Sanctuary Model

Scientific Rating:
Promising Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Sanctuary Model was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Sanctuary Model as listed below:

Typically, one of the Sanctuary faculty members will visit the client agency and conduct an organizational needs assessment prior to training. This information is used to tailor the initial 5-day training to best address some of the client agency's specific needs. More information is available by request; see contact information at bottom of the page.

Formal Support for Implementation

There is formal support available for implementation of Sanctuary Model as listed below:

Assignment to a faculty member, who is an organizational specialist in implementing the Sanctuary Model, is provided. The faculty member typically spends 3 years with each client agency providing both in-person and phone consultation several times a year. An annual conference is offered at which practicing agencies present workshops on innovations, research, challenges, successes and lessons from their use of Sanctuary in addition to presentations by national experts in the field of trauma.

Fidelity Measures

There are fidelity measures for Sanctuary Model as listed below:

Fidelity tool checklists that assess how well client agencies are practicing 5 of the Sanctuary Model tools, specifically Community Meetings, Psychoeducation, Red Flags, Safety Plans, and Team meetings, are available. In addition, a peer certification process, using the Sanctuary Implementation Standards to monitor fidelity of the practice of the Sanctuary Model for organizations who have implemented it, is also performed. The certification evaluation is intended to be a collaborative exercise in social learning in which Sanctuary Institute faculty members observe program functions, interview staff and clients and review documentation. This review process is conducted by a minimum of two evaluators, uses a strength-based approach to evaluation, upholds a high standard of rigor, and attempts to engage the organization in a constructive partnership to achieve success. The Sanctuary Implementation Standards are available at or by contacting Ms. Kamilah Francis at

Implementation Guides or Manuals

There are implementation guides or manuals for Sanctuary Model as listed below:

The Implementation of the Sanctuary Model is executed through a combination of trainings and consultations that are provided by the Sanctuary Institute Faculty members and are designed to align the practices, attitudes, and philosophies of an organization toward a trauma-informed perspective. There are a number of manuals available to organizations to assist in the implementation.

For Organizational Elements:

  • The Sanctuary Implementation Guide
  • The Sanctuary Implementation Workbook
  • The Sanctuary Direct Care and Indirect Care Staff Training Manuals

For Clinical/Client Oriented Elements:

  • The Sanctuary Psycho-education Manual for Clients
  • The Teaching Families about Sanctuary Curriculum
  • The Sanctuary Multi-Family Group Curriculum
  • Learning through Film Psycho-education Manual for Clients
  • Learning from our Leaders Psycho-education Manual for Clients
  • S.E.L.F. Psycho-education Manual for Clients
  • The Sanctuary Implementation Standards

Research on How to Implement the Program

Research has not been conducted on how to implement Sanctuary Model.