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Implementing trauma informed care (TIC) for individuals facing homelessness and multiple disadvantage is proposed to help both service users and staff work effectively and therapeutically together. However, the effectiveness of implementing TIC via training is debatable. This study aims to explore the effects of a four-day TIC and psychologically informed environments training package in such services.

The analysis explores the effect of this training on the degree of TIC as measured by the TICOMETER, a psychometrically robust organisational measure of TIC. The study examines group and individual level changes from before training and again at six-month and one-year follow-up time-points.

At the group level analysis, three of the five TICOMETER domains (knowledge and skills, relationships, and policies and procedures) were higher when compared to pre-training scores. The remaining two domains (service delivery and respect) did not improve. Individual-level analysis showed some participants’ scores decreased following training. Overall, the training appeared to modestly improve the degree of TIC as measured by the TICOMETER and these effects were sustained at one-year follow-up.

Findings are limited by the design and low response rates at follow-up.

Training is necessary but not sufficient for the implementation of TIC and needs to be complemented with wider organisational and system-level changes.

This paper is the first UK study to use the TICOMETER.

Many changes in the law have occurred since the Sale of Food and Drugs Act, 1875, was placed on the statute book in an effort to regulate in some degree the supply of food. The battle to ensure that food should be of good quality, pure, wholesome and free from disease still continues, though the weapons used have changed somewhat from those early days, and the hands that wield them have been considerably strengthened by Acts which cover the ramifications of the public food supply in a more efficient manner than their predecessors. Despite all the experience gained over these many years of trial and error, the fact remains that the administration of the Food and Drugs Act, 1938, is still beset with problems, and the adulteration of food, either wilfully or through sheer ignorance, still continues. The maintenance of good health is brought about not only by a food supply of quantity, but also one of quality. The cost of providing and maintaining an efficient service for checking the purity of the nation's food is heavy, when one takes into account the money spent in maintaining and equipping departments for this purpose. This raises the question as to whether the effort is worth while and the results have justified the means in time and money expended. The answer is of course obvious. It is rather alarming to contemplate what would happen if no control existed and the zealous watch on food were relaxed. Especially is this so to‐day, when food is in short supply and buyers are not so particular with regard to quality as long as there is quantity. Does the average man‐in‐the‐street realise the steps taken by local authorities to protect his health and his pocket? He might occasionally see a report in the Press of a prosecution for food adulteration, but his mind travels no further than the immediate case in question. The work of officials in connection with food and drugs cannot be overestimated and it is to be hoped that new legislation which undoubtedly will be introduced in the years to come to meet the changing conditions will add strength to their activities in preserving the quality and standard of the people's food.