Why does Trauma Informed Practice matter?

Over the past 2 years I've been researching the impact of Trauma Informed Practice in Merseyside in the UK. With the support of the Merseyside Violence Reduction Partnership I've had the unique opportunity to look at impact across public services including schools, police, local authorities and NHS
Why does Trauma Informed Practice matter?
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The impact of a multi-agency trauma-informed practice training programme in a region in the United Kingdom - Journal of Public Health

Aim This research study aims to add to the emerging evidence on the potential value of trauma-informed practice (TIP) training programmes for multi-agency practitioners by examining the associated impact of a UK TIP training programme on practitioner attitudes and knowledge, 6 months post training. Subject and methods Participants completed pre- and 6-month post-surveys using four of the five subscales of the Survey for Trauma-Informed Systems Change. Multi-agency participants from across Merseyside (n = 152) completed pre-surveys, engaged in four TIP training sessions and followed with a post-6-month survey. Results Analyses of the pre-post study indicate that a four-session TIP training programme for public services and education staff can significantly enhance the individual-level knowledge and attitudes of trainees regarding trauma-informed practices [pre-mean 76.4, post-mean 90.9; p < .001; large effect size (d = 1.4)]. Engagement in the training programme was associated with a substantial significant improvement in trainees’ understanding of brain physiology and biology in connection to trauma, attachment, and ACEs, as well as their awareness of trauma-informed practices. Further, there were significant improvements in trainees’ system-wide attitudes, training, support, interaction, and the environment, assessing safety and acceptance. Conclusion This study enhances understanding on the influence of TIP training on multi-agency partners including education, health, police, and the public services. However, this training needs to be supported by wider system changes that have clear leadership for embedding a trauma-responsive system, taking into account staffing levels, staff wellbeing, burnout levels and trainees’ personal experiences of ACEs/trauma.

Room learningThe story behind this research starts as a Teacher in the Northwest of England. With 20+ years of experience seeing children trying to navigate the education system and  repeatedly falling though the gaps and stumbling over huge hurdles, placed there by insufficiently trained staff. With those staff repeating behaviours passed down from one generation to the next but not backed by evidence. After 20 years in education the patterns become overwhelming, seeing the same behaviour creating the same outcomes and seeing those same vulnerable children ostracised, isolated and even more vulnerable than when they entered the system of education, there has to be a better path. 

This research highlights when individuals are trained in spotting the signs of Trauma/ACES and Attachment (TAA) either in themselves or in others outcomes change. Trauma Informed Practice isn't just about TAA, this approach supports every child, every individual to reconnect with themselves, with each other. TIP is about connection, understanding, compassion, safety, collaboration, empowerment, resilience and cultural humility. This first piece looks at the impact 6 months after in depth training and what the data is telling us. Using a nationally recognised survey to measure pre-post understanding of brain physiology and biology in connection to TAA and developing individual understanding of Trauma Informed Practices (TIP).

Although this research enhances TIP understanding and there were improvements in every aspect including system wide knowledge, training, support and interaction and assessing safety and acceptance these areas require more research. It also highlights that system-wide change requires leadership engagement, structural workforce support for long term implementation of trauma responsive systems. 

It takes a village to raise a child and we need to empower everyone in that village with an in depth understanding of what behaviour is communicating, in that way every child has the opportunity for connection, warmth and possibility not just the ones who had that in the first place.  

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