Table 2.

Implementation model for the inner and outer settings

Inner setting implementation efforts

Identify a clinic champion for trauma-informed care

Educate team on child trauma, traumatic stress, and evidence-based trauma treatment

Prepare and train staff in screening and responding to trauma

Refine clinic knowledge on trauma and resources as screening begins

Embed a data feedback loop for iterative improvements to trauma detection and response

Outer setting implementation efforts

Educate health system administration on importance of trauma-informed care

Identify and categorize specific referral resources for evidence-based trauma treatment

Engage with mental health clinics and schools for comprehensive trauma-informed systems

Advocate for additional trauma-focused resources if/when community capacity is not sufficient to meet the identified population of youth who warrant evidence-based trauma assessment and treatment