Trauma-Responsive Organisations: The Trauma Ecology Model

Implementing Trauma Informed Care in Human Services: An Ecological Scoping Review

“…The committees were made up of key stakeholders at various levels from the community and were responsible for planning, resourcing, and evaluations [ 9 , 11 ] in doing so, these committees acted as implementation enablers as they could identify and remove possible barriers and facilitate a range of fundings and resourcing to promote implementation at different levels. These results would reflect that of the wider implementation literature with regard to establishing committees to guide implementation [ 27 , 28 ] and the trauma informed literature specifically where Mahon [ 3 ] describes the use of a Trauma Oversight Group (TOG) to resource and guide implementation.…”

“…This is consistent with prior research suggesting that lack of financial capacity can act as a barrier to TIC implementation [ 66 , 67 ]. Where health insurance is willing to reimburse organizations for screening, this was experienced as an enabler [ 3 ]. With regard to monitoring and evaluation at a macro level, Matlin and colleagues [ 11 ] used a community participatory implementation strategy approach to develop a shared vision of TIC through the development of a logic model that was used to inform an evaluation and to collect data at different points throughout the implementation in the community and to make adaptations to the implementation process.…”

“…The establishment of interagency collaboration is integral to TIC, and it was identified as important to the implementation process in [ 3 , 11 , 21 , 22 ]. When considered within another study seeking to make the State of California ACE aware, it underscores the importance of using the wider ecology as a resource for referrals.…”

“…There is an increasing recognition that many people accessing human services may have had prior traumatic experiences, and that a paradigm shift in how service delivery is organized may need to occur to be responsive to these experiences [ 1 , 2 , 3 , 4 ]. The findings from the Adverse Childhood Experiences (ACEs) seminal research study are of importance and support the need for trauma informed care (TIC).…”

“…Trauma informed care (TIC) is one way that organizations can respond to the needs of service users and employees. TIC is a universal method of service delivery that acknowledges that many people accessing services, and employees working in services, may have experienced traumas, it also realizes that how service settings are constructed and delivered can help support individuals in their healing, or hinder people through re-traumatization [ 3 , 4 , 21 ]. On this point, trauma informed care as a universal organizational approach assumes that many people accessing services and employees may have potentially experienced trauma.…”