Last September, we attended a webinar hosted by the Center for Social Innovation’s training center, t3.  The webinar, led by Dr. Rachel Latta, introduced a new tool (the TICOMETER) for assessing the degree to which an organization is trauma informed. Since this topic has significant relevance to agencies working with individuals and families experiencing homelessness, we asked Rachel to write a blog post on the TICOMETER. This is what she wrote.

Trauma is pervasive among adults and children in the U.S. A national study reported that almost 90% of respondents reported at least one traumatic event in their lifetime, with multiple exposures being the norm (1). Approximately 60% of children experience at least one trauma annually (2). Within systems serving low-income populations (e.g. child welfare and homelessness), traumatic stress may be nearly universal (3 4).

Given the high rates of trauma exposure in the general population, health and human service providers are increasingly recognizing the need to use a trauma-informed approach to service provision. Trauma-informed care has emerged as a . . .

“ . . . strengths-based framework grounded in an understanding of and responsiveness to the impact of trauma. It emphasizes physical, psychological, and emotional safety for both practitioners and survivors, and creates opportunities for survivors to rebuild a sense of control and empowerment” (5).

Organizations and practitioners directly integrate their knowledge and understanding of trauma into everyday practice and promote their capacity to recognize and respond to the needs of trauma survivors. Trauma-informed care implies that recovery is possible for everyone, regardless of how vulnerable they may appear. Organizations seeking to implement trauma-informed care must consider how well they have integrated its principles by focusing on ongoing training priorities, relationship building, physical environment, service delivery, and policies and procedures at all levels of the organization (6).

As organizations move toward becoming more trauma informed, they need ways to measure and track their progress in implementing trauma-informed principles within their organization. Although process-oriented assessments exist, these assessments are time and resource intensive and are often impractical for busy, under-resourced health and human service agencies. Additionally, researchers looking to measure the effectiveness of trauma-informed trainings and implementation tools have not had access to empirically validated measures.

TICOMETERTo meet this growing need, the Center for Social Innovation and its training division, t3, developed the TICOMETER, a psychometrically validated measure for assessing the degree to which an organization is trauma informed and identifying gaps in implementation within an organization. The measure is 35 items, takes approximately 15 minutes to complete, and is administered online. The TICOMETER allows organizations to determine the nature and strength of trauma-informed care and practice across five domains:

  1.   Building trauma-informed knowledge and skills
  2.   Respecting service users
  3.   Promoting trauma-informed policies and procedures
  4.   Establishing trusting relationships
  5.   Fostering trauma-informed services

The analysis can be used at a single point in time or at set points throughout an organization’s efforts to implement trauma-informed care, provided that sufficient time has passed for improvement to take hold.  The TICOMETER offers organizations a tool to aid in moving toward ensuring trauma-informed service delivery. When organizations are able to integrate trauma-informed care, service users receive better care and have better health outcomes, staff burnout and turnover are reduced, and staff satisfaction is increased.

For more information about the TICOMETER and to purchase access, please visit:

View a free webinar on the TICOMETER at:

To contact t3 (think. teach. transform.) with questions, please email us at: or call us at 617.467.6014

rachel-latta-color2Blog Post Author: Rachel Latta, PhD has worked with low-income and homeless adults since 1999, with a focus on intimate partner violence (IPV). This experience guides her research, policy development, service development, clinical care, and training. Dr. Latta has served as a local and national trainer on trauma, trauma-informed care, and IPV. As an adjunct faculty, she has taught courses on gender, race, and counseling skills. She has worked in and directed grassroots organizations and mental health and substance abuse clinics, and she also founded and directed an outpatient clinic for veterans and their families dealing with IPV. Dr. Latta is a licensed psychologist in the state of Massachusetts. She had a previous career as an editor and still wields a red pen.

To contact Rachel directly, email her at


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