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    Implementing trauma-informed care (TIC) in rural areas requires strong partnerships and sustained investment. A 5-year initiative demonstrated that building a TIC network improves community services and provider capacity for better health outcomes.

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    Area of Science:

    • Public Health
    • Healthcare Systems
    • Trauma Studies

    Background:

    • Trauma significantly impacts individual health outcomes.
    • Healthcare providers, particularly in rural settings, need support for systems-level trauma-informed care (TIC).

    Purpose of the Study:

    • To describe a 5-year initiative aimed at enhancing community services for trauma-informed care (TIC) in a rural setting.
    • To detail a partnership between county behavioral health administrators, service providers, and a managed care organization.

    Main Methods:

    • The initiative involved evidence-based TIC training and best practices.
    • Key methods included improved trauma screening, establishing TIC centers, and developing community support networks.

    Main Results:

    • Successful implementation and sustained practice were achieved through shared ownership and network building.
    • Continuous assessment of organizational strengths was crucial for success.

    Conclusions:

    • Building a rural TIC network is feasible with long-term stakeholder support and investment.
    • Overcoming challenges like staff turnover is vital for sustained TIC implementation.