← Latest papers
📄 medicine

One-day Trauma Informed Systems Change Training helps a large, multi-state Housing nonprofit organization Heal people, the System, and change Policies and Practices

This study demonstrates that a comprehensive, six-month trauma-informed systems change initiative—including environmental scans, staff training, and the establishment of a paid, cross-state taskforce—successfully improved housing nonprofit staff's knowledge and attitudes while driving meaningful policy and practice reforms to heal individuals and transform organizational systems.

Original authors: David Jones, Elizabeth Suarez-Gonzalez, Caitlin Ravichandran, Kerry J. Ressler, Alisha Moreland-Capuia

Published 2026-10-06
📖 5 min read🧠 Deep dive

Original authors: David Jones, Elizabeth Suarez-Gonzalez, Caitlin Ravichandran, Kerry J. Ressler, Alisha Moreland-Capuia

Original paper licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). ✨ This is an AI-generated explanation of the paper below. It is not written or endorsed by the authors. For technical accuracy, refer to the original paper. Read full disclaimer

Housing and employment are not merely economic arrangements; they are fundamental conditions that shape human health. When people lack a safe place to live or work in an environment filled with chronic stress, their physical and mental well-being suffers. This connection is so strong that experts classify these factors as social determinants of health, meaning the circumstances of daily life often matter more to a person's future than medical care alone. Within these systems, trauma is a common reality. It is not just a personal history of a single event, but a state of being that can affect how a person interacts with the world, how they perceive safety, and how they respond to authority. When an organization that provides housing or employment fails to recognize this, it can inadvertently cause further harm, even when trying to help. The question facing many large institutions is how to transform their internal culture and external practices so that they do not just manage people, but actively heal the wounds of stress and trauma that their communities carry.

A large, multi-state nonprofit organization dedicated to providing affordable housing decided to test a specific approach to this problem. The Community Builders, which manages over 14,000 apartment homes across fourteen states, recognized that its own staff were constantly exposed to the suffering of the residents they served. The organization understood that for the system to work, the people working within it needed to feel safe and supported themselves. To address this, they launched a six-month initiative focused on trauma-informed systems change. This concept involves looking at an entire organization—its policies, its leadership, and its daily interactions—and reshaping them to prioritize safety, trust, and empowerment. The goal was to create an environment where both the staff and the residents could thrive without the constant threat of re-traumatization.

The intervention began with a deep review of the organization's existing rules and procedures. Experts examined more than thirty-five core policies to identify where the system might be causing unnecessary stress or fear. They then moved to training, bringing 450 staff members from every level, from the executive leadership to the frontline property managers, into a single-day, six-hour workshop. This session was not a lecture on theory alone; it covered the science of how fear and stress affect the human brain, the nature of trauma, and how organizations themselves can become traumatized. The training also addressed how to lead with empathy and how to build a culture where people feel their voices matter. Before the training started, participants filled out a detailed survey about their knowledge and attitudes regarding trauma. They filled out the same survey again immediately after the workshop to see if their understanding had shifted.

Following the training, the organization took a structural step to ensure the changes would last. They formed a special taskforce composed of twenty-four staff members representing every state and every job role within the company. These individuals were given paid time and a stipend to dedicate a full year to reviewing the recommendations from the initial policy review and implementing new practices. This group was tasked with rewriting the organization's approach to ensure that safety, transparency, and collaboration became the standard way of working. The taskforce operated under strict guidelines that required them to model the very principles they were learning, starting every meeting with a moment of mindfulness to center their focus and ensure that psychological safety was maintained for everyone involved.

The results of this effort showed clear signs of progress, though the changes were not uniform across every area. The data revealed that after the training, staff members reported a significant increase in their self-assessed knowledge and their attitudes toward trauma-informed care. They felt more confident in their ability to recognize and respond to trauma. There was also a measurable improvement in how they viewed the training, support, and interaction within their work environment. However, the study found that the training did not immediately change how safe or accepted staff members felt in their jobs, nor did it significantly alter their awareness of cultural backgrounds in the workplace. These areas remained stable, suggesting that while the training successfully built knowledge and shifted mindsets, changing the deep-seated feelings of safety and cultural awareness takes more time and different kinds of interventions.

The authors of the study suggest that this approach offers a valuable blueprint for other large organizations. They found that a single day of intensive training, when combined with ongoing coaching and the creation of a dedicated internal team, can produce meaningful shifts in how an organization thinks and operates. The process demonstrated that it is possible to re-imagine leadership and build trust through consistent communication and the intentional inclusion of diverse voices. While the work is far from finished, and the organization acknowledges that true cultural change requires a lifetime of practice, the initial results indicate that the path is viable. The organization has begun to move from simply managing housing to creating a system where healing is possible, driven by the people who live and work within it. This study serves as evidence that when institutions commit to understanding the impact of trauma on their own systems, they can create conditions where both their employees and the communities they serve can begin to heal.

Drowning in papers in your field?

Get daily digests of the most novel papers matching your research keywords — with technical summaries, in your language.

Try Digest →