Overview: Trauma-and Violence-Informed Care (TVIC)

Access the VEGA TVIC Briefing note here

Through its National Guidance and Implementation Committee (NGIC), VEGA is integrating into our educational materials a family violence-specific approach to trauma-and violence-informed care (TVIC).


Services to prevent and mitigate the effects of violence experienced by children and adults must account for their broader life circumstances TVIC calls attention to the intersecting impacts of a number of structural and social conditions that often limit the effectiveness of family violence interventions:


    • Interpersonal Violence as a unique form of trauma, which his often chronic and complex;
    • Systemic Violence that perpetuates harm through social and institutional policies and practices;
      • Structural Inequities including sexism, racism, and other forms of discrimination; and
  • Cultural Safety that considers the ongoing effects of history and historical forms of trauma at collective and interpersonal levels.

    Health and service providers who lack understanding of the complex and lasting impacts of family violence risk causing further harm. Please listen to Dr. Nadine Wathen (VEGA co-lead) talk about the importance of TVIC as an approach to care in the context of family violence.

Deliverables: Integrating Evidence & Knowledge

NGIC members identified TVIC as one of three priority areas for additional knowledge synthesis and structured engagement. The TVIC “Leader Table” comprised working groups of NGIC members and VEGA researchers, and set out to address how to best integrate multi-disciplinary practice considerations into VEGA’s guidance and curriculum (listen to Dr. Nadine Wathen briefly discuss VEGA’s outputs).

The TVIC Leader Table discussed the concept of trauma-informed care (TIC), the important addition of the “V” (i.e., TVIC) to address structural/systemic issues, and the unique impacts of family violence exposure. Health and social services that are trauma-and violence-informed, equity oriented, and culturally safe account for what care is offered, and how it is provided.

The VEGA TVIC Briefing Note was presented at the June 2016 NGIC meeting, as the foundation for plenary and case-based small group discussions about how to integrate TVIC into all VEGA outputs. More to follow.

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