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March 6, 2026Psychiatric Services1 citations

Trauma-Informed Care in Forensic and Secure Settings: A Systematic Scoping Review

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CRC. RobertsCMCrystal McMullenGKGovind Krishnamoorthy

Key Points

  • This study aims to assess the evidence for trauma-informed care in forensic settings and its impact on clinical outcomes.
  • Conducted a systematic scoping review of existing literature on trauma-informed care in forensic and secure settings.
  • Evaluated study designs and outcomes related to user perceptions and safety.
  • Analyzed the methodological limitations and the need for causal inference studies.
  • Found minimal evidence for perceived safety benefits from trauma-informed care in organizational settings.
  • Identified that existing studies lack robust designs and adult user outcomes.
  • Highlighted a significant need for rigorous comparative studies to establish effectiveness of trauma-informed care.

Abstract

Evidence for TIC in forensic settings is sparse and methodologically limited, with no adult service user outcomes and few study designs supporting causal inference. Preliminary, low-certainty signals suggest benefits for perceived safety when TIC is integrated into an organization's culture. Rigorous comparative studies that include adult perspectives and measure sustained clinical outcomes are needed to establish effectiveness.

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Cite This Study

Roberts et al. (2026) studied this question.

synapsesocial.com/papers/69aa70b8531e4c4a9ff5ac86https://doi.org/10.1176/appi.ps.20250199
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Trauma-Informed Care Practices in a Forensic Setting: Exploring Health Care Professionals’ Perceptions and Experiences2024 · 3 citations
  2. 2What does trauma-informed care mean to people admitted to a forensic mental health and intellectual disability service? A reflexive thematic analysis.2024 · 1 citations
  3. 3Effectiveness of Trauma-Informed Care Programs: A Meta-Analysis2025
  4. 4Trauma-Informed Care in a Homeless Women's Shelter: A Mixed Method Evaluation2024 · 1 citations
  5. 5Trauma-Informed Care in Adult Chronic Disease Management: A Scoping Review of Implementation and Integration into Clinical Practice2026