Change Package is Now Available!


Click here for the Change PackageFostering Resilience and Recovery: A Change Package for Advancing Trauma – Informed Primary Care

Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery.

“Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last decade implementing trauma-informed approaches within behavioral health organizations. Now it’s time to transition that work to primary care,” said Linda Rosenberg, president and CEO of the National Council. “This project offers strategies primary care providers can implement to improve the overall health of individuals with histories of trauma.”

Over 14 months, seven primary care organizations worked with National Council experts to pilot resources, tools and processes, developed by a multidisciplinary team of health care stakeholders, designed to guide the planning, implementation and evaluation of a trauma-informed approach in primary care.

The selected participants were:

  • Malama I Ke Ola – Wailuku, Hawaii
  • Colorado Coalition for the Homeless – Denver, Colo.
  • Richmond Behavioral Health Authority – Richmond, Va.
  • Zufall Health Center – Dover, N.J.
  • Peninsula Community Health Services – Bremerton, Wash.
  • Oregon Health & Science University, Family Medicine at Richmond Clinic – Portland, Ore.
  • Willamette Family, Inc. – Eugene, Ore.100118_NCBH_TICEmailPullQuote


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HI Stacy,

Thank you for your question.  The Change Package was designed to be relevant to primary care settings in a variety of settings - urban, rural, suburban, etc., and to be useful to organizations that have not yet been introduced to trauma-informed primary care.  We are currently working to broadly disseminate the Change Package using national associations and networks, conferences, journals and media platforms such as ACEs Connection.  We will look for ways to share it with rural providers.  We welcome any ideas for ways that we can share this resource.  Also, please share the Change Package with your local provider.  

It is true that there are many primary care providers who have not yet been introduced to trauma-informed primary care.  We believe the Change Package can increase awareness about the need to do this critical work, and help organizations who are currently unaware move forward to start their own initiative.    

I am wondering how practitioners in rural communities are being made aware of this. We have a particular issue in our county with primary care practitioners neglecting to refer parents out when they express or identify concerns regarding developmental issues. As a parent of a young child myself, I have yet to encounter a pediatrician who administers ACE's screenings or focuses at all on mental health. How can we encourage primary care providers to focus on this?    

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