Development and Performance of the National Child Traumatic Stress Network Trauma-Informed Organizational Assessment.

Theories of change in trauma-informed care emphasize the need go beyond individual transformation and act upon the organization-level. The National Child Traumatic Stress Network's Trauma-Informed Organizational Assessment (TIOA), implemented within an implementation framework, is intended to assist...

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Published in:Child Maltreatment Vol. 31; no. 2; pp. 207 - 220
Main Authors: Purbeck, C. A., Liang, L. J., Glazkova, L., Agosti, J., Liu, J. H., Halladay Goldman, J.
Format: research tables/charts Journal Article
Published: Sage Publications Inc. May2026
Online Access:View this record in EBSCOhost
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      dt: May2026
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      pub: Sage Publications Inc.
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        atl: Development and Performance of the National Child Traumatic Stress Network Trauma-Informed Organizational Assessment.
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          Purbeck, C. A.
          Liang, L. J.
          Glazkova, L.
          Agosti, J.
          Liu, J. H.
          Halladay Goldman, J.
        affil: Duke University Department of Psychiatry and Behavioral Sciences, UCLA/Duke University National Center for Child Traumatic Stress, Durham, NC, USA
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          Psychological Trauma Therapy
          Organizational Change Evaluation
          Organizational Efficiency Evaluation
          Clinical Assessment Tools Utilization
          Health Care Delivery Evaluation
          Instrument Construction
          Human
          Male
          Female
          Staff Development
          Accountability
          Professional Practice
          Conceptual Framework
          Race Factors
          Culture
          Family Relations
          Internal Consistency
          Test-Retest Reliability
          Health Facility Environment
          Psychometrics
          Attitude of Health Personnel Evaluation
          Implementation Science
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          Hardiness
          Child Welfare
          Continuity of Patient Care
          Caregivers Psychosocial Factors
          Interprofessional Relations
          Support, Psychosocial
          Intraclass Correlation Coefficient
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          Descriptive Statistics
          Data Analysis Software
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      ab: Theories of change in trauma-informed care emphasize the need go beyond individual transformation and act upon the organization-level. The National Child Traumatic Stress Network's Trauma-Informed Organizational Assessment (TIOA), implemented within an implementation framework, is intended to assist with organization-level change. This paper explores properties of the measure, which evaluates 87 practices across nine domains. The TIOA uniquely incorporates the assessment of practices related to race and culture as well as partnerships with youth and families. In a sample of 23 child-serving organizations (N = 1,224), the TIOA demonstrated excellent internal consistency (Cronbach's alpha >0.93) and good or moderate test-retest reliability. The TIOA was usable by staff in a range of settings and few differences were seen in characteristics such as role in the organization or race. The TIOA provides actionable, organization-level recommendations to help identify strengths and areas for improvement, ultimately supporting environments where staff, children, and families thrive.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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