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Violence against women and children affects everybody. It impacts on the health, wellbeing and safety of a significant proportion of Australians throughout all states and territories and places an enormous burden on the nation’s economy across family and community services, health and hospitals, income-support and criminal justice systems.


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ANROWS hosts events as part of its knowledge transfer and exchange work, including public lectures, workshops and research launches. Details of upcoming ANROWS activities and news are available from the list on the right.



ANROWS was established by the Commonwealth and all state and territory governments of Australia to produce, disseminate and assist in applying evidence for policy and practice addressing violence against women and their children.



To support the take-up of evidence, ANROWS offers a range of resources developed from research to support practitioners and policy-makers in delivering evidence-based interventions.

State of knowledge

Implementing trauma-informed systems of care in health settings: The WITH study

This paper examines the available literature on trauma-informed frameworks, models and guidelines that guide organisations to improve service provision to survivors of sexual violence with mental health problems.

It finds that while both academic and grey literature show consistent themes about the principles of trauma-informed care, there is little evaluative evidence to inform organisational and systemic change. To address the challenges in producing evaluative evidence, including the suitability of standard methodologies and the complexity of evaluating systems-level change while acknowledging the context of individual systems, the paper recommends that future research examines:

  • How can we ensure that trauma-informed care is meeting the needs of women who have experienced both mental health issues and sexual violence?;
  • How can we better integrate mental health and sexual violence service paradigms and approaches to trauma-informed care?;
  • How can we enact trauma-informed care in practice when dealing with women who have experienced both mental health issues and sexual violence? and;
  • How can we successfully implement trauma-informed care at an organisational level within complex health systems?



Publication details

This work is part of the ANROWS Landscapes series. ANROWS Landscapes (State of knowledge papers) are medium length papers that scope current knowledge on an issue related to violence against women and their children. Papers will draw on empirical research, including research produced under ANROWS’s research program, and/or practice knowledge.


Research Fellow, Australian Institute of Family Studies.


ISBN: 978-1-925372-04-5 (print) 978-1-925372-05-2 (online)

37 pp.

Suggested citation

Quadara, A. (2015). Implementing trauma-informed systems of care in health settings: The WITH study: State of knowledge paper (ANROWS Landscapes, 10/2015). Sydney, NSW: ANROWS.

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