BACKGROUND The negative impact of trauma on health is devastating. Providers, especially those in rural areas, require support to implement trauma-informed care (TIC) on a systems level. OBJECTIVES This paper describes a partnership of county behavioral health administrators, service providers, and a behavioral health managed care organization and steps taken over a 5-year initiative to enhance capacity and quality of community services to meet the needs of individuals in a rural setting to receive TIC. METHODS The initiative included trainings in evidence-based and best practices in TIC, improved trauma screening, development of TIC centers, and development of community-based networks for ongoing support. Lessons learned were summarized through discussions between partnership members. LESSONS LEARNED Shared ownership, opportunity to build networks, and continuous assessment of organizational strengths resulted in successful implementation and sustained practice. Challenges included turnover among staff and organizations. CONCLUSIONS Building a TIC network across a rural health care system can be successful with long-term support and investment from multiple stakeholders.

中文翻译：

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在农村社区实施创伤知情护理系统的经验教训。

背景技术创伤对健康的负面影响是毁灭性的。提供者，特别是农村地区的提供者，需要支持在系统层面实施创伤知情护理 (TIC)。目标 本文描述了县行为健康管理员、服务提供者和行为健康管理护理组织之间的合作伙伴关系，以及为提高社区服务能力和质量以满足农村地区个人的需求而采取的 5 年计划所采取的步骤。接收 TIC。方法 该计划包括 TIC 循证和最佳实践培训、改进创伤筛查、发展 TIC 中心以及开发基于社区的持续支持网络。伙伴关系成员通过讨论总结了经验教训。经验教训 共享所有权、建立网络的机会以及对组织优势的持续评估导致了成功的实施和持续的实践。挑战包括工作人员和组织之间的流动。结论 在多个利益相关者的长期支持和投资下，在整个农村医疗保健系统中建立 TIC 网络可以取得成功。