The impact of a multi-agency trauma-informed practice training programme in a region in the United Kingdom

Pepa, J ORCID: 0009-0000-6045-8011, Quigg, Z ORCID: 0000-0002-7212-5852, Butler, N ORCID: 0000-0002-4938-7870 and Harris, J ORCID: 0000-0001-6584-1642 (2025) The impact of a multi-agency trauma-informed practice training programme in a region in the United Kingdom. Journal of Public Health. pp. 1-6. ISSN 2198-1833

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Abstract

Aim: This research study aims to add to the emerging evidence on the potential value of trauma-informed practice (TIP) training programmes for multi-agency practitioners by examining the associated impact of a UK TIP training programme on practitioner attitudes and knowledge, 6 months post training. Subject and methods: Participants completed pre- and 6-month post-surveys using four of the five subscales of the Survey for Trauma-Informed Systems Change. Multi-agency participants from across Merseyside (n = 152) completed pre-surveys, engaged in four TIP training sessions and followed with a post-6-month survey. Results: Analyses of the pre-post study indicate that a four-session TIP training programme for public services and education staff can significantly enhance the individual-level knowledge and attitudes of trainees regarding trauma-informed practices [pre-mean 76.4, post-mean 90.9; p <.001; large effect size (d = 1.4)]. Engagement in the training programme was associated with a substantial significant improvement in trainees' understanding of brain physiology and biology in connection to trauma, attachment, and ACEs, as well as their awareness of trauma-informed practices. Further, there were significant improvements in trainees' system-wide attitudes, training, support, interaction, and the environment, assessing safety and acceptance. Conclusion: This study enhances understanding on the influence of TIP training on multi-agency partners including education, health, police, and the public services. However, this training needs to be supported by wider system changes that have clear leadership for embedding a trauma-responsive system, taking into account staffing levels, staff wellbeing, burnout levels and trainees' personal experiences of ACEs/trauma.

Item Type:	Article
Uncontrolled Keywords:	4203 Health Services and Systems; 42 Health Sciences; Generic health relevance; 1117 Public Health and Health Services; Public Health; 4203 Health services and systems; 4206 Public health
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Public and Allied Health
Publisher:	Springer
Date of acceptance:	17 July 2025
Date of first compliant Open Access:	19 August 2025
Date Deposited:	19 Aug 2025 09:50
Last Modified:	19 Aug 2025 10:00
DOI or ID number:	10.1007/s10389-025-02567-1
URI:	https://researchonline.ljmu.ac.uk/id/eprint/26947

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