<unk>  (TRiM) is a method of secondary PTSD (and other<unk> tic stress related mental health disorders) prevention. The TRiM process enables non-healthcare staff to monitor and manage colleagues. TRiM training provides practitioners with a background understanding of psychological<unk>  and its effects. TRiM is a<unk> -focused peer support system and the way it works is wholly compliant with the PTSD management guidelines produced by the National Institute for Health and Care and Excellence.<unk>  Practitioners are trained to carry out an interview which identifies a number of<unk>  factors which, when present, increase the likelihood that an individual may suffer poor longer term mental health as a result of a<unk> tic event. The initial TRiM interview takes place with an individual, 72 hours after a<unk> tic incident. People who score highly on this initial interview are provided with extra support by colleagues, and where appropriate, line managers. A follow up TRiM interview is then carried out approximately one month later to assess how well people have come to terms with the<unk> tic event at that point. Individuals who are found to have persistent difficulties at this point are encouraged and assisted to seek a professional assessment in order to access any specific treatment they require. TRiM originated within the UK military after previously-used reactive single session models of post incident intervention, such as Critical Incident Stress Debriefing, were subject to scientific scrutiny and shown to not just lack effectiveness but also have the potential to do harm. Professor Neil Greenberg was one of the team at the forefront of developing peer-led<unk> tic stress support packages, now known as TRiM. He is an academic psychiatrist based at King's College London UK and is a consultant occupational and forensic psychiatrist. Although it was first developed in the UK military,<unk>  is now used by a range of public and commercial organisations. This includes charities, emergency services, security firms,<unk>  management organisations, UK Government departments including the Foreign and Commonwealth Office, the oil and gas industry, transport organisations and media companies including the BBC.
Trauma risk management
Commissioning Support for London
Barrier nursing
Chronic care management
Pharmacy management system
Critical incident stress management
Accident
International healthcare accreditation