Adaptations to trauma are emphasised over symptoms, and resilience over pathology (Butler Reference Butler, Critelli and Rinfrette2011). Thus, relationships and interventions strive for collaboration through transparency, authenticity and an understanding of what both people see as helpful. This is essential because many trauma survivors have experienced secrecy, betrayal and/or ‘power-over’ relationships.

Only one study has used the ARTIC-45 to capture attitudes towards TIC before and after implementing a TIC program (Orapallo, 2021), and consequently, more research is needed to support the use of the ARTIC-45 in this way. Similarly, Abdussatar (2021) used ARTIC-45 scores to split participants into three benchmark groups; low trauma-informed (means of 1–3), medium trauma-informed (means of https://societyforimplementationresearchcollaboration.org/webinars/ 4–5) and high trauma-informed (means of 6–7). Recent studies have used the ARTIC to examine staff understanding of TIC (e.g., Abudussatar, 2021; Berkout, 2018; Burkhardt, 2020; Daniels, 2021; Frerks, 2019; Jordan-Cox, 2018; Powers, 2020; Robertson et al., 2021; Smith, 2021). Hence, research in this area is required to enhance and standardize TIC training programs and their evaluations to effectively reach the common goal of mitigating the impacts of trauma exposure.

• FIG 1 Ten key principles of trauma-informed approaches (adapted from Elliot Reference Elliot, Bjelajac and Fallot2005; Bloom Reference Bloom2006; Substance Abuse and Mental Health Services Administration 2014).
• These reactions may be exacerbated if they themselves have experienced trauma in the past, such as interpersonal violence.
• No controlled studies exist that evaluate the value of seclusion or restraint in those with serious mental illness.
• In this ward, another person called Claire still undergoes round-the-clock observation, but staff sit with this Claire to explain why and what their concerns are.

Six Key Principles of a Trauma-Informed Approach

Although TIC is increasingly endorsed in health care settings, there is variability in how TIC is being conceptualized and operationalized.13 Furthermore, the integration of TIC into health systems is fraught with challenges, requiring a cultural paradigm shift and transformational organizational leadership.15 Created in 2014, SAMHSA’s 10 TIC implementation domains24 serve as a guiding framework to assist organizations in becoming trauma-informed. The findings support the use of SAMHSA’s 10 implementation domains in varied health care contexts to facilitate effective TIC processes. Learn best practices for pharmacological treatment for older Veterans with PTSD. This means that there is both research and clinical evidence that these approaches work for many people who have experienced traumatic events. The Family Violence Learning Series is an interactive and evolving professional development program designed to strengthen trauma-responsive and evidence-informed practice across the service sector.

What mental health resources are available in Los Angeles County?

Visit the Tele-Education Webinars page to access training related to a variety of behavioral health topics. Scientific research and remarks from global officials show that the pandemic has caused unprecedented trauma on a global scale, for adults and children alike. With that said, besides the trauma-informed approaches, there are certain “gold standards” for treating trauma symptoms. In other words, there’s no one-size-fits-all approach to trauma therapy. Trauma-focused therapy is different from trauma-informed care (TIC), which is a structural framework for organizational change.

Advice to Administrators: Implementation Plan Content

Specifically, interRAI TIC training may improve client care by shifting clinicians’ beliefs and practices to be more trauma informed and empathetic. Having assessment tools that have a common language around trauma and mental health is integral to supporting children involved with multiple clinicians or systems of care (Bargeman et al., 2021; United Nations General Assembly, 1989). Furthermore, the pandemic and virtual services shifted the landscape and mentality of children’s mental health services (Berardini et al., 2021), where clinicians may have felt more justified to receive support for the impacts of their work. Also, based on feedback obtained during the focus groups, clinicians appreciated learning more about the evidence-informed research to support trauma-informed practices, including best practice when dealing with sleep disturbances in traumatized children, youth and families. The current study used a mixed methods approach to provide a novel contribution to the field and serve the current body of research supporting the use of the ARTIC-45 with multidisciplinary clinicians working in mental health agencies before and after receiving TIC training. Additionally, children are more likely to experience re-traumatization when healthcare workers who are uneducated in TIC use coercive practices that undermine patient autonomy, sense of safety, and self-esteem (Frueh et al., 2005; Muskett, 2014; Sweeney et al., 2018).