Programs, organizations, and systems that make a commitment to implementation will differ in many ways – from the service context, to the motivation for change, to hoped-for outcomes, and resources available. Nonetheless, the implementation process has common features that we’ve tried to reflect in the Roadmap below. On the left side of the map in the Foundational Readiness Phase are WHAT YOU NEED TO HAVE to begin the process of implementing trauma informed care. On the right side of the map in the Implementation Phase are WHAT YOU NEED TO DO to start planning and making changes.
Loops in the road reflect the ongoing nature of the work, which is best supported by continuing education and training for all staff and by agency-wide communication to model the transparency, collaboration, and authenticity that are hallmarks of trauma informed care. To learn more about the steps to implementation, hover your mouse over the stops along the Roadmap. Click on the link in the pop-up for Considerations related to that step as well as additional resources to support you on the journey.
Bring the Roadmap to life with agency examples of the journey through the trauma informed care implementation process. In the fall of 2015 Trauma Informed Oregon invited Clackamas Behavioral Health Centers (CBHC) to serve as a demonstration project for the implementation of trauma informed care. Read the Final Report to see what they did, and be sure to check out their Trauma Informed Care Initiative Timeline. Two additional health care centers were added as demonstration sites in 2016. Read the progress report for La Pine Community Health Center in Central Oregon.
Looking for the Roadmap in Spanish? We’ve got a Spanish-language version of the Roadmap available here as a PDF.
Foundational Readiness Phase
Recognition & Awareness
Trauma informed care builds on the awareness that trauma is prevalent among service recipients and the workforce. Service settings and delivery can be re-traumatizing.
All staff will have basic knowledge about the nature and impact of psychological trauma and trauma informed care principles and practice when a trauma informed approach is adopted.
Creating a sustainable trauma informed approach requires both individual and organizational readiness.
Process & Infrastructure
A trauma informed culture within an agency is most easily created and sustained when an organization establishes a process and infrastructure to support ongoing efforts.
Trauma informed care involves making adjustments and changes to policy and practice. Opportunities for change become apparent when organizations establish a process for gathering information.
Assessment Tools: Creating Cultures of Trauma-Informed Care (CCTIC)
Assessment Tools: Trauma Informed System Change Instrument (TISC)
Assessment Tools: TISC Scoring
Assessment Tools: Trauma Informed Organizational Toolkit Homeless Services
Prioritize & Create Work Plan
When adopting trauma informed care, most organizations identify many opportunities for change. Prioritizing and creating a work plan can help agencies move forward strategically.
Implement & Monitor
Once the opportunities for trauma informed care have been identified and prioritized it is important to make some of these changes and monitor the impact. Implementation begins when the first changes are made.
Adopt Policy & Practice
When trauma informed changes to policy and practice are adopted it is important to build staff and organizational support.
Communication is an important component of trauma informed care. A communication method should be established that keeps staff informed and allows for feedback and suggestions.
Ongoing Education & Training
To gain proficiency in trauma informed care, individuals and agencies will benefit from ongoing education including refresher courses on relevant topics.