Trauma Responsive Care

The Trauma Responsive Care (TRC) in Emergency Departments (EDs) training supports ED leaders and teams in creating safer, more supportive environments for patients and staff. This training is delivered by an expert team that includes two clinician educators and a peer-support specialist.

This initiative helps hospitals respond more effectively to the growing complexity of patient needs while also supporting the workforce delivering care in a stressful environment.

Resources and reports related to Trauma Responsive Care can be found below.

Trauma Responsive Care in Emergency Departments Toolkit

This toolkit offers practical strategies and resources to support trauma-responsive care in the emergency department setting, with a focus on creating safe, supportive environments for both patients and staff.

Download the Toolkit

Trauma Responsive Care in Emergency Departments Technical Assistance

These resources are geared for ED and hospital leaders supporting staff with trauma-responsive care in the ED setting. The Micro-Debriefing presentation contains guidance on communicating with staff immediately after a traumatic event. The Peer-to-Peer Support Groups for Hospital Staff presentation has instructions on how to plan, structure, launch, and sustain peer support groups for staff experiencing secondary traumatic stress. The TRC flyer template is intended for individual hospitals to customize and post resources to support staff in distress.

TRC Flyer Template Hospital Staff Peer to Peer Support Groups Micro Debriefing

Trauma Responsive Care:

Organization Assessment of Vermont Hospitals

This report summarizes strengths and opportunities for improvement related to trauma-responsive care in emergency departments and is based on a 2025 assessment of 14 Vermont hospitals.

View the Assessment

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More Resources:

SANE Care Collaborative & Innovation Network

By Bill Marcinkowski • May 28, 2026

Annually, 90 Sexual Assault Nurse Examiners provide approximately 400 exams in 16 hospitals across Vermont. National data reveals that 1 in 2 women and 1 in 3 men experience contact sexual violence, and in Vermont, 156,000 women and 103,000 men have experienced contact sexual violence in their lifetimes. Rural sexual assault survivors face isolation, lack of anonymity, and limited community resources, and are less likely to report assault or seek support services. Part of the HRSA Rural Northern Border Region Outreach Program, the SANE Care Collaborative & Innovation Network (2024-2027) is a 3-year initiative focused on expanding capacity for SANE services, enhancing quality of care within SANE programs, and increasing collaboration and innovation among rural hospitals in Vermont. Resources and reports related to the SANE Care Collaborative & Innovation Network can be found below.

Telehealth and Suicide Safer Care

By Bill Marcinkowski • February 19, 2026

Telehealth Resource Guide: Tools and Guidance for Managing Suicide Risk in Telehealth Settings This resource guide is designed to support mental health clinicians providing telehealth services focused on suicide prevention and treatment. It offers evidence-based guidelines, practical tools, and best practices for delivering high-quality, safe, and effective care in a virtual environment.* When viewed digitally, the guide is interactive and includes clickable links for quick access to referenced materials.

A Toolkit for Vermont Hospitals

By Bill Marcinkowski • December 16, 2025

Act 9 of 2025, An act relating to preventing workplace violence in hospitals, requires hospitals to develop and implement comprehensive security plans to prevent workplace violence. This toolkit is intended to help hospitals comply with Act 9. It contains resources to support hospital security plan development teams in assessing compliance and filling any gaps identified. The toolkit is designed to assist hospitals in improving workplace safety and managing aggressive behaviors.

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