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.

Attitudes Related to
Trauma-Informed Care (ARTIC) Scale

The ARTIC Scale is one of the only psychometrically-valid measures of trauma-informed care (TIC) currently available. It is a measure of professional and paraprofessional attitudes toward TIC. To date, the ARTIC has been used by over 150 entities in 10 countries, translated into 4 languages, and administered to over 15,000 professionals. It was developed by the Traumatic Stress Institute of Klingberg Family Centers and Dr. Courtney Baker of Tulane University.

About the ARTIC Scale


ARTIC Webinar – 6.12.18

Frequently Asked Questions

Why was the ARTIC developed?

The ARTIC was developed because there was no objective way to determine the extent to which an individual or system is trauma-informed. The TIC field is primed to move from conceptual thinking to data-driven decision making but is blocked by the absence of valid instruments. The ARTIC is a low-cost, practical, and immediate way to measure TIC within organizations and schools.

Why measure staff attitudes related to trauma-informed care?

Staff attitudes are an important driver of staff behavior and the moment-to-moment behavior of staff is generally regarded as a critical factor in successful implementation of TIC.

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 45 items and seven subscales (ARTIC-45), a 35 item version (ARTIC-35), 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.

In what settings can the ARTIC be used?

Participants in the original study worked in human service and education settings. However, the ARTIC was also developed with the goal of being applicable to other settings where TIC is being implemented such as primary care, corrections, whole communities, youth development, or law enforcement.

For what purpose can the ARTIC be used?

Organizations and schools can use the ARTIC to assess readiness for TIC implementation. They can use it to measure change as a result of intervention. Use of the ARTIC can help to prevent the backsliding of TIC that commonly occurs or determine which staff need additional training and supervision related to TIC.

What is included in a purchase of the ARTIC?

You will receive:

  • All versions for human service and education settings (color and black/white).
  • Instructions on how to use the ARTIC.
  • Scoring instructions including SPSS syntax.
  • A scoring spreadsheet allowing easy and accurate scoring.
  • Qualtrics file for the ARTIC. Visit the Qualtrics website for fee information.
What is the cost of the 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 to request an invoice.

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