Implementation and Accountability Overview

square bulletImplementing Trauma Informed Care (TIC)

Trauma Informed Oregon’s (TIO) implementation and accountability pages will be a resource for collective learning; where we can share findings of some of our own research and evaluation projects but also highlight the results you are observing in your efforts to be trauma informed. In this section you will find tools to assist in the implementation process, as well as findings from research and evaluation.

square bulletConducting Research During TIC Implementation

TIO has created a number of tools to assist in the implementation process. These tools can also be used as a way to evaluate progress. However, keep in mind that the tools are purposefully nonspecific as a way to be useful across multiple systems. This means that in order to use the tool for evaluation, you will likely need to define (or as they say in the research world, operationalize) the concepts you are measuring. For example, if you want to measure the number of staff who have attended TIC training, you will need to clarify what is meant by training (e.g., full day, in person only, covering certain topics).

square bulletImplementation Tools

Despite a clear need for trauma informed care (TIC), it can be challenging to know what to do or where to start. This short video will provide an overview of the tools Trauma Informed Oregon (TIO) has created in order to guide implementation efforts. Specifically, we will talk about the Standards of Practice, the Road Map to TIC, and the TIC Screening Tool (see below) and highlight the similarities and difference between the tools.

It’s helpful to know which tools to use for your particular needs as well as how they can be used in conjunction. For additional information, refer to these previous blogs, Introducing the TIC Screening Tool: Adding Detail to Implementation, and Destination TIC: Using the TIO Road Map and Standards of Practice to Guide Implementation.

Road Map to Trauma Informed Care

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The Road Map, along with the Screening Tool, can help an organization evaluate progress in implementation. This tool lends itself to quantitative counts (of staff, departments, units etc.). From there, organizations could compare progress across different groups, such as roles or departments. For example, which departments have the most awareness about TIC? Remember that it will be important to clearly define the concepts being measured (e.g., what we mean by awareness). For more advanced research/evaluation, it is possible to use the concepts being measured as a grouping variable to predict something else. For example, does TIC training predict lower absenteeism?

Trauma Informed Care Screening Tool

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TIC implementation in an organization. Download the Trauma Informed Care Screening Tool and circle what steps or actions you’ve already completed to mark your progress. This will help you see what phase of trauma informed care you’re in and what areas to focus on. This tool lends itself to quantitative counts (of staff, departments, units etc.).

Trauma Informed Care Logic Model

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The logic model provides a good framework for research and evaluation. Each section provides ideas about concepts that can be assessed and analyzed. Although each of the sections on the logic model is important to investigate, one of the most helpful sections relates to the strategies used to demonstrate TIC. Consider implementing a policy or practice and measuring the impact, and then let us know what you learned. Remember to clearly define the concepts being measured and be realistic about what can change as a result. For example, putting more lighting in the parking lot may not increase appointment completions at a health care clinic, but it may make staff or patients feel safer.

Trauma Informed Care Standards of Practice

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The Standards of Practice can be evaluated in much the same way as the road map and screening tool—quantitative counts can be collected. However, the prompts included for each standard of practice lend themselves to qualitative accounts of TIC implementation. We invite you to consider collecting this qualitative data as a way to tell the story of TIC implementation at your organization. Again, let us know what you are finding and we will be happy to share this out to the broader community.