The goal for anyone striving to achieve the overall mission of this work is to implement these objectives in ways that are appropriate for the individual providers, agencies, and

families being served. Thus, strategies for implementation will differ depending on your practice and the patient population. As you move through the toolkit, you’ll find a number of goals that have been identified under each of the six elements.

Each goal will be introduced with by a brief narrative explaining its importance, what it involves (the change concepts), and possible strategies that you could consider testing or adapting in your own site (PDSAs). Last, you’ll find questions to help you assess your progress toward achieving the overall goal.

A change concept is an idea that has been found useful in transforming goals into specific strategies to achieve your goals. A team may desire to make their office environment trauma-informed but what exactly does that entail?

Change concepts are intended to stimulate reflection about the changes in office workflow and culture that would indicate a positive transformation towards becoming trauma-informed.

For each change concept, there are many strategies that can be tested and ultimately implemented. We encourage you to use the strategies and small tests of change included in this toolkit as starting points: taking and adapting what might work for you, and adding to this list so that our collective work continues to grow. You may notice that many strategies cross over multiple element areas. We have tried to place them in the single “best fit” theme to minimize duplication, providing cross-references to other sections where possible. Of course, the distinctions are sometimes artificial, but conceptual clarity can feed real improvements in practice. Change strategies demonstrate

how you might consider testing and ultimately implementing change in your own daily work.

Each team should identify data that are meaningful and tell a story of how changes in practices and policy are resulting in actual improvements for children, families, communities, and staff.