Whole-System Change Model to Trauma-Informed Care
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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. They also recognize that, to meet this reality, their organizational culture and treatment services must change to ones that 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 is built around the Risking Connection® (RC) Trauma Training Model and, for child 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, one of the first psychometrically valid measures 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 our 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 meet the call for trauma-informed services and attract more referrals in an increasingly competitive marketplace.