Involve community partners.

• Large multi-service organization (~700 staff)

• Many programs/services, open 24/7

• Specific target population

Case Study #2

Strategies

Train supervisors, then program by program.

Work group: program directors.

Ongoing training for overnight staff (quarterly).

Long term: hired a training director with TIC knowledge.

Join our TIC Learning Collaborative!

Contact

Great Lakes MHTTC

greatlakes@mhttcnetwork.org

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New England MHTTC

newengland@mhttcnetwork.org

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Katie Volk

kvolk@C4innovates.com