Impact of Trauma

Addressing the Impact of Trauma

Traumatic stress is pervasive among adults and children. This major public health problem has a devastating impact on people’s lives. While no one is immune to the effects of trauma, people living in poverty and people of color are especially vulnerable.

C4 provides expertise in understanding the effects of trauma on the brain and body, and working with trauma survivors to heal. We collaborate with state and community agencies to assess training needs; provide interactive, experiential, long-term training; and implement trauma-informed care in organizations.

Our Expert Team

Our trauma experts include psychiatrists, clinical psychologists, social workers, licensed mental health counselors, child development specialists, recovery specialists, and trauma survivors. For more information, contact Christina Murphy. Click on team member’s name to learn more.
Ellen BassukEllen Bassuk, M.D., C4 Founder, Senior Technical Advisor
Carmela J. DeCandia, Psy.D., Senior Advisor, Child Trauma
VolkKatie Volk, M.A., Senior Associate
Gloria DickersonGloria Dickerson, B.S., Recovery Specialist
Dones1Marc Dones, B.A., Associate, Equity Initiatives & Diversity
GagneCheryl Gagne, Sc.D., Senior Associate
LivniAyala Livny, M.Ed., Trainer
Lonnie McAdooLonnie McAdoo, B.F.A., Associate
Scott PetersenScott R. Petersen, LCSW, CAC-III, Trauma Specialist, t3 Faculty
Steven SamraSteven Samra, M.P.A., Associate

Impact of Trauma on the Brain

How do experiences of trauma impact the brain? How can you support children and adults who have experienced trauma in managing difficult emotions? Watch this video to learn more.

Trauma Resources

Examples of Our Work

Creating Trauma Informed Services


C4’s TICOMETER (Trauma Informed Care Organizational Meter) helps health and human service organizations measure the level of trauma-informed care they provide and serves as an ongoing resource for evaluating programs and monitoring progress. This instrument has been tested by more than 400 participants in 68 human service agencies and has strong psychometric properties. Click here to access the TICOMETER. TICOMETER

Trauma Informed Data Collection

In collaboration with SAMHSA’s Grantee Data Technical Assistance project, C4 staff developed tools to support trauma-informed data collection. A guide, video series, and course offer advice on creating a trauma-informed environment during baseline and follow-up interviews and feature subject matter experts as well as people who receive services from a SAMHSA-funded program.

Trauma Training

People have different learning styles and preferences. C4’s approach combines training, products, and consultation that blend in-person and online learning to promote implementation over time. Our training institute, t3 (think.teach.transform), trauma offerings teach health and human service providers how to understand and respond to trauma through onsite training, customized consultation,  instructor-led online courses, self-paced webinars, an eBook, and the TICOMETER which measures organizational adoption of trauma-informed care.
  • Effects of Trauma
  • Effects of Trauma
  • Effects of Trauma

Safety in Support

This interactive eBook is a practical guide for individuals and agencies seeking to understand and apply the concepts of trauma-informed care. Developed for tablets, smartphones, and computers, it presents principles and applications of trauma-informed care through text, video, and case studies.