The HOPETM Approach

Have a plan
Optimize each intersection
Pay attention to gut & observations
Encourage & extend hope


Have a plan
Optimize each intersection
Pay attention to gut & observations
Encourage & extend hope


HOPE Approach




The HOPETM Approach is a framework of interaction with patient-survivors of violence and abuse, based on the foundations of trauma-responsive care.

Create Impact Consulting uses the HOPE™ Approach, which is a framework for patient-survivor interaction that dovetails with and can be incorporated into any existing model of patient care you currently use. The HOPE™ Approach recognizes three key components: the organizational system, the frontline patient interaction, and the seamless bridge to community services; all critical elements for success.

For the unique issues of violence, abuse, and exploitation, Create Impact Consulting rejects the notion of “see one, do one, teach one.” In fact, we believe that identifying patients who have been victimized when you are not ready to offer something to them, can be detrimental and dangerous to them and to their trust in healthcare overall. In other words, while we want to get moving to interrupt the cycles at the intersection of health and violence, we believe strongly, it will be more effective for the long term, to ensure the entire system is ready to support patient-survivors prior to any staff training. In many cases, organizations have most of what they need, and we can help you to uncover your hidden and underutilized existing services in a way that is cost-effective!

The HOPETM Approach Involves

  • A strong belief in equity
  • Proactivity; having organizational support and infrastructure in place
  • Bridging internal and community services
  • Utilizing the unique and critical intersection of health and violence to interrupt cycles of violence understanding both the breadth and the limitations of the healthcare role
  • Flexible tools that enable healthcare staff and organizations to deliver excellent care, within their existing patient care model
  • A compassionate and realistic understanding that patients may or may not desire or be able to safely initiate steps for change at a particular time
  • Encouraging by extending a bridge and extending hope, versus “rescuing” (and even “empowering”) the patient-survivor which perpetuates a power differential


at the
of health
and violence







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