Process & Infrastructure

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Adopting Trauma Informed Care (TIC) in an agency takes time and requires commitment and dedication. Driven by a belief in this approach to service delivery, agency leaders and staff must create a process that supports ongoing efforts to integrate a TIC perspective into the agency culture through policies and practice. Below, are considerations when creating organizational buy-in and infrastructure to support a TIC change process.

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  • Committing to TIC is reflected in an agency’s mission and vision.
  • Implementing TIC within an organization requires leadership commitment and internal champion(s).
  • Sustaining the implementation of TIC is most successful when organizations identify an internal group to shepherd the effort:
    • Workgroups can be new or existing.
      • Some organizations use their safety committee or quality assurance team – if they have the capacity to take on TIC.
    • Workgroups often include the following roles:
      • Serving as champions on this topic and working to keep it on the minds of others within the organization.
      • Assessing the agency for current TIC efforts and areas of opportunity.
      • Prioritizing and recommending opportunities for TIC.
      • Creating a system for communicating progress to the rest of the agency.
      • Creating opportunities for gathering feedback.
    • Workgroups are representative of the agency (multi-level and cross program).
    • Workgroups include individuals with the ability to make change.
      • Balancing the power within the group is important. Individuals may not participate if too much power rests with just a few people. If there is not enough power, it is difficult to make change.
    • Workgroups have members that are interested and engaged in TIC implementation:
      • Consider what will keep you (or other work group members) engaged?
      • What are the important priorities?
      • Are staff given productivity credit for participating?
      • What will keep the agency focused on TIC?
    • Workgroups are successful when they clarify the process:
      • Who is selected?
      • What are the roles and responsibilities?
      • What is the length of commitment?
      • How are decisions made (e.g. consensus voting)
      • Who will take notes or facilitate?
    • Workgroups have members who model trauma informed care and use TIC principles to make decisions.


Standards of Practice

Trauma Informed Care Workgroup Meeting Guidelines


Next Step: Gather Information