What procedures ensure trauma-informed clinical care?

Though we thought we  had instituted trauma informed care and trauma focused CBT for our individuals in our care, when we did an audit to see if this was indeed happening we were disappointed. Consequently, we have required that the initial evaluation include the ACEs questionnaire. As a result the responses prompted a more complete assessment of trauma and a significant improvement in the trauma focused treatment that so many of our individuals need. We realize that we must continue to do such "trauma probes" as we call our audits on an ongoing basis.

Marilyn, thank you for your prompt reply. Forgive my "lack of faith in humanity" but I did kinda think this would be necessary, but "it was worth a  try" ;-) 

Mind you, even then, I think with more clinical and research  experience we're finding the ACEsQ is just one initial enquiry, subject to being revised and added to later. 

Thanks to both you and Marilyn Russell for raising this really important and often invisible issue, which pertains to all sectors, not just health. It can be relatively easy for policy makers or administrators to make decisions to include practices and procedures that address ACEs/trauma, but making sure they are implemented, and implemented well (so they are done with fidelity or have the intended impact) is often missing.  Advocates can work at all levels to continually ask the question: What is different as a result of our [policy, procedure, decision]? Asking that question over and over, in many contexts, can help ensure there's meaningful changes in practice.