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Trauma Risk Management (TRiM)


What is TRiM?

TRiM is a trauma-focused peer support system, the implementation of which has benefited many 'at risk' organisations – legally (by providing a duty of care); economically (by keeping people at work) and morally (by looking after personnel).

The TRiM model builds resilience by basing itself on keeping employees functioning after traumatic events by providing support and education to those who require it. Additionally, by training TRIM Practitioners at operational level throughout an organisation, TRiM aims to identify those who are not coping after potentially traumatising events and ensure they are signposted to professional sources of help. TRiM empowers organisations to discharge their duty of care while promoting a proactive and resilient stance to the effects of potentially traumatic events.

TRiM provides the processes and practices for organisations to ensure that they have "trained eyes and ears" throughout your organisation. Such individuals will have the skills to pick up, not only on traumatic stress, but on the occupational and work-related stress that can impair individual's ability to work effectively. Our staff have repeatedly found that providing expert advice and assistance for 'at risk' organisations is considered to be a real benefit for ensuring those working in safety critical roles have access to support when they need it.

TRiM originated within the UK military as an evidence based alternative to previously-used reactive single session models of post incident intervention such as Critical Incident Stress Debriefing. Single session debriefing has been subjected to scientific scrutiny and shown to not just lack effectiveness but also have the potential to do harm. Founder and Director of March on Stress, Professor Neil Greenberg was at the forefront of developing peer-led traumatic stress support packages within the UK military and has helped many organisations to adopt TRiM and provide evidence based support to their staff.

Why TRiM?

There is ample evidence that people exposed to work related stress are likely to be less effective at work, more likely to be absent from work and to suffer poor mental health. For instance, a 2007 report noted that impaired work efficiency, as a result of mental disorders, costs the UK £15.1 billion a year, with mental-health-related absenteeism costing an additional £8.4 billion annually.

For some organisations, work related stress may result from exposure to traumatic events. The impact of traumatic events upon 'at risk' staff including emergency services personnel, military forces and security sector staff have been well documented in the scientific literature. For instance up to a third of some security contractors, between seven and 30% of combat troops and up to a quarter of war reporters are likely to suffer from Post-Traumatic Stress Disorder; many also frequently report significant trauma related guilt related to their work.

TRiM training

TRiM training takes place at two levels; Practitioner and Manager.

TRiM Practitioners

The TRiM Practitioner course provides individuals working within organisations who do not have any specialist medical or psychological expertise with both the knowledge and skills to become a TRiM Practitioner.

Practitioners are encouraged to use already existing personnel management systems to assist normally distressed individuals to recover and, where necessary, ensure that those who require it are referred for appropriate treatment at an early stage.

The TRiM Practitioner course is two days. We can deliver training at your organisation for groups of up to 8 (with one instructor) or 9-16 (with two instructors). Or you can attend one of our all comers courses.

TRiM Managers

Having qualified TRiM Practitioners is a positive step forward for any organisation that has identified that it has personnel who may be ‘at risk’ of developing psychological distress after traumatic events. The next step is to identify those within an organisation to be TRiM Managers so that they can oversee those TRiM Practitioners and advise their organisation’s management about its TRiM Policy and procedures.

In order to attend a Managers course, individuals will have to have successfully attended a Practitioner level course and ideally gained experience working as a TRiM practitioner.

A TRiM Manager is responsible for:

  • coordinating an organisation’s response to a traumatic incident;
  • supervising an organisation’s TRiM Practitioners;
  • delivering TRiM awareness and induction training to all staff within an organisation;
  • ensuring TRiM Practitioners are up to date and competent

The TRiM Manager course is two days. We can deliver training at your organisation for groups of up to 4 (with one instructor) or 5-8 (with two instructors). Or you can attend one of our all comers courses.

Course attendance certificates are issued which can be used for inclusion in a CPD file.

TRiM Practitioner Assessment Day (1 day)

Whilst March on Stress will provide personnel who have completed Practitioner level TRiM training with an attendance certificate, some organisations require certificates of competency rather than attendance. Where such a certificate is required, March on Stress will carry out one to one assessments of Practitioner course attendees in order to assess competence; the assessment will lead to a pass or fail outcome. Those who pass will be issued with a certificate of competence which lasts two years at which point they will need to successfully attend a refresher training course.

Training with us

As the leading commercial TRiM training provider, we have trained a wide variety of organisations including healthcare providers, (including general hospital and ambulance trusts), media companies, diplomats and security contractors. Our trainers routinely receive excellent feedback.

We have also provided TRiM training for locally employed security contractors in Iraq and Government workers in Africa who found that the TRiM system needed only minimal adaptation to fit with their culture and language.

We are the only UK TRiM provider to also be able to offer BTEC qualifications for TRiM Practitioners and Managers. Delegates from our courses (and other courses subject to BTEC/March on Stress curriculum approval) can qualify, by applying through March on Stress, for a BTEC Level 3 Advanced Award: Supporting Trauma Risk Management (Practitioners) or a BTEC Level 5 Advanced Professional Award: Supporting Trauma Risk Management.

NICE view

The National Institute for Health and Care Excellence (NICE) is the UK's body which sanctions medical interventions. NICE has issued guidance on the management of post traumatic illnesses and at the core of the guidelines is the principle of not 'making a meal' of normal levels of post incident distress. For most individuals, post incident distress is not a medical problem nor does it require complex interventions. NICE suggests that for the first month after an incident, a policy of watchful waiting should be employed; that means keeping a watchful eye on individuals who have been exposed to the traumatic event. This does not just mean those who were 'there' but also those who might feel responsible such as those who might have been on a radio line or those who had to help with the aftermath.

The TRiM approach is fully consistent with the traumatic stress management guidance issued by NICE.

NICE (National Institute for Health and Care Excellence) guidelines on post-traumatic stress disorder

Embedding TRiM throughout your organisation

TRiM by March on Stress is more than just training. It works best when embedded throughout an organisation – from its use as an executive tool to frontline support between peers. March on Stress has strategies, services and products to ensure TRiM works as effectively as it possibly can to prevent, detect and get early treatment for operational stress, including PTSD.

Please contact us to discuss your needs and how best to implement TRiM in your organisation.

Related Items



  • • Course duration: TRiM Practitoners – 2 days. TRIM Managers – 2 days
  • • 100% of our course delegates would recommend March on Stress TRiM training to colleagues
  • • Contact us for pricing and booking
  • • The TRiM approach is fully consistent with the traumatic stress management guidance issued by the National Institute for Health and Care Excellence (NICE)


  • • March on Stress is the only TRiM training provider to offer BTEC qualifications with its courses
  • • We set the standard for TRiM training in the UK
  • • Our trainers and associates are highly experienced trauma experts
  • • All of our work is backed by the latest research


  • 'Thanks for a great course – one of the best I have done in a 21 year coastguard career.'
  • 'Can I take this opportunity to say that the TRiM course was fantastic and the manner in which the training was delivered was outstanding.'
  • 'Very good, professional, interesting and valuable. Will be a great help to me developing my job and as an individual.'
  • 'I would like to say a big “Thank You”, the Instructors were fantastic, both knew their respective subjects which they delivered in an enjoyable atmosphere.'
  • 'Very good instruction and very good course.'

Page Loaded Date/Time : 2017-06-22 14:22:48

Keywords : Building Business Resilience, Advanced Mentoring Skills, Sustaining Resilience in the Workplace, TRiM Workplace Monitoring

Description : March On Stress, a UK company providing psychological support, TRiM courses and TRiM BTEC