Developing Trauma-Informed Care Champions: A Six-Month Learning Collaborative Training Model
Keywords:University-community partnerships, trauma, trauma-informed care
This paper describes a six-month learning collaborative for service providers seeking to implement trauma-informed care (TIC) into their agencies. Although the professional literature on trauma-informed care has grown substantially over the past 10 years, little research has focused on how to effectively train agencies in creating a trauma-informed culture shift. Participants were trained as “TIC champions” to help facilitate the creation of trauma-informed approaches in their agencies. Through a parallel process, they learned the skills for planning and implementing a trauma-informed approach in their agency. At the completion of the training, trainers observed champions becoming more confident in their ability to assist their agencies in creating a trauma-informed culture shift. Though quantitative studies evaluating the learning collaborative are needed, initial findings suggest the collaborative approach is an effective means of guiding champions through the process of becoming trauma-informed.
American Psychiatric Association [APA]. (2013). Diagnostic and statistics manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Press.
APA. (2017). Disorder-specific severity measures. Retrieved from https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures
American Psychological Association. (2016). The road to resilience. Retrieved from http://www.apa.org/helpcenter/road-resilience.aspx
Bassuk, E. L., Unick, G. J., Paquette, K., & Richard, M. K. (2017). Developing an instrument to measure organizational trauma-informed care in human services: The TICOMETER. Psychology of Violence, 7(1), 150-157. doi: http://dx.doi.org/10.1037/vio0000030
Bloom, S. L. (2013). Creating sanctuary: Toward the evolution of sane societies. Abingdon, UK: Routledge.
British Columbia Centre of Excellence for Women’s Health. (2013). Trauma-informed practice guide. Retrieved from http://nccewh.bc.ca/wp-content/uploads/2012/05/2013_TIP-Guide.pdf
Buchanan, D., Fitzgeral, L., Ketley, D., Gollop, R., Jones, J. L., Lamont, S. S., . . . Whitby, E. (2005). No going back: A review of the literature on sustaining organizational change. International Journal of Management Reviews, 7(3), 189-205.
Buono, A. F., & Subbiah, K. (2014). Internal consultants as change agents: Roles, responsibilities and organizational change capacity. Organizational Development Journal, 32(2), 35-53.
Butler, L. D., & McClain-Meeder, K. (2015). Self-care starter kit. Retrieved from http://socialwork.buffalo.edu/resources/self-care-starter-kit.html
Calvo, M., Ukeje, C., Abraham, R., & Libman, K. (2016). Trauma-informed & resilient communities: A primer for public health practitioners. Retrieved from http://www.advancingpreventionproject.org/wp-content/uploads/2016/06/Trauma-Primer-Final.pdf
DeJong, P., & Berg, I. K. (Eds.). (2013). Interviewing for solutions (4th ed.). Belmont:
Fallot, R. D., & Harris, M. (2009). Creating cultures of trauma-informed care (CCTIC): A self-assessment and planning protocol. Retrieved from https://www.healthcare.uiowa.edu/icmh/documents/CCTICSelf-AssessmentandPlanningProtocol0709.pdf
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., . . . Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventative Medicine, 14(4), 245-258. doi: https://doi.org/10.1016/S0749-3797(98)00017-8
Finch, J. B., & Feigelman, B. (2008). The power of mutual aid in the educational process: A seminar for new field instructors of trainees. The Clinical Supervisor, 27(2), 191-214. doi: http://dx.doi.org/10.1080/07325220802487931
Fiske, H. (2010). A 10-minute solution-focused interview training exercise. In T. S. Nelson (Ed.), Doing something different: Solution-focused brief therapy practices (pp.183-184). New York: Routledge.
Greenwald, R. (2014). Child trauma handbook: A guide for helping trauma-exposed children. New York: Routledge.
Hall, A., McKenna, B., Dearie, V., Maguire, T., Charleston, R., & Furness, T. (2016). Educating emergency department nurses about trauma informed care for people presenting with mental health crisis: A pilot study. BMC Nursing, 15(21) [online]. doi: https://doi.org/10.1186/s12912-016-0141-y
Harris, M., & Fallot, R. D. (Eds.). (2001). Using trauma theory to design service Systems. New Directions for Mental Health Services. San Francisco: Jossey-Bass.
Hoge, M. A., Morris, J. A., Daniels, A. S., Stuart, G. W., Huey, L. Y., & Adams, N. (2007). An action plan for behavioral health workforce development: A framework for discussion. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Horner, G. (2015). Childhood trauma exposure and toxic stress: What the PNP needs to know. Journal of Pediatric Health Care, 29(2), 191-198. doi: http://dx.doi.org/10.1016/j.pedhc.2014.09.006
Integrative Nutrition, Inc. (2006). The integrative nutrition journal: Your guide to a happier, healthier life. New York: Integrative Nutrition, Inc.
Jang, H. W., & Kim, K-J. (2014). Use of online clinical videos for clinical skills training for medical students: Benefits and challenges. BMC Medical Education, 14(56), 1-6.
Jennings, A. (1994). On being invisible in the mental health system. Journal of Mental Health Administration, 21(4), 374-387. doi: https://doi.org/10.1007/BF02521356
Jennings, A. (2009). Models for developing trauma-informed behavioral health systems and trauma-specific services: 2008 update. Alexandria, VA: National Center for Trauma-Informed Care.
Kilpatrick, D. G., Resnick, H. S., Milanak, M. E., Miller, M. W., Keyes, K. M., & Friedman, M. J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. Journal of Traumatic Stress, 26, 537-547. doi: https://doi.org/10.1002/jts.21848
Koutsoupidou, T. (2014). Online distance learning and music training: benefits, drawbacks and challenges. Open Learning, 29(3), 243-255. doi: http://dx.doi.org/10.1080/02680513.2015.1011112
Lipsky, L. V. D., & Burk, C. (2009). Trauma stewardship: An everyday guide to caring for self while caring for others. San Francisco, CA: Berrett-Koehler Publishers, Inc.
Meichenbaum, D. (n.d.). Self-care for trauma psychotherapists and caregivers: Individual, social and organizational interventions. Retrieved from https://www.melissainstitute.org/documents/Meichenbaum_SelfCare_11thconf.pdf
Muskett, C. (2014). Trauma-informed care in inpatient mental health settings: A review of the literature. International Journal of Mental Health Nursing, 23, 51-59. doi: https://doi.org/10.1111/inm.12012
Pearce, J., Mann, M. K., Jones, C., van Buschbach, S., Olff, M., & Bisson, J. I. (2012). The most effective way of delivering a train-the-trainers program: A systematic review. Journal of Continuing Education in the Health Professions, 32(3), 215-266. doi: https://doi.org/10.1002/chp.21148
Pearlman, L. A., McKay, L. (2008). Understanding & addressing vicarious trauma: Online training module four. Retrieved from http://www.headington-institute.org/files/vtmoduletemplate2_ready_v2_85791.pdf
Roberts, Y. H., Huang, C. Y., Crusto, C. A., & Kaufman, J. S. (2014). Health, emergency department use, and early identification of young children exposed to trauma. Journal of Emergency Medicine, 46(5), 719-724. doi: http://dx.doi.org/10.1016/j.jemermed.2013.11.086
Schein, E. H. (2010). Organizational culture and leadership (Vol. 2). Hoboken, NJ: John Wiley & Sons.
Stamm, B. H. (2010). The concise ProQoL manual. Retrieved from https://nbpsa.org/images/PRP/ProQOL_Concise_2ndEd_12-2010.pdf
Steiker, L. H. (2015). Trauma-informed care and addiction recovery: An interview with Nancy J. Smyth, PhD, LCSW. Journal of Social Work Practice in the Addictions, 15, 134-142. doi: https://doi.org/10.1080/1533256X.2015.996509
Steinberg, D. M. (2010). Mutual aid: A contribution to best-practice social work. Social Work with Groups, 33(1), 53-68. doi: https://doi.org/10.1080/01609510903316389
Substance Abuse and Mental Health Services Administration [SAMHSA]. (2014a). Concept of Trauma and Guidance for a Trauma-Informed Approach. Retrieved from http://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf
SAMHSA. (2014b). Trauma-informed care in behavioral health services: Treatment improvement protocol (TIP) series 57. Rockville, MD: Author.
Schultz, C. (2014). Learning is change: Creating an environment for sustainable organizational change in continuing and higher education. Canadian Journal of University Continuing Education, 40(1), 1-26.
Shulman, L. (2008). The skills of helping individuals, families, groups and communities. (6th ed.). Belmont, CA: Brooks/Cole.
Strand, V. C., Pasquale, L. E., & Sarmiento, T. L. (2003). Child and adolescent trauma measures: A review. Retrieved from https://ncwwi.org/files/Evidence_Based_and_Trauma-Informed_Practice/Child-and-Adolescent-Trauma-Measures_A-Review-with-Measures.pdf
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18. doi: https://doi.org/10.1207/s15327965pli1501_01
Trauma Informed Oregon. (2015). Standards of practice for trauma-informed care. Retrieved from http://traumainformedoregon.org/wp-content/uploads/2016/07/Guidelines-Crosswalk-Standards-of-Care-for-Trauma-Informed-Care.pdf
Traumatic Stress Institute of Klingberg Family Centers. (n.d.). Trauma-informed care in youth serving settings: Organizational self assessment. Retrieved from http://traumaticstressinstitute.org/wp-content/uploads/2010/06/Trauma-Informed-Care-Org-Self-Assessment-Final.pdf
Wolf, M. R., Green, S. A., Nochajski, T. H., Mendel, W. E., & Kusmaul, N. S. (2014). ‘We are civil servants’: The status of trauma-informed care in the community. Journal of Social Service Research, 40, 111-120. doi: https://doi.org/10.1080/01488376.2013.845131
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