This guide is designed to help youth make a connection between stressful events and the potential lasting impacts. Understanding trauma and having a framework to talk about past experiences can help in processing and asking for help. This understanding supports healing. Source: Brianne Masselli and Johanna Bergan, Youth M.O.V.E. National … A Guide for Youth: Understanding Trauma

This document developed by TIO provides foundational information about workforce wellness. It provides background and definitions to assist partners that are beginning to address workforce wellness in their programs and organizations. Source: Trauma Informed Oregon English PDF Spanish PDF

A SAMHSA Treatment Improvement Protocol (TIP) with best practice guidelines for trauma informed care. TIPs are developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and Human Services (HHS). Each TIP involves the development of topic-specific best practice guidelines for the prevention … A Treatment Improvement Protocol: Trauma-Informed Care in Behavioral Health Services

Learn about the Adverse Childhood Experiences (ACE) measure and its use, and calculate your ACE and resilience scores. An ACE score is a tally of different types of abuse, neglect, and other hallmarks of a rough childhood. According to the Adverse Childhood Experiences study, the rougher your childhood, the higher your … ACE Score Calculator

This PowerPoint presentation, with accompanying video, addresses secondary stress and the impact and solutions to vicarious traumatization in the workforce. Source: Wayne Scott, MA, LCSW Download PDF View Video

This checklist can help assess the physical environment and selected intake and service procedures in an agency setting. Source: Region 3 Behavioral Health Services, Kearney, Nebraska Download PDF

This list is an informational tool for providers to select and implement Evidence-Based Practices (EPBs). The list represents EBPs meeting the Addictions and Mental Health Services (AMH) definition and standards for EPBs. Source: Oregon Health Authority View Resources

This full-day TIO training covers the definition of trauma and trauma informed care (TIC), the neurobiology of trauma, principles of TIC, and workforce stress. Originally created for home visiting and early childhood professionals some content has been tailored for these fields. Source: Trauma Informed Oregon English PDF Spanish PDF

Resource developed by TIO with strategies for “tuning” in as a supervisor as well as questions you can use to assess how trauma informed the supervision is. It is not an exhaustive list but it can be helpful in doing a personal assessment. Source: Trauma Informed Oregon Download PDF

This TIO TIP sheet includes a summary of data on what trauma informed care looks like in leadership, among staff, and in an organization. Characteristics of a trauma informed leader are mapped out. The qualitative data included in the TIP sheet was collected formally and informally at several TIO community … Behaviors and Actions of Trauma Informed Leaders

A list of books that were written for children who may be coping with adversity or trauma in their lives. Source: Trauma Informed Oregon Download PDF

The BTQ is a 10-item self-report questionnaire designed to assess traumatic exposure according to DSM-IV but specifically including only life threat/serious injury) because of the difficulty of accurately assessing subjective response. Source: National Center for PTSD, US Department of Veterans Affairs View Resource

This 5-minute video depicts a call to action for the legal community to learn as much as possible about brain science to make sure our law and policy are aligned with the focus on the latest information for building the capabilities of caregivers and strengthening the communities that together form … Child and Family Law Courts Meet Brain Science

This curriculum is designed to teach basic knowledge, skills, and values about working with children who are in the child welfare system and who have experienced traumatic events. Source: National Child Traumatic Stress Network, 2013 View Resource

An agency-wide trauma informed services policy developed by the Clackamas County Behavioral Health Division (CCBHD). Source: Clackamas County Behavioral Health Division (CCBHD) Download PDF

Consumer feedback survey that includes elements of trauma informed care, developed by Clackamas County Behavioral Health Clinics to help improve services and monitor progress in implementing trauma informed care. Source: Clackamas County Behavioral Health Division (CCBHD) Download PDF

Co-regulation follows attachment and precedes self-regulation in human emotional development. This presentation discusses the role of co-regulation in child-caregiver relationships, and how co-regulation can be strengthened. Source: Jean Barbre, EdD, LMFT Download PDF

A set of common acronyms related to trauma and trauma and trauma informed care, along with definitions of key terms. Source: Trauma Informed Oregon Download PDF

Crisis response resource developed by TIO for agencies providing housing and shelter services to youth. Feel free to use this document in the development of your own agency trauma informed crisis response plan. Source: Trauma Informed Oregon Download PDF

Document developed by TIO that you can use to find the best trauma informed care trainer for your specific needs. It includes both reflective questions and interview questions. Source: Trauma Informed Oregon Download PDF

This TIO TIP sheet provides trauma informed considerations for work settings as we all navigate the uncharted territory and response to novel Coronavirus (COVID-19). The considerations included in the document are grounded in the principles of trauma informed care. Source: Trauma Informed Oregon English PDF Spanish PDF Vietnamese PDF

This assessment tool provides guidelines for agencies or programs interested in facilitating trauma-informed modifications in their service systems. For use by administrators, providers, and survivor-consumers in the development, implementation, evaluation, and ongoing monitoring of trauma-informed programs. Source: Community Connections; Washington, D.C. Roger D. Fallot, Ph.D. and Maxine Harris, Ph.D. Download … Creating Cultures of Trauma-Informed Care (CCTIC): A Self-Assessment and Planning Protocol

Crosswalk between the TIO Standards of Practice and the OHA Trauma Informed Services Policy for organizations that are required to demonstrate compliance with the 2015 Trauma Informed Services Policy of the Oregon Health Authority (OHA). Source: Trauma Informed Oregon Download PDF

In any community that attempts Trauma Informed Care, some people resist the science and they resist the spending of tax dollars to help people who have been damaged by childhood trauma, also known as Adverse Childhood Experiences (ACEs). Laura Porter from Ace Interface talks about how to respond. Source: Laura … Dealing with Resistance to Trauma Informed Care

Learn the symptoms of trauma and get ideas and strategies that can help you better cope. The information in this federally sponsored booklet can be used safely along with your other health care treatment. Source: Substance Abuse Mental Health Services Administration (SAMHSA) Download PDF

This document provides definitions and suggested resources to support use of the Standards of Practice for Trauma Informed Care. It is a downloadable and printable version (PDF) of information that appears in pop-up windows for the online version of the Standards. Each item in the Definitions and Additional Resources is … Definitions and Additional Resources for the Standards of Practice

Disaster Resilience Learning Collaborative Evaluation Report: Creating Culturally-Grounded Healing Spaces by Leaders of Color for Leaders of Color is an evaluation of the Disaster Resilience Learning Collaborative (DRLC), a collaborative dedicated to creating culturally-grounded healing spaces by leaders of color and for leaders of color in disaster work. The DRLC … Disaster Resilience Learning Collaborative Evaluation Report

These guidelines have been adapted for educational settings from the Standards of Practice for Trauma Informed Care developed by Trauma Informed Oregon and with information from educational communities across the state provided by the Defending Childhood Initiative. These guidelines are intended to provide benchmarks for planning and monitoring progress and … Education Standards of Practice for Trauma Informed Care

SAMHSA’s National Registry of Evidence-Based Programs and Practices promotes the adoption of scientifically established behavioral health interventions. Source: Substance Abuse and Mental Health Services Administration (SAMHSA) View Resource

This training revamps the Foundations of Trauma Informed Care training by making it more youth friendly, strengths based, and interactive. This is done by providing opportunities for young adults to engage in discussions on trauma and resilience with scenarios that relate to youth. The training also provides skills and tools … For Youth by Youth: Foundations of Trauma Informed Care

This (typically) 4 hr TIO training provides foundational knowledge appropriate for individuals across sectors and job titles. After defining key terms, including stress, trauma and systemic oppression, we explore how trauma and adversity affect individual’s access to services. Participants begin to identify how service systems, often unknowingly, retraumatize survivors of … Foundations of Trauma Informed Care (formerly TIC 101)

Check here to find books by experts in the field that may be helpful to parents and other caregivers dealing with children and youth affected by trauma. There are additional books for adult survivors of trauma who are parenting. Source: Trauma Informed Oregon Download PDF

This website for survivors of trauma has educational materials about PTSD and links to international support groups. In addition to educational material, the website has a roster of survivors who are willing to participate in an international network of peer support. Source: Gift from Within, Camden, Maine View Resource

Guide developed by TIO to help organizations review a specific policy about service exclusion through a trauma informed lens. Some of the questions in the guide may be helpful as you are developing or reviewing policies. Source: Trauma Informed Oregon Download PDF

These Standards of Practice for healthcare settings provide a set of benchmarks for planning and monitoring progress implementation of TIC in clinic settings. The tool is an adaptation of the Standards of Practice for Trauma Informed Care developed for general use across health, behavioral health and related systems serving trauma … Healthcare Standards of Practice for Trauma Informed Care

This tip sheet from NCTSN offers ways to recognize and help your teen who may have difficulty coping after a sudden or violent death. Each teen grieves in a unique way so it’s important to understand your teen’s point of view. Source: National Child Traumatic Stress Network (NCTSN) Download PDF

Timeline compiled by TIO of important National and Oregon-specific efforts to initiate trauma informed care. Source: Trauma Informed Oregon Download PDF

The Homeless Youth Continuum created this Tragedy Response Plan as a way to support organizations in the continuum when a tragedy has occurred. This plan can be adapted to fit your organization or specific community. Source: Homeless Youth Continuum, Trauma Informed Oregon Download PDF

Bulleted list developed by TIO of things to do to take to prepare for and run a meeting that is trauma informed. Source: Trauma Informed Oregon English PDF Spanish PDF

This TIP sheet developed by TIO offers strategies for hosting virtual meetings that promote safety, power, and value. Hosting virtual meetings and trainings using SAMHSA’s six principles of trauma informed care can foster a space where participants are present & accessible, and their exposure to activation and re-traumatization is mitigated. … Hosting a Virtual Meeting Using Trauma Informed Principles

This accessible video describes how stress affects the brain and offers suggestions about how to reduce the impact. Madhumita Murgia shows how chronic stress can affect brain size, its structure, and how it functions, right down to the level of your genes. Source: TED Ed View Video

List of strategies from TIO to promote trauma informed care through human resource policies and practices, including hiring, onboarding, supervision and performance reviews. Source: Trauma Informed Oregon Download PDF

A hands-on activity to walk through a critical thinking process about where and how organizations may activate a trauma response in staff or the population served. Source: Trauma Informed Oregon Download PDF

This TIO workshop is typically conducted as a working meeting, providing an opportunity for supervisors, managers and other champions of TIC a chance to identify how TIC applies to their work cross-system partnerships. A roadmap for the implementation of trauma informed care, along with TIO resources to guide the process … Implementation of Trauma Informed Care

This short film shares the personal experience of a young adult experiencing suicidal thoughts along with their suggestions for wellness. Source: The Mighty View Video

International Transformational Resilience Coalition (ITRC) Climate Community of Practice (CoP) Resource List 2022 Source: International Resilience Coalition’s 2022 Community of Practice Participants Download PDF

This infographic offers a model for thinking about the intersections of TIC and DEI. Source: Trauma Informed Oregon Download PDF

This is a comprehensive list of terms related to realizing the widespread impact of trauma. The intention of the list is to be valuable, inclusive, and honor the array of potentially toxic experiences that exist. Source: Trauma Informed Oregon, and Trauma Informed Oregon Volunteer, Rebecca Saunders English PDF Spanish PDF

Trauma Informed Oregon cree en el poder curativo de contar historias propias, y creemos que este poder es aún más crítico para los padres y las familias que crían a sus hijos durante la pandemia de COVID-19. Estamos muy agradecidos por la oportunidad de tener estas conversaciones con padres, cuidadores … La Crianza de Los Hijos Durante COVID-19

The LEC-5 is a self-report measure designed to screen for potentially traumatic events in a respondent’s lifetime. The LEC-5 assesses exposure to 16 events known to potentially result in PTSD or distress and includes one additional item assessing any other extraordinarily stressful event not captured in the first 16 items. … Life Events Checklist for DSM-5 (Adults)

A list of key research articles about trauma, including studies related to prevalence, impact, and treatment, as well as information on the Adverse Childhood Experiences (ACE) Study. Source: Trauma Informed Oregon Download PDF

A list of TIO’s favorite articles on trauma informed care, including early delineation of the principles of trauma informed care, the voices and perspective of trauma survivors, and seminal work in the housing field. Source: Trauma Informed Oregon Download PDF

This document developed by TIO is intended to serve as a resource to those seeking trauma specific services (TSS) and those who may be making referrals for TSS. Source: Trauma Informed Oregon Download PDF

This tip sheet for youth by youth gives tips and resources for collaborating and engaging with providers so that youth and young adults can better get their needs met. The resource was developed by TIO’s Oregon Trauma Advocates Coalition (OTAC). OTAC is comprised of youth from around Oregon who are … Making Your Voice Heard: Suggestions for Youth by Youth for use in Emergency Rooms

In this video, Dr. Daniel Siegel explores how relationships and reflection support the development of resilience in children and serve as the basic ‘3 R’s” of a new internal education of the mind. Source: TEDxStudioCityED View Video

A 12-item self-report measure of social support, using a 7-point scale from ‘very strongly agree’ to ‘very strongly disagree.’ Source: Zimet, Dahlem, Zimet & Farley, 1988 Download PDF

Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain. Source: TED Talk View Video

The fact sheets linked from this page offer descriptive summaries of some of the clinical treatments, mental health interventions, and other trauma-informed service approaches that the NCTSN and its various centers have developed and/or implemented as a means of promoting the Network’s mission of raising the standard of care for … National Child Traumatic Stress Network Empirically Supported Treatments and Promising Practices

The NCTSN’s database of tools that measure children’s experiences of trauma, their reactions to it, and other mental health and trauma-related issues. Source: National Child Traumatic Stress Network (NCTSN) View Resource

This City of Portland run program trains residents to provide emergency disaster assistance within their own neighborhoods. Their website also offers many resources and tools for getting organized and being prepared in an emergency. Source: Planning for Resilience & Emergency Preparedness (PREP) View Website PDF

Check out the TIO Road Map to TIC, which offers phases to the implementation process. Each phase contains a marker(s) along the road that is integral to implementing that phase. When clicking on the road or phase sign, a hover box provides a description of that phase and leads you … Road Map to Trauma Informed Care

This document provides a working concept of trauma and a trauma-informed approach applicable across an array of service systems and stakeholder groups. In this paper, SAMHSA puts forth a framework for the behavioral health specialty sectors that can be adapted to other sectors such as child welfare, education, criminal and … SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach

This list of resources in English and Spanish contains culturally-responsive, anti-racist information on Social Emotional Learning for educators, parents/guardians, and students. Editable Document Download PDF

These Standards of Practice for Trauma Informed Care developed by TIO provide benchmarks for planning and monitoring progress and a means to highlight accomplishments as organizations work towards implementing trauma informed care. Source: Trauma Informed Oregon View Resource Spanish PDF

This site provides a list of effective interventions for children and youth who experience symptoms related to trauma. Source: Department of Children and Families, Connecticut View Resource

This TIO TIP sheet includes resources to support social connection while physical distancing during COVID-19. Physical distancing does not have to equate to social isolation. With a variety of technologies, virtual socializing is easier than ever before. Use video calling to socialize with family and friends, host a happy hour … Staying Connected while Physically Distancing

The SDQ is a brief behavioral screening questionnaire about 3-16 year olds. It exists in several versions to meet the needs of researchers, clinicians and educationalists. Source: YouthinMind View Resource

This handout briefly summarizes the ACE study, conducted by researchers from Kaiser Permanente and the Centers for Disease Control (CDC) to study how adversity in childhood predicts adult physical, mental, and social well-being. Source: Trauma Informed Oregon Download PDF Spanish PDF Russian PDF

This training is designed for people who provide peer recovery and support services and peer wellness services. Building on Foundations of Trauma Informed Care, the focus of this training is to help those who access services gain a better understanding of how their body responds to trauma and chronic stress … Supporting Each Other and Ourselves: Trauma Informed Peer Support

Recommendations from TIO to assist in preparing, facilitating and responding in a meeting when sharing personal experiences that may cause distress and trauma, to reflect a trauma informed approach. Source: Trauma Informed Oregon, Oregon Health Authority (OHA) Download PDF

This TIP sheet developed by TIO provides tools for making communication trauma informed. The resource maps out the key components that make a script (or set of words) trauma informed. A trauma informed script will help you stay regulated when you are delivering difficult news or getting hard questions. Source: … The Anatomy of a Trauma Informed Script

The CPSS is a 26-item self-report measure that assesses PTSD diagnostic criteria and symptom severity in children ages 8 to 18. It includes 2 event items, 17 symptom items, and 7 functional impairment items. Source: National Center for PTSD, US Department of Veterans Affairs View Resource

This presentation discusses types and degrees of trauma and their effect on beliefs, behaviors, emotional health, and more. Various brain functions and how they are affected by trauma are also discussed. Source: Diane Wagenhals, Program Director for Lakeside Global Institute Download PDF

The JVQ is designed to gather information on a broad range of victimizations that may occur in childhood. It can enhance the assessment of any child or adolescent by providing a quantified description of all of the major forms of offenses against youth. Either youth or parents can complete the … The Juvenile Victimization Questionnaire (8 – 18yo)

A PowerPoint presentation focusing on risk, co-occurring problems, public costs, and high leverage solutions to childhood adversity. Source: Laura Porter, ACE Interface Download PDF

This video series discusses how violence and trauma affect children, including the serious and long-lasting consequences for their physical and mental health; signs that a child may be exposed to violence or trauma; and the staggering cost of child maltreatment to families, communities, and the nation. Victims lend their voices … Through Our Eyes: Children, Violence, and Trauma

These free online training modules have been created to increase access to foundational training so that the key guiding principles of trauma informed care are accessible to everyone. These four modules are self-guided and self-administered. Source: Trauma Informed Oregon View Training

This suicide prevention manual assists tribes and communities in developing effective and culturally appropriate suicide prevention plans for American Indian and Alaska Native teens and young adults. Source: Substance Abuse and Mental Health Services Administration (SAMHSA) Download PDF

This Powerpoint document was produced by Trauma Informed Oregon. It is part of Train the Trainer presentation in Spanish with Definiciones — Key terms in Spanish. Source: Trauma Informed Oregon Download PDF

Learn about climate disruption and trauma and how to develop preventative resilience skills. The Resource Innovation Group (TRIG) is a non-partisan non-profit organization affiliated with the Sustainability Institute at Willamette University. TRIG’s mission is to address the human causes, impacts, and solutions to complex socio-economic-ecological challenges, with a special emphasis on climate … Transformational Resilience Program

A workshop activity to help participants begin to view challenging behavior through a ‘trauma lens’, i.e., with heightened awareness of the role and impact of trauma. Source: Trauma Informed Oregon Download PDF

A graphic that depicts the principles of trauma informed care along with the role and major activities of Trauma Informed Oregon. Source: Trauma Informed Oregon English PDF Spanish PDF

Disabled individuals and individuals with disabilities experience high rates of interpersonal violence and other negative life experiences which can lead to trauma. Additionally, due to systemic ableism and other forms of oppression individuals experiencing disability can have difficulty getting access to supportive services. An important part of providing trauma informed … Trauma Informed Care for Autistic Survivors

Disabled individuals and individuals with disabilities experience high rates of interpersonal violence and other negative life experiences which can lead to trauma. Additionally, due to systemic ableism and other forms of oppression individuals experiencing disability can have difficulty getting access to supportive services. An important part of providing trauma informed … Trauma Informed Care for Survivors With Disabilities

TIP sheet from TIO on how to create academic environments that are trauma informed. The TIP sheet aims to provide educators with tools that acknowledge the diverse backgrounds of each student that enters their classroom in order to enhance learning opportunities for all. Source: Trauma Informed Oregon Download PDF

Table developed by TIO that includes ideas and questions to help supervisors implement trauma informed care in their supervision practices. Source: Trauma Informed Oregon Download PDF

List of questions from TIO to help set guidelines for Workgroup meetings. As TIC Workgroups form and begin to gather information, identify opportunities, set priorities for change, and propose solutions, there are a number of considerations that can help keep the process on track. Source: Trauma Informed Oregon Download PDF

A brief bulleted list of key facts about the neuroscience of trauma as it relates to trauma informed care. Source: Julie Rosenzweig, PhD, Regional Research Institute, Portland State University Download PDF

This PDF lists and describes different survey tools TIO regularly offers organizations interested in TIC. Feel free to reach out to info@traumainformedoregon.org if you would like a copy or guidance for how to use these surveys Source: Trauma Informed Oregon Download PDF

Trauma Informed Oregon believes in the healing power of telling one’s story, and we think that this power is even more critical for parents and families raising children during the COVID-19 pandemic. We were so grateful for the opportunity to hold discussions with parents, caregivers and providers to learn more … Trauma Informed Parenting During COVID-19

This tool provides psychometric information and the scoring protocol for child welfare agencies using the Trauma Informed System Change Instrument: Organizational change Self-Evaluation. Source: Southwest Michigan Children’s Trauma Assessment Center Download PDF

This organizational assessment was created for child welfare agencies to track system change at a service provider level, at an agency level, and at the county system level. Source: Southwest Michigan Children’s Trauma Assessment Center Download PDF

This table developed by TIO provides examples of how you can reframe challenging behaviors through a trauma lens. The examples in the table are some of the most frequently reported in Trauma Informed Oregon (TIO) trainings and include challenging behaviors from service recipients and staff. It also includes challenging environmental … Trauma Lens Exercise

Learn about trauma specific services (TSS) and their role in treating individuals affected by trauma, as well as how to implement, seek out, and evaluate these services. Source: Trauma Informed Oregon Download PDF

This organizational assessment was created to provide programs with a roadmap for becoming trauma-informed. The Toolkit offers homeless service providers with concrete guidelines for how to modify their practices and policies to ensure that they are responding appropriately to the needs of families who have experienced traumatic stress. Source: The … Trauma-Informed Organizational Toolkit for Homeless Services

The TESI-C assesses a child’s experience of a variety of potential traumatic events including current and previous injuries, hospitalizations, domestic violence, community violence, disasters, accidents, physical abuse, and sexual abuse. The revised 24-item version (also known as the TESI-CRF-R; Ippen et al., 2002) is more developmentally sensitive to the traumatic … Traumatic Events Screening Inventory for Children

This workshop exercise helps training participants to identify warning signs of excess stress or secondary trauma in their work and to create a plan to address it effectively. Source: Trauma Informed Oregon Download PDF

This document developed by TIO provides general information about trauma informed care (TIC) especially for individuals new to this topic. Included are guiding considerations, principles and definitions offered by experts in the field. Source: Trauma Informed Oregon English PDF Spanish PDF

Workshop activity to help participants consider concrete action steps to implement trauma informed care in their organizations. Source: Trauma Informed Oregon Download PDF

A PowerPoint presentation from the National Council for organizations seeking to implement the principles of trauma informed care. The recording of the webinar is no longer available, but you can download the slide by clicking on “View the Slides.” Source: National Council for Behavioral Health webinar, Kristi McClure and Cheryl … What You Really Need to Know About Being a Trauma-Informed Organization

A workshop activity to help participants begin to view challenging behavior through a ‘trauma lens’, i.e., with heightened awareness of the role and impact of trauma. Source: Trauma Informed Oregon Download PDF

A graphic that depicts the principles of trauma informed care along with the role and major activities of Trauma Informed Oregon. Source: Trauma Informed Oregon English PDF Spanish PDF

Disabled individuals and individuals with disabilities experience high rates of interpersonal violence and other negative life experiences which can lead to trauma. Additionally, due to systemic ableism and other forms of oppression individuals experiencing disability can have difficulty getting access to supportive services. An important part of providing trauma informed … Trauma Informed Care for Autistic Survivors

Disabled individuals and individuals with disabilities experience high rates of interpersonal violence and other negative life experiences which can lead to trauma. Additionally, due to systemic ableism and other forms of oppression individuals experiencing disability can have difficulty getting access to supportive services. An important part of providing trauma informed … Trauma Informed Care for Survivors With Disabilities

TIP sheet from TIO on how to create academic environments that are trauma informed. The TIP sheet aims to provide educators with tools that acknowledge the diverse backgrounds of each student that enters their classroom in order to enhance learning opportunities for all. Source: Trauma Informed Oregon Download PDF

Table developed by TIO that includes ideas and questions to help supervisors implement trauma informed care in their supervision practices. Source: Trauma Informed Oregon Download PDF

List of questions from TIO to help set guidelines for Workgroup meetings. As TIC Workgroups form and begin to gather information, identify opportunities, set priorities for change, and propose solutions, there are a number of considerations that can help keep the process on track. Source: Trauma Informed Oregon Download PDF

A brief bulleted list of key facts about the neuroscience of trauma as it relates to trauma informed care. Source: Julie Rosenzweig, PhD, Regional Research Institute, Portland State University Download PDF

This PDF lists and describes different survey tools TIO regularly offers organizations interested in TIC. Feel free to reach out to info@traumainformedoregon.org if you would like a copy or guidance for how to use these surveys Source: Trauma Informed Oregon Download PDF

Trauma Informed Oregon believes in the healing power of telling one’s story, and we think that this power is even more critical for parents and families raising children during the COVID-19 pandemic. We were so grateful for the opportunity to hold discussions with parents, caregivers and providers to learn more … Trauma Informed Parenting During COVID-19

This tool provides psychometric information and the scoring protocol for child welfare agencies using the Trauma Informed System Change Instrument: Organizational change Self-Evaluation. Source: Southwest Michigan Children’s Trauma Assessment Center Download PDF

This organizational assessment was created for child welfare agencies to track system change at a service provider level, at an agency level, and at the county system level. Source: Southwest Michigan Children’s Trauma Assessment Center Download PDF

This table developed by TIO provides examples of how you can reframe challenging behaviors through a trauma lens. The examples in the table are some of the most frequently reported in Trauma Informed Oregon (TIO) trainings and include challenging behaviors from service recipients and staff. It also includes challenging environmental … Trauma Lens Exercise

Learn about trauma specific services (TSS) and their role in treating individuals affected by trauma, as well as how to implement, seek out, and evaluate these services. Source: Trauma Informed Oregon Download PDF

This organizational assessment was created to provide programs with a roadmap for becoming trauma-informed. The Toolkit offers homeless service providers with concrete guidelines for how to modify their practices and policies to ensure that they are responding appropriately to the needs of families who have experienced traumatic stress. Source: The … Trauma-Informed Organizational Toolkit for Homeless Services

The TESI-C assesses a child’s experience of a variety of potential traumatic events including current and previous injuries, hospitalizations, domestic violence, community violence, disasters, accidents, physical abuse, and sexual abuse. The revised 24-item version (also known as the TESI-CRF-R; Ippen et al., 2002) is more developmentally sensitive to the traumatic … Traumatic Events Screening Inventory for Children

This workshop exercise helps training participants to identify warning signs of excess stress or secondary trauma in their work and to create a plan to address it effectively. Source: Trauma Informed Oregon Download PDF

This document developed by TIO provides general information about trauma informed care (TIC) especially for individuals new to this topic. Included are guiding considerations, principles and definitions offered by experts in the field. Source: Trauma Informed Oregon English PDF Spanish PDF

Workshop activity to help participants consider concrete action steps to implement trauma informed care in their organizations. Source: Trauma Informed Oregon Download PDF

A PowerPoint presentation from the National Council for organizations seeking to implement the principles of trauma informed care. The recording of the webinar is no longer available, but you can download the slide by clicking on “View the Slides.” Source: National Council for Behavioral Health webinar, Kristi McClure and Cheryl … What You Really Need to Know About Being a Trauma-Informed Organization

This guide is designed to help youth make a connection between stressful events and the potential lasting impacts. Understanding trauma and having a framework to talk about past experiences can help in processing and asking for help. This understanding supports healing. Source: Brianne Masselli and Johanna Bergan, Youth M.O.V.E. National … A Guide for Youth: Understanding Trauma

This document developed by TIO provides foundational information about workforce wellness. It provides background and definitions to assist partners that are beginning to address workforce wellness in their programs and organizations. Source: Trauma Informed Oregon English PDF Spanish PDF

A SAMHSA Treatment Improvement Protocol (TIP) with best practice guidelines for trauma informed care. TIPs are developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and Human Services (HHS). Each TIP involves the development of topic-specific best practice guidelines for the prevention … A Treatment Improvement Protocol: Trauma-Informed Care in Behavioral Health Services

Learn about the Adverse Childhood Experiences (ACE) measure and its use, and calculate your ACE and resilience scores. An ACE score is a tally of different types of abuse, neglect, and other hallmarks of a rough childhood. According to the Adverse Childhood Experiences study, the rougher your childhood, the higher your … ACE Score Calculator

This PowerPoint presentation, with accompanying video, addresses secondary stress and the impact and solutions to vicarious traumatization in the workforce. Source: Wayne Scott, MA, LCSW Download PDF View Video

This checklist can help assess the physical environment and selected intake and service procedures in an agency setting. Source: Region 3 Behavioral Health Services, Kearney, Nebraska Download PDF

This list is an informational tool for providers to select and implement Evidence-Based Practices (EPBs). The list represents EBPs meeting the Addictions and Mental Health Services (AMH) definition and standards for EPBs. Source: Oregon Health Authority View Resources

This full-day TIO training covers the definition of trauma and trauma informed care (TIC), the neurobiology of trauma, principles of TIC, and workforce stress. Originally created for home visiting and early childhood professionals some content has been tailored for these fields. Source: Trauma Informed Oregon English PDF Spanish PDF

Resource developed by TIO with strategies for “tuning” in as a supervisor as well as questions you can use to assess how trauma informed the supervision is. It is not an exhaustive list but it can be helpful in doing a personal assessment. Source: Trauma Informed Oregon Download PDF

This TIO TIP sheet includes a summary of data on what trauma informed care looks like in leadership, among staff, and in an organization. Characteristics of a trauma informed leader are mapped out. The qualitative data included in the TIP sheet was collected formally and informally at several TIO community … Behaviors and Actions of Trauma Informed Leaders

A list of books that were written for children who may be coping with adversity or trauma in their lives. Source: Trauma Informed Oregon Download PDF

The BTQ is a 10-item self-report questionnaire designed to assess traumatic exposure according to DSM-IV but specifically including only life threat/serious injury) because of the difficulty of accurately assessing subjective response. Source: National Center for PTSD, US Department of Veterans Affairs View Resource

This 5-minute video depicts a call to action for the legal community to learn as much as possible about brain science to make sure our law and policy are aligned with the focus on the latest information for building the capabilities of caregivers and strengthening the communities that together form … Child and Family Law Courts Meet Brain Science

This curriculum is designed to teach basic knowledge, skills, and values about working with children who are in the child welfare system and who have experienced traumatic events. Source: National Child Traumatic Stress Network, 2013 View Resource

An agency-wide trauma informed services policy developed by the Clackamas County Behavioral Health Division (CCBHD). Source: Clackamas County Behavioral Health Division (CCBHD) Download PDF

Consumer feedback survey that includes elements of trauma informed care, developed by Clackamas County Behavioral Health Clinics to help improve services and monitor progress in implementing trauma informed care. Source: Clackamas County Behavioral Health Division (CCBHD) Download PDF

Co-regulation follows attachment and precedes self-regulation in human emotional development. This presentation discusses the role of co-regulation in child-caregiver relationships, and how co-regulation can be strengthened. Source: Jean Barbre, EdD, LMFT Download PDF

A set of common acronyms related to trauma and trauma and trauma informed care, along with definitions of key terms. Source: Trauma Informed Oregon Download PDF

Crisis response resource developed by TIO for agencies providing housing and shelter services to youth. Feel free to use this document in the development of your own agency trauma informed crisis response plan. Source: Trauma Informed Oregon Download PDF

Document developed by TIO that you can use to find the best trauma informed care trainer for your specific needs. It includes both reflective questions and interview questions. Source: Trauma Informed Oregon Download PDF

This TIO TIP sheet provides trauma informed considerations for work settings as we all navigate the uncharted territory and response to novel Coronavirus (COVID-19). The considerations included in the document are grounded in the principles of trauma informed care. Source: Trauma Informed Oregon English PDF Spanish PDF Vietnamese PDF

This assessment tool provides guidelines for agencies or programs interested in facilitating trauma-informed modifications in their service systems. For use by administrators, providers, and survivor-consumers in the development, implementation, evaluation, and ongoing monitoring of trauma-informed programs. Source: Community Connections; Washington, D.C. Roger D. Fallot, Ph.D. and Maxine Harris, Ph.D. Download … Creating Cultures of Trauma-Informed Care (CCTIC): A Self-Assessment and Planning Protocol

Crosswalk between the TIO Standards of Practice and the OHA Trauma Informed Services Policy for organizations that are required to demonstrate compliance with the 2015 Trauma Informed Services Policy of the Oregon Health Authority (OHA). Source: Trauma Informed Oregon Download PDF

In any community that attempts Trauma Informed Care, some people resist the science and they resist the spending of tax dollars to help people who have been damaged by childhood trauma, also known as Adverse Childhood Experiences (ACEs). Laura Porter from Ace Interface talks about how to respond. Source: Laura … Dealing with Resistance to Trauma Informed Care

Learn the symptoms of trauma and get ideas and strategies that can help you better cope. The information in this federally sponsored booklet can be used safely along with your other health care treatment. Source: Substance Abuse Mental Health Services Administration (SAMHSA) Download PDF

This document provides definitions and suggested resources to support use of the Standards of Practice for Trauma Informed Care. It is a downloadable and printable version (PDF) of information that appears in pop-up windows for the online version of the Standards. Each item in the Definitions and Additional Resources is … Definitions and Additional Resources for the Standards of Practice

Disaster Resilience Learning Collaborative Evaluation Report: Creating Culturally-Grounded Healing Spaces by Leaders of Color for Leaders of Color is an evaluation of the Disaster Resilience Learning Collaborative (DRLC), a collaborative dedicated to creating culturally-grounded healing spaces by leaders of color and for leaders of color in disaster work. The DRLC … Disaster Resilience Learning Collaborative Evaluation Report

These guidelines have been adapted for educational settings from the Standards of Practice for Trauma Informed Care developed by Trauma Informed Oregon and with information from educational communities across the state provided by the Defending Childhood Initiative. These guidelines are intended to provide benchmarks for planning and monitoring progress and … Education Standards of Practice for Trauma Informed Care

SAMHSA’s National Registry of Evidence-Based Programs and Practices promotes the adoption of scientifically established behavioral health interventions. Source: Substance Abuse and Mental Health Services Administration (SAMHSA) View Resource

This training revamps the Foundations of Trauma Informed Care training by making it more youth friendly, strengths based, and interactive. This is done by providing opportunities for young adults to engage in discussions on trauma and resilience with scenarios that relate to youth. The training also provides skills and tools … For Youth by Youth: Foundations of Trauma Informed Care

This (typically) 4 hr TIO training provides foundational knowledge appropriate for individuals across sectors and job titles. After defining key terms, including stress, trauma and systemic oppression, we explore how trauma and adversity affect individual’s access to services. Participants begin to identify how service systems, often unknowingly, retraumatize survivors of … Foundations of Trauma Informed Care (formerly TIC 101)

Check here to find books by experts in the field that may be helpful to parents and other caregivers dealing with children and youth affected by trauma. There are additional books for adult survivors of trauma who are parenting. Source: Trauma Informed Oregon Download PDF

This website for survivors of trauma has educational materials about PTSD and links to international support groups. In addition to educational material, the website has a roster of survivors who are willing to participate in an international network of peer support. Source: Gift from Within, Camden, Maine View Resource

Guide developed by TIO to help organizations review a specific policy about service exclusion through a trauma informed lens. Some of the questions in the guide may be helpful as you are developing or reviewing policies. Source: Trauma Informed Oregon Download PDF

These Standards of Practice for healthcare settings provide a set of benchmarks for planning and monitoring progress implementation of TIC in clinic settings. The tool is an adaptation of the Standards of Practice for Trauma Informed Care developed for general use across health, behavioral health and related systems serving trauma … Healthcare Standards of Practice for Trauma Informed Care

This tip sheet from NCTSN offers ways to recognize and help your teen who may have difficulty coping after a sudden or violent death. Each teen grieves in a unique way so it’s important to understand your teen’s point of view. Source: National Child Traumatic Stress Network (NCTSN) Download PDF

Timeline compiled by TIO of important National and Oregon-specific efforts to initiate trauma informed care. Source: Trauma Informed Oregon Download PDF

The Homeless Youth Continuum created this Tragedy Response Plan as a way to support organizations in the continuum when a tragedy has occurred. This plan can be adapted to fit your organization or specific community. Source: Homeless Youth Continuum, Trauma Informed Oregon Download PDF

Bulleted list developed by TIO of things to do to take to prepare for and run a meeting that is trauma informed. Source: Trauma Informed Oregon English PDF Spanish PDF

This TIP sheet developed by TIO offers strategies for hosting virtual meetings that promote safety, power, and value. Hosting virtual meetings and trainings using SAMHSA’s six principles of trauma informed care can foster a space where participants are present & accessible, and their exposure to activation and re-traumatization is mitigated. … Hosting a Virtual Meeting Using Trauma Informed Principles

This accessible video describes how stress affects the brain and offers suggestions about how to reduce the impact. Madhumita Murgia shows how chronic stress can affect brain size, its structure, and how it functions, right down to the level of your genes. Source: TED Ed View Video

List of strategies from TIO to promote trauma informed care through human resource policies and practices, including hiring, onboarding, supervision and performance reviews. Source: Trauma Informed Oregon Download PDF

A hands-on activity to walk through a critical thinking process about where and how organizations may activate a trauma response in staff or the population served. Source: Trauma Informed Oregon Download PDF

This TIO workshop is typically conducted as a working meeting, providing an opportunity for supervisors, managers and other champions of TIC a chance to identify how TIC applies to their work cross-system partnerships. A roadmap for the implementation of trauma informed care, along with TIO resources to guide the process … Implementation of Trauma Informed Care

This short film shares the personal experience of a young adult experiencing suicidal thoughts along with their suggestions for wellness. Source: The Mighty View Video

International Transformational Resilience Coalition (ITRC) Climate Community of Practice (CoP) Resource List 2022 Source: International Resilience Coalition’s 2022 Community of Practice Participants Download PDF

This infographic offers a model for thinking about the intersections of TIC and DEI. Source: Trauma Informed Oregon Download PDF

This is a comprehensive list of terms related to realizing the widespread impact of trauma. The intention of the list is to be valuable, inclusive, and honor the array of potentially toxic experiences that exist. Source: Trauma Informed Oregon, and Trauma Informed Oregon Volunteer, Rebecca Saunders English PDF Spanish PDF

Trauma Informed Oregon cree en el poder curativo de contar historias propias, y creemos que este poder es aún más crítico para los padres y las familias que crían a sus hijos durante la pandemia de COVID-19. Estamos muy agradecidos por la oportunidad de tener estas conversaciones con padres, cuidadores … La Crianza de Los Hijos Durante COVID-19

The LEC-5 is a self-report measure designed to screen for potentially traumatic events in a respondent’s lifetime. The LEC-5 assesses exposure to 16 events known to potentially result in PTSD or distress and includes one additional item assessing any other extraordinarily stressful event not captured in the first 16 items. … Life Events Checklist for DSM-5 (Adults)

A list of key research articles about trauma, including studies related to prevalence, impact, and treatment, as well as information on the Adverse Childhood Experiences (ACE) Study. Source: Trauma Informed Oregon Download PDF

A list of TIO’s favorite articles on trauma informed care, including early delineation of the principles of trauma informed care, the voices and perspective of trauma survivors, and seminal work in the housing field. Source: Trauma Informed Oregon Download PDF

This document developed by TIO is intended to serve as a resource to those seeking trauma specific services (TSS) and those who may be making referrals for TSS. Source: Trauma Informed Oregon Download PDF

This tip sheet for youth by youth gives tips and resources for collaborating and engaging with providers so that youth and young adults can better get their needs met. The resource was developed by TIO’s Oregon Trauma Advocates Coalition (OTAC). OTAC is comprised of youth from around Oregon who are … Making Your Voice Heard: Suggestions for Youth by Youth for use in Emergency Rooms

In this video, Dr. Daniel Siegel explores how relationships and reflection support the development of resilience in children and serve as the basic ‘3 R’s” of a new internal education of the mind. Source: TEDxStudioCityED View Video

A 12-item self-report measure of social support, using a 7-point scale from ‘very strongly agree’ to ‘very strongly disagree.’ Source: Zimet, Dahlem, Zimet & Farley, 1988 Download PDF

Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain. Source: TED Talk View Video

The fact sheets linked from this page offer descriptive summaries of some of the clinical treatments, mental health interventions, and other trauma-informed service approaches that the NCTSN and its various centers have developed and/or implemented as a means of promoting the Network’s mission of raising the standard of care for … National Child Traumatic Stress Network Empirically Supported Treatments and Promising Practices

The NCTSN’s database of tools that measure children’s experiences of trauma, their reactions to it, and other mental health and trauma-related issues. Source: National Child Traumatic Stress Network (NCTSN) View Resource

This City of Portland run program trains residents to provide emergency disaster assistance within their own neighborhoods. Their website also offers many resources and tools for getting organized and being prepared in an emergency. Source: Planning for Resilience & Emergency Preparedness (PREP) View Website PDF

Check out the TIO Road Map to TIC, which offers phases to the implementation process. Each phase contains a marker(s) along the road that is integral to implementing that phase. When clicking on the road or phase sign, a hover box provides a description of that phase and leads you … Road Map to Trauma Informed Care

This document provides a working concept of trauma and a trauma-informed approach applicable across an array of service systems and stakeholder groups. In this paper, SAMHSA puts forth a framework for the behavioral health specialty sectors that can be adapted to other sectors such as child welfare, education, criminal and … SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach

This list of resources in English and Spanish contains culturally-responsive, anti-racist information on Social Emotional Learning for educators, parents/guardians, and students. Editable Document Download PDF

These Standards of Practice for Trauma Informed Care developed by TIO provide benchmarks for planning and monitoring progress and a means to highlight accomplishments as organizations work towards implementing trauma informed care. Source: Trauma Informed Oregon View Resource Spanish PDF

This site provides a list of effective interventions for children and youth who experience symptoms related to trauma. Source: Department of Children and Families, Connecticut View Resource

This TIO TIP sheet includes resources to support social connection while physical distancing during COVID-19. Physical distancing does not have to equate to social isolation. With a variety of technologies, virtual socializing is easier than ever before. Use video calling to socialize with family and friends, host a happy hour … Staying Connected while Physically Distancing

The SDQ is a brief behavioral screening questionnaire about 3-16 year olds. It exists in several versions to meet the needs of researchers, clinicians and educationalists. Source: YouthinMind View Resource

This handout briefly summarizes the ACE study, conducted by researchers from Kaiser Permanente and the Centers for Disease Control (CDC) to study how adversity in childhood predicts adult physical, mental, and social well-being. Source: Trauma Informed Oregon Download PDF Spanish PDF Russian PDF

This training is designed for people who provide peer recovery and support services and peer wellness services. Building on Foundations of Trauma Informed Care, the focus of this training is to help those who access services gain a better understanding of how their body responds to trauma and chronic stress … Supporting Each Other and Ourselves: Trauma Informed Peer Support

Recommendations from TIO to assist in preparing, facilitating and responding in a meeting when sharing personal experiences that may cause distress and trauma, to reflect a trauma informed approach. Source: Trauma Informed Oregon, Oregon Health Authority (OHA) Download PDF

This TIP sheet developed by TIO provides tools for making communication trauma informed. The resource maps out the key components that make a script (or set of words) trauma informed. A trauma informed script will help you stay regulated when you are delivering difficult news or getting hard questions. Source: … The Anatomy of a Trauma Informed Script

The CPSS is a 26-item self-report measure that assesses PTSD diagnostic criteria and symptom severity in children ages 8 to 18. It includes 2 event items, 17 symptom items, and 7 functional impairment items. Source: National Center for PTSD, US Department of Veterans Affairs View Resource

This presentation discusses types and degrees of trauma and their effect on beliefs, behaviors, emotional health, and more. Various brain functions and how they are affected by trauma are also discussed. Source: Diane Wagenhals, Program Director for Lakeside Global Institute Download PDF

The JVQ is designed to gather information on a broad range of victimizations that may occur in childhood. It can enhance the assessment of any child or adolescent by providing a quantified description of all of the major forms of offenses against youth. Either youth or parents can complete the … The Juvenile Victimization Questionnaire (8 – 18yo)

A PowerPoint presentation focusing on risk, co-occurring problems, public costs, and high leverage solutions to childhood adversity. Source: Laura Porter, ACE Interface Download PDF

This video series discusses how violence and trauma affect children, including the serious and long-lasting consequences for their physical and mental health; signs that a child may be exposed to violence or trauma; and the staggering cost of child maltreatment to families, communities, and the nation. Victims lend their voices … Through Our Eyes: Children, Violence, and Trauma

These free online training modules have been created to increase access to foundational training so that the key guiding principles of trauma informed care are accessible to everyone. These four modules are self-guided and self-administered. Source: Trauma Informed Oregon View Training

This suicide prevention manual assists tribes and communities in developing effective and culturally appropriate suicide prevention plans for American Indian and Alaska Native teens and young adults. Source: Substance Abuse and Mental Health Services Administration (SAMHSA) Download PDF

This Powerpoint document was produced by Trauma Informed Oregon. It is part of Train the Trainer presentation in Spanish with Definiciones — Key terms in Spanish. Source: Trauma Informed Oregon Download PDF

Learn about climate disruption and trauma and how to develop preventative resilience skills. The Resource Innovation Group (TRIG) is a non-partisan non-profit organization affiliated with the Sustainability Institute at Willamette University. TRIG’s mission is to address the human causes, impacts, and solutions to complex socio-economic-ecological challenges, with a special emphasis on climate … Transformational Resilience Program

A workshop activity to help participants begin to view challenging behavior through a ‘trauma lens’, i.e., with heightened awareness of the role and impact of trauma. Source: Trauma Informed Oregon Download PDF