hardtrauma-informed careorganizational implementationSAMHSAsecondary traumatic stressquality improvement
A PMHNP is appointed to lead a quality improvement initiative to implement trauma-informed care (TIC) across a community mental health center that serves a predominantly low-income, urban population with high rates of adverse childhood experiences. The center currently uses standard intake procedures that require detailed trauma disclosure at the first visit, has locked waiting rooms with no windows, and employs security guards who physically escort agitated patients. Staff members report high rates of burnout and secondary traumatic stress. Which of the following strategies best reflects a comprehensive organizational approach to trauma-informed care implementation?