Trauma Risk Management (TRiM)

Trauma Risk Management (TRiM)

TRiM aims to support individuals following exposure to significantly traumatic events/incidents

How do I get access to TRiM?

TRiM is offered to personnel after exposure to significantly traumatic events. There are a number of options available to gain access to TRiM:

  • Fire Control in conjunction with a manager (i.e OIC, co-response manager, welfare officer) will contact the TRiM team with the names and contact email address of personnel involved. There are some automatic criteria which Fire Control will prompt managers with (i.e. death of child, sudden deaths, suicides / murders, resuscitation attempts)
  • Incident commanders / managers can use their own discretion and inform Fire Control that the offer of TRiM is being given to personnel. Managers in conjunction with Fire Control will forward a list of attending personnel directly to the TRiM team
  • Individuals can seek advice by contacting the TRiM team directly (

An offer of an assessment is sent to each individual who can personally decide whether to accept or decline the offer. TRiM assessments are purely voluntarily attended.

What does a TRiM assessment do?

A TRiM assessment supports you. It is a personal, purely voluntarily attended, peer to peer, non-clinical discussion. A TRiM assessment aims to identify if you are normalising events, or alternatively if you are displaying signs of potentially needing additional support. A TRiM assessment is completed with you by a TRiM practitioner. The assessment will support your recovery and allow you to understand that your reactions are natural and normal. The TRiM practitioner will also assist you in signposting you to any further support.

Who are the HFRS TRiM practitioners?

Towards the end of last year a Routine Notice entry was made asking for volunteers who had an interest in supporting colleagues. Over 60 application packs were sent out. Returned applications were screened in conjunction with Occupational Health. Twenty personnel (who come from across the Service, uniformed and non-uniformed) were initially identified and in February 2016 completed the externally provided and licenced training course.

These individuals have given up their time and are committed to providing professional and personal to support you. All TRiM practitioners work to and abide by a code of conduct and confidentiality.

How long does a TRiM assessment take?

The first assessment takes place +3 to 7 days following a significantly traumatic event. This assessment is in most cases completed again approximately 28 days later. The assessments are then reviewed with you to identify if there have been any changes. This will identify if normalisation is taking place, or if you may need further assistance or signposting support.

The initial TRiM assessment will normally take approximately one hour to complete.

What happens if the assessment indicates I may need further support?

The TRiM practitioner will talk through this with you. Signposting to the Occupational Health team will provide you with the further support needed.

What about if I am suffering from trauma and it’s from events prior to TRiM?

TRiM aims to and is most effective in the early stages post exposure to a traumatic experience (ideally within seven days of the event). In cases of longer term issues from trauma, then there are other support networks available. Talking to your line manager, contacting Occupational Health and Wellbeing is encouraged. The employees assistance program (EAP) providers ‘Health Assured’ can provide assistance. GPs and charity organisations such as The Fire Fighters Charity and MIND (particularly the ‘blue light programme) are also available to assist and support you.

Who else uses the TRiM process?

TRiM is widely and successfully used across the UK emergency services and the military. Locally our colleagues at Hampshire Constabulary and South Central Ambulance Service are using TRiM to support their staff.

For further information contact: