TICOMETER - measuring your organization's level of trauma-informed care

Trauma-Informed Care

The impact of trauma on the life and wellbeing of an individual is complex and can adversely effect functioning. As severe stress and traumatic events accumulate, the physical, emotional, social, and economic impact becomes increasingly profound.

Trauma can result in a range of adverse responses, including neurobiological changes, difficulty regulating affect, problems forming supportive relationships, compromised functioning, and challenges with accessing physical health and mental heath services (Cook et al., 2005; National Scientific Council on the Developing Child, 2005; van der Kolk, 2005).

Many practitioners and policymakers are now addressing the role that organizations and systems play in triggering damaging traumatic responses in the trauma survivors they serve. Considerable effort is being made to raise awareness about the devastating impact of trauma, and how service delivery and service settings can take steps to support recovery.

Trauma-informed care has emerged as a "strengths-based framework grounded in an understanding of and responsiveness to the impact of trauma" (Hopper et al., 2010). Trauma-informed care is promoted when organizations and providers integrate a knowledge and understanding of trauma into their everyday practices to strengthen capacity to respond to the needs of trauma survivors.


Created by the Center for Social Innovation with national experts, t3 is excited to release the TICOMETER ©. The TICOMETER © evaluates an organization's needs and progress in implementing trauma-informed care and ensuring its sustainability. It is the first psychometrically-validated instrument that measures the levels of trauma-informed care in health and human service organizations

Consisting of 35 items across five domains, the TICOMETER © measure the degree to which an organization is engaged in trauma-informed practices. The assessment takes approximately 15 minutes for staff members to complete online and scores are available to the organization immediately. The five domains include:

  • Building trauma-informed knowledge and skills.
  • Establishing trusting relationships.
  • Respecting service users.
  • Fostering trauma-informed service delivery.
  • Promoting trauma-informed policies and procedures.


To learn more, please purchase the journal article or contact us at info@thinkt3.com