My experience of managing the implementation of TiC via the trauma clinical leads

Please describe a relationship, service intervention, program implementation, policy, or other that you initiated or know about that would be considered trauma-informed:

My challenge is managing the implementation of the TiC trust wide Programme across the whole Trust. A lot of the implementation work is reliant on the success of the trauma leads in each specialty in being able to introduce TiC, motivate others and challenge current practice and policies that are not trauma informed.  The TiC leads, although all very passionate about TiC have varying intrinsic personality and leadership styles and face different challenges in their particular specialties. On varying levels, the TiC leads have high energy, drive and determination to implement TiC in their respective clinical areas. However, some find it easier than others to face, head on, any challenges deemed as barriers to implementing TiC.  They have successfully challenged practice and seniority within their clinical areas.  As a result of this embedding TiC has been more successful and visible in these areas.

 

What was the outcome?  

• I have found that I need to focus my time supporting the TiC leads in the areas where TiC is not as evident for a variety of reasons including personality and local barriers.

 

• Positive difference in clinical practice in terms of assessment, formulation and interventions that benefits both service users and staff in those areas where the embedding of TiC has been the most successful. Reduction of risky incidents and iatrogenic harm.

 

 

What supported the positive outcome? (systemic supports? Organizational supports? Interpersonal supports?):

• The TiC leads having the support of management and senior clinicians in supporting them to introduce TiC allowing the staff to work in a trauma informed way despite this being quite anxiety provoking for them in terms of risk management.
• Visibility of the TiC lead and positive leadership style, modelling the values and principles of TiC.

 

 

What way has your example changed you, your practice or your goals?

There are differences in my monitoring of the TiC Leads. I feel I need to offer more support to the Leads that are struggling to implement TiC for whatever reason, e.g., where they do not have the same level of management support as the areas where TiC has been achieved. 

 

Tell us more about what motivated you to bring this example to discuss:

To try and ensure all the leads are working as consistently as possible to achieve the outcomes of the Trust Tic Programme.

 

Whose needs are met in the example that you outline:

Service users, staff, and organisational needs, e.g. (co-production)

 

Was there any one person or factor that was central to the success of your example and why:

To present the different styles of the TiC leads which has had in my opinion a direct influence on the success of implementing TiC. For example, the intrinsic motivation and drive inherent in some of the leads have resulted in them being more proactive and does not require micromanaging from me.

 

What can you or others do to spread this good practice to colleagues and services:

I will continue to maintain support to the TiC leads. This involves allowing them to present their experiences of implementing TiC to motivate and inspire others including senior management and change managers within the organisation.  I will continue to escalate any barriers to TiC.