TRiM - Trauma Risk Management

TRiM (Trauma Risk Management) is a simple, peer based, common sense approach to trauma risk management.  I am TRiM Manager for a busy police service in the UK and the process of Trauma Risk Management helps to identify those employees who are at risk of developing long term mental heath issues as a result of exposure to potentially traumatic events at work.

TRiM was developed in the 1990's within the Military and many organisations and emergency services have now embraced it as an alternative to Critical Incident Stress Debriefing as it fits with the NICE (National Institute of Clinical Excellence) guidelines of 'watchful waiting'.

So, how does TRiM work?

TRiM is essentially a trauma focussed peer based support system - this is one of the reasons it seems to work so well.  Colleagues helping other colleagues!

The system revolves around a well researched criteria and timescales for action and TRiM Practitioners can, as part of the process, settle personnel who are experiencing symptoms of trauma soon after a traumatic event.  For personnel whose symptoms do not reduce and/or have worsened over a specific period of time, TRiM Practitioners can consider signposting those employees for appropriate professional support, such as counselling, to help them get back on track.  

Trauma Risk Management continues to break down the wall of mental health stigma and promotes good mental health and wellbeing.


Professor Neil Greenberg of King's College London demonstrates, with the help of an actor, how to conduct a trauma risk management (TRiM) interview.


Click here for more information about TRiM from one of its service providers, March On Stress.


The following video forms part of the 'Don't Bottle It Up' campaign by the British Forces Broadcasting Service (BFBS).

BFBS write: "If there's something troubling you, it helps to talk about it. But if some of your workforce sees this as weakness, how do you get that message across in a memorable and compelling way? That was the problem facing the British Forces. The answer was 'Don't Bottle It Up', a powerful and visually striking campaign developed, designed and filmed at BDA, in conjunction with the British Forces Broadcasting Service".


For personnel working in environments that are potentially traumatic, there are four characteristics of a traumatic event that can delay or cause issues with brain processing - dislocated expectation, pattern matching, personalisation and accumulative events.  Read about them in more detail.

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