The Attachment, Regulation and Competency or ARC framework is a natural next step for organizations who want to go beyond Trauma 101 in providing trauma-informed care to their service recipients.
The Alaska Child Trauma Center at ACMHS is a treatment integration and adaptation center (Category III) for the SAMHSA-supported National Child Traumatic Stress Network. We joined the National Child Traumatic Stress Network (NCTSN) in 2005 and are Alaska’s only NCTSN center.
The ARC training team at the Alaska Child Trauma Center was the first training hub (external to the model developers/development center) for the ARC framework. We have been a licensed and certified ARC training center since 2008. In collaboration with Duke Clinical Research Institute and the model developers, we conducted the first ARC clinical outcomes study, published in the Journal of Child and Adolescent Trauma in 2011. In this study, we focused on developmental and cultural considerations in implementation of the framework with a complex trauma-impacted and diverse population (over 50% Alaska Native/American Indian). We have provided ARC training to over 4,000 providers in the United States, Canada and the US Virgin Islands.
Since 2011 we have been a regional training hub for the Complex Trauma Treatment Network, a NCTSN trauma training and technical assistance center focused on supporting organizational implementation of trauma practices and multi-agency, regional and statewide trauma initiatives. We have provided ARC training to health systems serving rural and diverse communities, including a four-year ARC implementation project with B.C. Children’s Hospital and an ongoing five-year ARC implementation project with The Pathway Home at Southcentral Foundation.
Our experience is that ARC is best implemented as part of an organizational change process that is informed by implementation science to support the development of knowledge and skills and the application of that knowledge and skill in patient treatment.
We work with interested sites to develop an implementation plan to meet their specific needs. It will generally include:
- Organization self-assessment and readiness
- Initial ARC training (2 days, in person)
- Clinical and Systemic Implementation Consultation (1 year following training)
- Advanced ARC Training (1 day)
- Advanced ARC Clinical and Systemic Consultation (1 year following training)