Trauma Responsive Care Outcomes: Measuring the difference


We know that you have to feel confident that change will make a difference. When we tell you about the potential impact of Trauma Responsive Care on your organization, we don't make those predictions lightly.

Trauma Responsive Care is grounded in years of trauma research, clinical expertise and neuroscience. For example, mindfulness is a key component of the CALMER Skills and our self-care trainings. Volumes of research have well established the link between mindfulness and improved job performance, productivity and satisfaction, and lower absenteeism and turnover.

What really matters, however, are the practical advantages to Trauma Responsive Care. We’ve shared the story of one agency we’ve worked with, and the key improvements Trauma Responsive Care made for them, including a nearly 40% drop in Unusual Incidents and Major Unusual Incidents.

One Story: Rose-Mary Center

Rose-Mary Center is a large, urban-based provider of services to people with intellectual and developmental disabilities. They serve adolescents to seniors. Their consumers are people with high needs and confusing or challenging behavior, including aggression, running and severe self-harm. Many are non-verbal and suffer with medically complex conditions. The impressive results of implementing Trauma Responsive Care reflect the hard work, strong leadership, and dedicated staff of this organization, and we are proud of our association with them.

Here are some of the outcomes:

  • 20% improved staff retention. In 2015, turnover at the agency was 70.6. In 2016 we implemented Trauma Responsive Care. Turnover dropped to 48.3, a decrease of 31.7%. There are several factors that contribute to this dramatic improvement in turnover, including a change in leadership in 2015. However, this reduction occurred during rapid expansion, which makes it all the more impressive.

  • 38% drop in Unusual Incidents (UI) and Major Unusual Incidents (MUI).  (See graph). The sharp decline starts in the 3rd quarter of 2016, with the training of all agency staff in that same quarter. This downward trend has persisted for a year.


  • 43% decrease in the use of restraints and a 29% decrease in the use of emergency services. This is a critical issue for Medicaid.

  • 37% increase in positive staff interactions. The agency measured this through sampled observation over the course of the initiative.

Trauma Responsive Care: Click for more information on the foundations of Trauma Responsive Care and the elements of Trauma Responsive Care. Or go back to Introduction or Home.

You can also click here to view our Client List.

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