Hi ACEs Connection community,

I am working on developing a project proposal at my local institution related to a trauma-informed primary care educational curriculum. One assessment approach I want to take is to measure attitudes related to trauma-informed care. I came across the ARTIC measure, which has some empirical validation support and was developed with a sample that included health services professionals.

Have others used this measure and could point me in the direction of published studies that have used the ARTIC with medical learners?

Are there other empirically validated measures I should consider?

Ideally I'm looking for one that is brief and has been validated with a healthcare clinician sample.

Thank you!

Andrea Garroway



Senior Instructor in Departments of Psychiatry & Medicine

University of Rochester School of Medicine and Dentistry

601 Elmwood Avenue

Rochester, NY 14642

Original Post

Dr. Andrea Garroway, It occurred to me that Susan Lawrence, M.D.'s book: "Creating a Healing Society: The Impact of Human Emotional Pain and Trauma on Society and the World" may have suitable references to ARTIC, or her 'Catalyst Foundation's website' may--I don't have immediate access to a copy. Pediatrician [and now California 'Surgeon General'] Nadine Burke Harris' - who has done some you-tube TED Talks on ACEs, and whose California Bay Area 'clinic' uses a trauma-informed model... may have ARTIC references..... I'll ponder your query further.

The Traumatic Stress Institute is the organization that developed the ARTIC with Dr. Courtney Baker from Tulane University.  - https://traumaticstressinstitute.org/the-artic-scale/

This is the peer-reviewed article about the ARTIC that compelled me to drive to New Berlin, Connecticut to meet with Dr. Steven Brown and see the survey and the report for myself.  As for the details regarding the development sample - The ARTIC was evaluated within a sample of 760 service providers, including 595 who worked in human services, community-based mental health, or health care (78 %) and a targeted subsample of 165 who worked in schools (22 %). Given the recent emergence of trauma-sensitive schools and clear applications of TIC to educational settings (Cole et al., 2005, 2013), school-based staff were purposively recruited.

This is the only attitudinal survey I recommend to my education clients.  The reasons are just as described on their website - 

  • Psychometrically-valid, with 7 sub-scales
  • Online administration via phone, tablet, or computer
  • Multiple time points, with graphed comparisons
  • Automated data collection, analysis, and reporting 
  • Confidential dashboard reports for individual staff
  • Dashboard reports for organizations, with implementation recommendations and resources
  • Available in multiple languages (anticipated for Fall 2020)


Though originally developed with mental health providers and education organizations in mind, this had now been used effectively in a wide variety of other sectors such as corrections, primary care, whole-community TIC efforts, youth development, and law enforcement.  Chicago Public Schools have used the ARTIC.  This is the newest survey on the market and has been proving itself beneficial. It's worth a closer look.


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