Trauma-Informed Protocol for Medical Setting

Asking the ACEs Community if anyone has a protocol, used in a medical setting (not behavioral health), for trauma-informed screening and practice.  And yes, Dr. Nadine Burke Harris' You Tube is fantastic.  What we are looking for is an actual written protocol that we can tweak to our settings.  I'm always about not reinventing the wheel.  Thank you. 

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I've been looking for the same information for a while, particularly with the adult population.  It seems medical settings are either not informed, choose to opt out due to time constraints, or feel this is something they can't impact.  Most physicians I've spoken to state "what then", meaning after they learn about TIC, what is the process or treatment.  Medical treatments work off of standard protocols with a step wise decision tree, and because TIC isn't that concrete they tend to shy away from implementing the education or creating a protocol.  Good luck, and if you receive a protocol if you could send it to me in a private message that would be great.  I'd hate to miss it. Thanks!



I searched for trauma informed medical care at U.C. Davis. Although I found lots of info relating trauma informed care and mental or behavioral health, not as much r/t medical. I did find this: http://www.thepermanentejourna...628-medical-students’-perspectives-on-trauma-informed-care-training.html

Perhaps it can lead somewhere frutful.

Thanks for starting this line of inquiry. 

Please take a look at, which is an initiative of the Center for Youth Wellness (Dr. Nadine Burke Harris' organization). This is a free network for healthcare providers interested in addressing ACEs, including screening, as part of medical practice. Screening tools, examples of protocols, and tools to develop your own protocol are on the site. Hope it is helpful.


In California, Shasta County [N. CA] is doing incredible work, across their whole community. Their YouTube channel shows videos from WIC, Champions, etc.  This video describes their work to bring ACEs education and screening to the community.  

Hill Country Health and Wellness Center is including Adverse Childhood Experiences screenings in their treatment plans. 
Copy this link into your browser to see the video!

See what you think!

Our program could be of help to you.  Please reach out if you'd like to chat further.

Moving from Trauma-Informed to Trauma-Responsive provides program administrators and clinical directors with key resources needed to train staff and make organizational changes to become trauma-responsive. This comprehensive training program involves all staff, ensuring clients are served with a trauma-responsive approach.

This training program describes the ten-step process of becoming trauma-responsive:

  • Gain knowledge of stress, adversity, and trauma
  • Understand of the impact of organizational stress and trauma
  • Understand the concept and structure of a Guide Team
  • Assess and improve clients’ first experience with your organization
  • Assess and improve your organization’s physical space
  • Assess and improve your organization’s sense of safety
  • Understand the leadership qualities and skills needed to initiate trauma-responsive organizational change
  • Create a shared language and tools to address trauma
  • Implement evidence-based, trauma-specific curricula
  • Have each staff person create a personal self-care plan

Developed by leading trauma experts Stephanie S. Covington, PhD, and Sandra L. Bloom, MD, this program is an excellent primer to assist organizations in becoming trauma-responsive prior to implementing an in-depth trauma curriculum.


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Karen Clemmer (ACEs Connection Staff)John Richardson-Lauve