The Traumatic Stress Institute fosters the transformation of organizations and service systems to trauma-informed care (TIC) through the delivery of whole-system consultation, professional training, coaching, and research.

Frequently Asked Questions (FAQ’s)

General ARTIC Questions

Why was the ARTIC developed?

The ARTIC was developed because, until recently, there was no objective way to determine the extent to which a system or individual was trauma-informed. The many definitions of TIC tended to be vague with little guidance about how to operationalize the concept. We believed that the TIC field was primed to move from conceptual thinking to data-driven decision making, but was blocked by the absence of valid instruments. The ARTIC is a low-cost, practical, and immediate way to measure TIC within organizations and schools, and for individuals. Click here for journal article on the ARTIC in School Mental Health.

Why measure staff attitudes related to trauma-informed care?

The ARTIC is based on the theory that professionals’ attitudes are an important driver of their behavior. If their attitudes about TIC change, then their their moment-to-moment behavior with clients or students will also change and this would be a critical factor in successful implementation of TIC. Therefore, if TIC interventions could impact staff beliefs, it could lead to meaningful TIC change.

For what purpose can the ARTIC be used?

Organizations and schools can use the ARTIC to assess readiness for TIC implementation. They can also use it to measure change as a result of TIC interventions. It can help monitor change over time, spurring organizations to deepen their commitment to TIC, and prevent the backsliding in TIC practice that can commonly occur.  Finally it can help determine what TIC messages need reinforcement in the system and which staff need additional training and supervision.

In what settings can the ARTIC be used?

Participants in the original ARTIC study worked in human service and education settings. However, the ARTIC has now been used successfully in a wide variety of other sectors such as corrections, primary care, whole-community TIC efforts, youth development, and law enforcement.

What is the evidence supporting the ARTIC?

Items for the ARTIC were generated by content experts via a community-based participatory research approach and tested on a sample of 760 service providers in human services and education. Item analysis resulted in a 45 item version with seven subscales (ARTIC-45), a 35 item version (ARTIC-35) with five subscales, and a 10-item short form (ARTIC-10). Confirmatory factor analysis revealed that the seven-factor model fit the data well. Internal consistency was excellent for the ARTIC-45 (α = .93) and ARTIC-35 (α = .91), and very good for the ARTIC-10 (α = .82). Subscale alphas ranged from respectable to very good. Test-retest reliabilities were also strong on all three versions. Click here for journal article on the ARTIC in School Mental Health.

Does the ARTIC have norms we can compare our scores to?

Measurement norms tell you how an individual score compares to that of a normed sample that also completed the measure. For example, it would tell you that your score was in the top 10% compared to others who have taken the measure.

As the ARTIC Scale is a relatively new measure, we do not have norms. Creating norms for a measure is costly and takes many years to develop.

With a large enough sample from and organization or a service system, it is possible to create “local norms.” So, for example, in a school this would enable you to say that an individual’s score was in the top 10% compared to the 500 other school staff that took the ARTIC, or in a mental health system that a clinician’s score  was in the top 10% compared to 200 other clinicians. You would need a skilled researcher to do this type of analysis.

What are the versions of the paper-and-pencil ARTIC Scale? How do I determine which to use?

There are 6 versions of the ARTIC scale: three for human service organizations and three for education settings. Organizations and schools select the version that is most appropriate for their setting and how they plan to use the ARTIC. All versions are included when you purchase the ARTIC.

ARTIC FOR HUMAN SERVICES

1. ARTIC-45 — Human Services

• 45-item scale. Takes 15-20 minutes to complete. Includes an overall score and scores on five primary subscales and two supplementary subscales.
• To be used in human service settings where staff are at least somewhat familiar with term and concept of TIC.

2. ARTIC-35 — Human Services

• 35-item scale. Takes 10-15 minutes to complete. Includes an overall score and scores on five primary subscales, but excludes the two supplementary subscales.
• To be used in human service settings where staff are not familiar with the term and concept of TIC.

3. ARTIC-10 — Human Services

• 10-item short form. Takes 5 minutes to complete. Includes overall score only.
•  To be used in human service settings where there are time or resource limitations that make the ARTIC-45 and ARTIC-35 not feasible.

ARTIC FOR EDUCATION

1. ARTIC-45 — Education

  • 45-item scale. Takes 15-20 minutes to complete. Includes an overall score and scores on five primary subscales and two supplementary subscales.
  • To be used in education settings where staff are familiar with the term and concept of TIC.
  • Language modified to fit education settings (i.e. “student” rather than “client”).

2. ARTIC-35 — Education

  • 35-item scale. Takes 10-15 minutes to complete. Includes an overall score and scores on five primary subscales, but excludes the two supplementary subscales.
  • To be used in education settings where staff are not familiar with the term and concept of TIC.
  • Language modified to fit education settings (i.e. “student” rather than “client”).

3. ARTIC-10 — Education

• 10-item short form. Takes 5 minutes to complete. Includes overall score only.
•  To be used in education settings where there are time or resource limitations that make the ARTIC-45 and ARTIC-35 not feasible.
• Language modified to fit education settings (ie. “student” rather than “client”).

What are the subscales for the ARTIC?

Core Subscales (ARTIC-35 and ARTIC-45) (There are no subscales in the ARTIC-10)

  1. Underlying Causes of Problem Behavior and Symptoms. Emphasizes behavior and symptoms as adaptations and malleable versus behavior and symptoms as intentional and fixed.
  2. Responses to Problem Behavior and Symptoms. Emphasizes relationships, flexibility, kindness, and safety as the agent of behavior and symptom change versus rules, consequences, and accountability as the agent of change.
  3. On-The-Job Behavior. Endorses empathy-focused staff behavior versus control-focused staff behavior.
  4. Self-Efficacy at Work. Endorses feeling able to meet the demands of working with a traumatized population versus feeling unable to meet the demands.
  5. Reactions to the Work. Endorses appreciating the effects of secondary trauma/vicarious traumatization and coping by seeking support versus minimizing the effects of secondary trauma/vicarious traumatization and coping by ignoring or hiding the impact.

 Supplementary Subscales (ARTIC-45 only)

6. Personal Support of Trauma-Informed Care. Endorses being supportive of, and confident about, implementation of TIC versus concerns about implementing TIC.

7. System-Wide Support of Trauma-Informed Care. Endorses feeling system-wide support for TIC versus NOT feeling supported by colleagues, supervisors, and the administration to implement TIC.

How is the current paper-and-pencil ARTIC Scale scored?

When you purchase the paper-and-pencil ARTIC Scale, you will receive detailed instructions about scoring. Most people collecting ARTIC data use a statistical program such as SPSS to score and analyze the data. We do, however, include an ARTIC Excel Scoring Spreadsheet with your purchase.

As a general overview, the ARTIC uses a bipolar Likert scale. Items are scored from 1 to 7 and there are items that need to be reversed because a lower score is more favorable on those items. The Scoring Spreadsheet does this work for you. Mean scores (not total scores) are used for scoring. Higher scores are more favorable, or better, scores. Lower scores are less favorable. On Questions 36 to 45 (Subscales 6 and 7) “N/A” is offered as an option for people who do not work at an organization that has implemented trauma-informed care. These items are scored as missing.

If you collect ARTIC data via Qualtrics, you can download an Excel data file and either enter it into the ARTIC Excel Scoring Spreadsheet or a statistical program such as SPSS. It is possible to manage and analyze your data in Qualtrics. However, we do NOT provide information or support regarding that process.

Does TSI provide consultation on program evaluation/research using the ARTIC Scale?

Yes, TSI can provide paid consultation for program evaluation and research projects. Many schools, agencies, and service systems are now being required to evaluate their trauma-informed care initiatives. The ARTIC Scale, as well as other key measures, can be used to do that evaluation.

Our services include: online data collection; data analysis; creation of local norms for the evaluation; display of BOTH individual staff results and organization-wide results on an online dashboard tailored to your organization; resources for staff on how to address areas where they scored in the low range; data-driven recommendations about how to further implement, sustain, and deepen trauma-informed system change.

Contact Steve Brown, Psy.D. at steveb@klingberg.com to discuss this service.

What is included in a purchase of the current paper-and-pencil ARTIC?

You will receive:

  • All versions (10-, 35-, and 45-question) for human service and education settings.
  • Instructions on how to use the ARTIC.
  • Scoring instructions, including SPSS syntax.
  • A scoring spreadsheet allowing easy and accurate scoring.
  • Qualtrics-compatible files for the ARTIC. Visit the Qualtrics website for their fee information.
What is the cost of the current paper-and-pencil ARTIC?

The ARTIC is currently licensed to purchasers based on the expected number of respondents. Pricing tiers start at $500 for up to 600 respondents and the ARTIC may be used as many times as you would like per respondent. If you purchase the ARTIC and eventually expand your scope beyond your license, we ask that you contact us about additional fees.

The quickest way to purchase the ARTIC is by credit card via our secure online payment system. When you purchase online, you will receive your materials immediately by e-mail, along with a receipt. If you need to pay by check, please contact us at tsisupport@klingberg.com to request an invoice.

If you work in a research institution and the cost of the ARTIC is prohibitive, a fee waiver may be possible. We will consider other fee reductions depending on the situation. Please click here to apply for consideration.

Still have questions about the ARTIC?

If you have questions about the ARTIC that have not been answered in the FAQs, please contact us at artic@klingberg.com.

 

Questions Specific to the Online ARTIC

What is the ARTIC Scale online platform?

The ARTIC Scale online platform is a fully-automated platform that permits organizations and service systems to administer the ARTIC to staff online and receive results with the click of a button. The system collects, manages, analyzes, and produces reports on data automatically so that you don’t have to. Packages will be sold on a per-study basis.

What advantages does the ARTIC Scale online platform have over the paper and pencil version?

The ARTIC online platform addresses many of the “pain points” that organizations experience trying to do program evaluation.

  • Instead of typing in answers on the ARTIC into a spreadsheet, you collect the data online and it stores automatically.
  • Instead of needing to find someone or the time to analyze your data (while it sits on your office floor), the system does it for you.
  • Instead of you trying to figure out what the data means about your TIC implementation efforts, the platform generates automatic reports, both for individual staff and the organization.
What are the core features of the online platform?

The core features include:

  • Online administration via computer, phone, and tablet
  • Tutorials about effective program evaluation
  • Data collection at multiple time points
  • Automatic data management and analysis
  • Comprehensive dashboard reports for organizations
  • Confidential dashboard reports for individual staff
  • Capacity to compare scores of different demographic groups such as job role and program/department/school
  • Recommendations and resources to accelerate TIC progress in the organization
What does it cost to use the ARTIC online?

When the ARTIC Scale online is launched in late spring 2019, three packages will be offered and the cost is based on the package you choose. Packages will be sold on a per-study basis.

The Advanced package allows up to 4 time points in year 1 and 2 time points in both year 2 and 3. It includes results on core demographics, but does not allow comparison of different programs, departments, or schools in an organization /system.

The Advanced Plus package allows up to 4 time points in year 1 and 2 time points in both year 2 and 3. It includes results on core demographics, and allows for comparison of programs, departments, or schools in the organization/system.

Finally, a Custom package enables purchasers to customize demographics, time points, and reporting elements.

For online ARTIC packages, pricing, and pre-launch sales click here.

 

What is the cost for those who previously purchased the ARTIC?

If you previously purchased the ARTIC, there will be a discount for using the ARTIC online platform. If you purchased the ARTIC after January 1, 2019, the discount is steeper. For online ARTIC packages, pricing, and pre-launch sales click here.

I do not have experience with program evaluation. Can I still use the ARTIC online platform?

Yes! The great thing about the ARTIC online platform is that it does most of the work for you. The platform has short tutorials about how to do an effective program evaluation. TSI staff will also be available (with some limitations) to answer brief questions.

What type of information will we get in the dashboard results?

For the organization/system. Once the administrator selects which staff and what scores you want results for, the dashboard will display a graph of your selection.  It will also provide a brief narrative and recommendations for TIC implementation given the results. There will also be suggested resources relevant to your results.

For individual staff.  Immediately following completion of the survey, individual staff can click a button to get their results. Their secure and confidential dashboard displays overall and subscale scores, score comparisons if taken at multiple time points, and additional resources related to the content of particular subscales.

How can we be sure the online platform is secure and our results are confidential?

Here at the Traumatic Stress Institute, we always take information security and privacy very seriously.  We built our online version of the ARTIC Scale with that same commitment to information protection where it is more important than ever.  We implemented the following considerations for our online offering.

Data Security

  • 256-bit SSL encryption is used for all communications with our survey.  This is the current internet standard for securing transmissions of data between a user and a website.  It is used to protect all communications between computers in banking, medical, and general websites.
  • We restrict access to a very small number of technical administrators and that access is audited and reviewed regularly.
  • No anonymous access is allowed to the system.  Access is only allowed through a valid user account
  • Logging and Auditing measures are in place to identify any attempts at non-standard access.
  • Once your data resides in our system, it rests in an encrypted state where it can only be accessed by the website itself and not by unauthorized use.
  • Backups of all site data are taken daily to ensure ongoing protection.

Data Use

  • You’re survey results will only be available to you and the researchers at the Traumatic Stress Institute.
  • The results of your survey will only be shared with your agency as an aggregate of your entire agency.  This will allow you agency to move forward with their trauma informed care, while protecting your privacy.
Can we get the raw data from our evaluation or study?

Yes!  We understand that this is very important for evaluators or researchers that want to do their own data analysis. For a marginal fee, we will send you the raw data in an Excel spreadsheet.

Can we still purchase the paper-and-pencil version?

Yes! You can still purchase the paper-and-pencil version of the ARTIC.

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