Transforming Cultures of Care

Trauma-Informed Care for CSEY

A partnership between the

Texas Office of the Governor Child Sex Trafficking Team

and TCU’s Karyn Purvis Institute of Child Development (KPICD)

The Karyn Purvis Institute of Child Development has partnered with the Texas Office of the Governor’s Child Sex Trafficking Team to provide Trust-based Relational Intervention® (TBRI®) training and consultation to organizations and communities that serve youth who are survivors of trafficking or who are at risk for trafficking. We seek to help these entities understand how complex developmental trauma impacts the physiology of the youth in their care and how TBRI can help promote healing. We provide implementation support to those entities seeking to transform their culture of care.

A downloadable version of the information on this page can be accessed here.

For more information about Human Trafficking, watch this video. 


Since Our Partnership Launch in 2018

Over 2,700 individuals have been trained in TBRI to provide trauma-informed care to children and youth who have experienced trafficking and those who are at-risk. KPICD staff have trained over 100 TBRI Practitioners who can train others in TBRI’s trauma-informed strategies. TBRI is changing systems of care across the world. Through this partnership, the Purvis Institute has trained those working in juvenile justice, child welfare (congregate care, foster care) medical, legal, law enforcement, education, mental health, advocacy, and beyond. There are currently over 50 organizations that have committed to implementing trauma-informed care utilizing TBRI in their organizations to better serve youth. Finally, over 450 organizations throughout Texas have participated in TBRI training. The project continues to expand throughout the State of Texas.

Project Focus – TBRI Training & Implementation

Exploration Phase: Programs, organizations, or systems are beginning their journey to implement trauma-informed care and have chosen to explore TBRI. The KPICD provides training to raise awareness about the impact of trauma and how TBRI can promote healing. The training is designed to support organizations or systems in the exploration phase, and bring new organizations into this phase.

Immersion Phase: Programs, organizations, or systems are committed to implementing TBRI. AS a result, the KPICD works with identified “change agents” and provides consultation to meet varying implementation needs. Through consultation the KPICD assists organization and systems in adapting TBRI to specific contexts which promotes innovation, best practice, and a utilization-focused transformation of the culture of care.

Extension PhaseDuring this phase, the culture of care within an organization or system has been transformed and sustained. Exploration begins again as the transformed entities extend their expertise to other programs, organizations, or systems which then begin their journey to provide trauma-informed care using TBRI.

Project Impact at Harris County Juvenile Probation Department

Since Harris County Juvenile Probation Department started their TBRI implementation journey in Quarter 3, they have seen decreases in room restrictions, which staff attribute to being better equipped to deal with minor incidents on the unit rather than sending youth into isolation. Staff attribute the decrease in resident-initiated separations to youth feeling safer around, and more connected to staff and their peers.

Project Impact

“We have been able to use all of the TBRI principles, strategies and tools in meaningful ways – not only with our youth, but the community as a whole. We have been able to increase understanding of the needs behind behaviors of our youth among stakeholders, partners and caregivers. We are all finally starting to speak the same language and the benefits are shining through our youth. They are learning to feel safe, to trust, and most importantly, to use their voice knowing that they have caring adults ready to listen and that we are in this together!”

— Aly Ferrante, Advocacy Specialist Team Leader at Child Advocates of Fort Bend

“It is one thing to provide safety and another thing to provide “felt safety.” We are grateful for learning this and establishing solid core values throughout our process of serving and working with survivors. TBRI has provided us with the knowledge and understanding to create tangible “felt safety” opportunities throughout our office and places we meet with our program participants. In our TBRI culture at Rescue America, participants, volunteers and staff feel cared for, loved, card and confident to use voice as a result of our organization implementing and practicing TBRI daily. It’s a lifestyle!” — Blanca Talty, RAEA Program Director at Rescue America

“From October 2018 to January 2019, we had 45 youth to AWOL from shelter. The shelter targeted this as a major concern and met with [TBRI] partners and implemented the following suggestion: [whenever] the youth returned staff would greet them with “Glad you are back. Do you want to talk about anything that happened while you were away? Tomorrow we will make an appointment for you at the clinic” …” [There] was no more discussion in groups regarding AWOLs. Once the AWOL was addressed there was no more discussion. After implementing these steps [Kinder Emergency Shelter] went 45 days with no AWOLs.” — Clara Thomas, Program Specialist at HCPS: Kinder Emergency Shelter

Ending Child Sexual Exploitation in Texas: Progress and Hope

The Child Sex Trafficking Team (CSST), created by the 84th Legislature, is a division within the Governor’s Public Safety office. CSTT’s mission is to build sustainable capacity, enhance expertise, promote policies, and create new and leverage existing collaborations to:

Protect children and youth from sexual exploitation by building their awareness of and resilience to child exploitation and by curbing demand for child sex trafficking.

Recognize sexual exploitation by raising public awareness and by implementing screening tools to identify potential victims.

Recover victims with protective and empowering collaborative responses.

Support the healing of survivors through a variety of trauma-informed and responsive services and supports.

Bring Justice for survivors by holding exploiters (traffickers, buyers, and those who profit from exploitation) accountable.