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Recent Posts

Hospital-Based Behavioral Health: 7 Benefits of Trauma-Informed Care Training and System Change

May 7, 2026
by Steve Brown, PsyD posted in Crisis Response, Whole-System Change

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Hospital-based behavioral health departments work tirelessly everyday to keep communities healthy and safe. However, many healthcare systems experience symptoms that transform healing spaces into re-traumatizing environments for patients as well as leadership, physicians, and staff. Patients with complex needs, larger system pressures, changes in leadership, and staff turnover all can evoke fear and stress, resulting in punitive and non-relational interactions. This kind of climate unwittingly replicates the abusive dynamics patients and staff may have experienced in their own lives, leading to poor outcomes.  

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Traumatic Stress Institute of Klingberg Family Centers Announces a Leadership Transition

April 29, 2026
by Patricia D. Wilcox, LCSW

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After 20 years as Director of the Traumatic Stress Institute (TSI), Dr. Steve Brown will be retiring in June.We are pleased to announce that John Engel, TSI’s Associate Director, will assume the position of Director effective June 29, 2026.

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What Does it Really Take to Sustain Trauma-Informed Care in Healthcare?

April 27, 2026
by Christine Greene posted in Whole-System Change, Measurement & Research

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We were recently introduced to Laneita Williamson, founder of 18 Cairns Consulting, who led a system-wide implementation at Atrium Health Wake Forest Baptist, a North Carolina health system. Her recent research article reinforces something we see every day: lasting impact requires more than training; it requires systems change.

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TSI Staff Retreat Learning Session: Loretta J. Ross on Creating a "Calling In" Culture

March 5, 2026
by Christine Greene posted in Whole-System Change, Mindfulness

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The Traumatic Stress Institute gathers twice a year for staff retreat. The retreats last a few days and give us the space to step back from daily demands and reconnect as a team. These retreats are a time to reflect on what we’ve accomplished, clarify our direction, and explore new ideas that will shape our work moving forward.

Our most recent retreat was online in January (see picture) and included a phenomenal learning session co-led by Tanji L. Donald, M.Ed., Program Coordinator, and Samm Winebrenner, Operations Coordinator. 

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Enduring Impact: What Our Community Is Saying About Risking Connection

February 20, 2026
by Christine Greene posted in Whole-System Change

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Over the past year as we've celebrated Risking Connection's 25th anniversary, we’ve also been sharing something special on our LinkedIn page: the voices of our community.

Through testimonials from trainers, clinicians, educators, and leaders, one theme has emerged again and again – the enduring impact of Risking Connection (RC).

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Healing Relationships - Hope is the Foundation

November 12, 2025
by Patricia D. Wilcox, LCSW posted in Whole-System Change

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In honor of 25 years of Risking Connection®, this series explores the heart of the Risking Connection Change Model: R.I.C.H. relationships – those that exemplify Respect, Information, Connection, and Hope – and the real challenges of living them out. These are the areas where we struggle, stumble, and sometimes become less than helpful to our clients and each other. 

In the final post of this series we turn to Hope.

Hope is the foundation on which all the other qualities rest. In the dictionary hope is defined as: “to cherish a desire with anticipation;” “to desire with expectation of obtainment;” and “the feeling that what is wanted can be had or that events will turn out for the best.” A RICH relationship in itself creates hope, independently of the external reality.

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Healing Relationships - Connection

November 11, 2025
by Patricia D. Wilcox, LCSW posted in Whole-System Change

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In honor of 25 years of Risking Connection®, this series explores the heart of the Risking Connection Change Model: R.I.C.H. relationships – those that exemplify Respect, Information, Connection, and Hope – and the real challenges of living them out. Join LaVerne Baker Hotep and Patricia Wilcox, LCSW, on November 12th to learn more about how R.I.C.H. relationships are healing relationships.
Now we turn to Connection.

Connection is the central concept in a trauma-informed approach. People heal within relationships. Our programs should offer our clients R.I.C.H. relationships and train staff how to utilize these relationships for the most powerful healing.

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Healing Relationships - Information is Shared

November 6, 2025
by Patricia D. Wilcox, LCSW posted in Whole-System Change

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In honor of 25 years of Risking Connection®, this series explores the heart of the model: R.I.C.H. relationships – Respect, Information, Connection, and Hope – and the real challenges of living them out. Join LaVerne Baker Hotep and Patricia Wilcox, LCSW, on November 12th to learn more about how R.I.C.H. relationships are healing relationships.

In the first of the series, we discussed the role of Respect in R.I.C.H. relationships. Next, we'll focus on Information.

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Healing Relationships - Respect Between Clients and Caregivers

November 4, 2025
by Patricia D. Wilcox, LCSW posted in Whole-System Change

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As part of celebrating the 25th Anniversary of the Risking Connection® (RC) training program, we are sharing short RC Sampler Sessions this fall, covering some of its most essential concepts.  One central concept in the Risking Connection Change Model is that the path to healing is through the acronym "R.I.C.H. relationships" – those that embody Respect, Information, Connection and Hope. Over time in our work with client agencies, we have collected many inspiring examples of how staff demonstrate R.I.C.H. with their clients and with each other – but it isn’t easy. Let's explore what is hard about R.I.C.H. in this series of posts.

These are the areas where we struggle, stumble, and sometimes become less than helpful to our clients and each other. Let’s look at each part of R.I.C.H. and discover what is hard about it and how we can overcome the challenges.

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How to Address Vicarious or Secondary Trauma at your Organization

October 21, 2025
by Steve Brown, PsyD posted in Whole-System Change

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Vicarious trauma, a form of secondary trauma, is an inescapable effect of working with trauma survivors. It is an occupational hazard and may be the single most important factor impacting the success or failure of trauma work. Organizations need to address vicarious trauma as an ethical imperative.  

Sign up for our free sampler session on Vicarious Trauma and receive a replay of Trauma-Informed Care basics!

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