Whole-System Transformation to Trauma Informed Care (TIC)

The landmark Adverse Childhood Experiences (ACE) study has provided overwhelming evidence about the profound life-long impact of childhood trauma on health outcomes.  Organizations now recognize that large numbers of those they serve have suffered adverse experiences and trauma in childhood. They also recognize that, to meet this reality, their organizational culture and treatment services must change to ones that are trauma-sensitive and reflect trauma-informed care (TIC) .

Current models of working with people impacted by trauma are not as effective as hoped and, without more sophistication, service outcomes fall short. Without more tools, programs fall back on punitive practices such as restraint or program suspension/expulsion which can re-traumatize consumers.

Transforming to TIC is more than just doing trauma assessments, providing evidenced-based treatment, and offering periodic training.  Truly embracing TIC involves a whole systems shift in organizational culture — a paradigm shift away from traditional models of service.

TSI’s whole-system change model supports organizations over 12 to 18 months to make this challenging and rewarding change. The model by is built around the Risking Connection® (RC) Trauma Training Model and, for group care settings, the Restorative Approach,but includes other critical elements.

Empirical research on the TSI transformation model demonstrates concrete measurable outcomes. These include: changes is staff knowledge, attitudes, and behavior related to TIC; reduced restraints and seclusions, decreased negative discharges, and decreased staff turnover. TSI’s research program developed the Attitudes Related to Trauma-Informed (ARTIC) Scale, the first psychometrically robust measure of trauma-informed to be published in the peer reviewed literature.

At TSI, we are not about short-term fixes or the “train and hope” approach to change. We are in it with client agencies for the long haul. A large percentage of TSI’s clients have sustained the model for over 4 years, some as long as 10 years. (Risking Connection Sustainability Findings). As such, they have positioned themselves to attract more referrals in an increasingly competitive marketplace.


        I. Organizational Leadership Coaching and Training

        II. Formation of a Trauma-Informed Task Force

III. Risking Connection Trauma Training

        IV. Restorative Approach Training (for group care settings)

V. Train-the-Trainer for Risking Connection, Restorative Approach, Risking Connection for Foster    Care

VI. Coaching throughout

VII. Program Evaluation

To learn more about TSI’s training and consultation services, contact Dr. Steve Brown at steveb@klingberg.com.

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  • Upcoming Events

    1. Risking Connection Train-the-Trainer

      Jul 11 @ 9:00 am - Jul 13 @ 4:30 pm
    2. ARTIC Webinar

      Jul 19 @ 10:00 am - 11:00 am
    3. Risking Connection Basic

      Aug 22 @ 9:00 am - Aug 24 @ 4:30 pm
    4. Distant RC Trainer Webinar – Inequities Facing Black Girls

      Sep 18 @ 3:00 pm - 4:30 pm
    5. 12th Annual Day of Learning and Sharing – Become a Master Trainer: Critical Skills for Teaching Adult Learners

      Sep 25 @ 9:00 am - 4:30 pm
    • Risking Connection Training

      Risking Connection™(RC) is a foundational trauma training curriculum and training program for professionals who work with trauma survivors. Rooted in relational and attachment theory, it provides a mechanism for individuals and organizations to implement trauma-informed care in their practice.

    • Restorative Approach Training

      The Restorative Approach® (RA) is a trauma-informed alternative to traditional "point and level" systems for child congregate care settings. Based on the principles of restorative justice, it translates what we know about trauma and how children heal into specific treatment strategies.