The TICCS project aims to (1) study the relationship between substance use and trauma in treatment and prison settings and effective approaches and methods to deal with it in these facilities; (2) map and model trauma-informed care and support services along the intervention spectrum; (3) assess current practices and needs regarding trauma-informed support and provide recommendations for improving trauma-informed care and support in prison and treatment settings in Belgium for persons with substance use problems

To meet these objectives we will apply a mixed-methods study design spanning across five work packages. In WP1, a comprehensive literature review will be conducted on the relationship between trauma and SUD, and on strategies and methods to provide trauma-informed care and support. WP2 involves a secondary (quantitative) analysis of treatment and prison data investigating the link between trauma and SUD. WP3 consists of a qualitative study using semi-structured interviews with service providers and service users in alcohol and drug services and arts-based research to explore trauma-informed practices and interventions, as well as the role of trauma as a barrier to treatment. Additionally, this WP aims to gain insights into the lived and embodied experiences of trauma and substance use through a Body Mapping method. In WP4, two learning communities of experts will facilitate the integration of research findings and practice, fostering action and reflection throughout the project and formulating recommendations for more trauma-informed care and support for persons who use substances. Finally, WP5 will focus on synthesizing and disseminating the research findings through a comprehensive impact plan.