TRiM-Trauma Risk Management – An overview

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The Trauma Risk Management – TRiM – Practitioner course is now available  on e-Learning.

What is TRiM?

TRiM or Trauma Risk Management is a peer delivered risk assessment and ongoing support system, designed specifically to help in the management of traumatic events.

It is not a clinical intervention, a form of counselling or treatment. The system allows peers to understand likely reactions to traumatic incidents and to conduct structured risk assessments, aiming to identify people needing early referral to qualified medical support. Risk assessments are based around identifying common risk factors for the development of traumatic stress; a simple scoring system is applied. TRiM is highly effective because people are often more comfortable talking to peers. The system is an ongoing method of monitoring and support not just a single session intervention.

How does TRiM work?

Organisations identify suitable people at various levels of seniority to train as TRiM Practitioners. TRiM is more effective when enshrined in policy and linked to Human Resources and Occupational Health strategies. When notified of an incident the TRiM manager starts the process. In the first 24-48 hours after an event, a planning meeting is held to identify everyone involved, understand the incident, its characteristics, and agree a tailored response. Ad hoc responses can have unwelcome consequences. Some people involved in the incident may be invited to take part in a risk assessment. Larger groups may be asked to attend a briefing meeting and given information on the incident and how to manage their own emotional responses. TRiM ensures that there is a coherent, considered approach to the organisation’s response and that management and supporting departments are involved.

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TRiM Managers

Receive an additional 2 days of training. The emphasis of the managers course is on planning and supervising responses to traumatic events and developing risk assessment skills to an advanced level. Learning how to supervise TRiM practitioners, managing their welfare and support is crucial. TRiM managers learn how to build effective and strong teams and how to apply best practice.


Course aim

• Provide TRiM Managers trained to ensure the effective implementation of TRiM policy with the supervisory skills to ensure practitioner welfare and the application of suitable post incident management strategies for staff involved in  traumatic events.

Course outcome is to enable delegates to:-

• Develop TRiM risk assessments and active listening skills to advanced level
• Plan and coordinate organisational responses to critical events
• Supervise and monitor the welfare and effectiveness of TRiM practitioners
• Act as the regional/divisional TRiM lead in own area
• Provide low level formal TRiM supervision and act as regional point of contact
• Advise on and monitor management plans after TRiM risk assessments
• Coordinate records, TRiM follow up assessments and liaise with other departments as necessary

TRiM Risk Assessments

The risk assessments begin 72 hours after the event – earlier interventions will be ineffective and problematic. These can be delivered one to one or in small groups. TRiM practitioners guide the interviewee in a supportive and informal way through a structured process designed to identify risk factors. TRiM trained people are taught how not to re-traumatise. On completing the initial risk assessment, scores are recorded against the identified risk factors; the practitioner provides advice on coping and the support mechanisms available. Most people will not need to be referred to medical support at this stage. However, people who are struggling can be referred. For the next month, normal management, mentoring and support should be in place. At the one-month point, the TRiM practitioner conducts a second risk assessment and makes a comparison of the 72-hour and one-month scores and how people appear to be coping. Research shows that four to six weeks after a traumatic event most people begin to recover and access coping strategies. Those not doing well are identified and where necessary are referred for specialist support. Further mentoring and management continues.

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TRiM benefits both your organisation and its people. In summary, it:-

• Early identification and intervention for people in difficulty
• Better management and support structures
• Enhanced oversight by management
• Improved staff confidence
• Stigma reduction around mental health
• Demonstration of legal compliance – Duty of Care

Course duration is for two days and is an intensive package of both theory and practical exercises. Delegates are assessed on practical performance through a series of bespoke role play scenarios.

The course outcome is:

• A trained practitioner able to understand the characteristics of traumatic events and conduct structured risk assessments to facilitate early intervention and ongoing support to colleagues and peers.

The following areas are covered:

• Characteristics of traumatic events
• Site management
• Trauma Psychology
• Risk factors for traumatic stress
• Active listening
• Filtering events and planning
• Practical risk assessment
• Providing post incident stress education briefs
• Documentation and recording


The Continuous Professional Development Standards Office – CPD – fully accredits our courses. You may use course  hours of training for any necessary or voluntary CPD requirement from professional bodies. Available accreditation points are available on request.

CPD research confirms that if you want promotion or hope to specialise in a new field, showing your learning agility and dedication to CPD can make a big difference.

What is TRiM refresher training?

Our expert trainers recommend refresher training once a year. Because TRiM skills can get rusty over time, we offer one day refresher training. We can usually arrange this at short notice where real time risk assessments are to follow. This does not  affect CPD accreditation.

Where does training take place?

Strongmind trains across the UK and worldwide. Most importantly, our flexible approach means we will deliver training where you want.


‘I have attended lots of courses about supporting staff but this has to have been one of the best I have ever done.  I am keen to use it in my working environment’

– Consultant, A&E, West Sussex NHS Hospitals

‘This training could be a game changer for staff welfare’

– Senior Prison Officer, HMP Hull.

TRiM Courses