TRB Newsletter 08/04/26

April 28, 2026•5 min read

Multi nation developments - Continuing developments across 4 nations in 3 continents.

Dear Colleagues, Partners and Members of the TRB Community.

The Trauma Regulation Board (TRB) continues to expand its work across four nations and three continents. Belize now joins the United States, Nepal and the United Kingdom as part of the TRB’s growing global presence. At every step, the TRB is committed to understanding cultural diversity at its core and embedding this understanding into trauma regulation practice.

Caribbean developments in Belize - testing TRB adaptability

With no advance preparation and with the real possibility of being redirected to Nepal even at airport check‑in the TRB established a base in Belize City. Time was taken to observe and understand the culture, daily life, and social dynamics of Belize, learning both the differences and the shared experiences across nations.

Belize marks the TRB’s first experience of assessing and establishing trauma regulation in the Caribbean. This includes identifying areas of pre‑existing and emerging trauma and exploring how trauma manifests in local communities.

Recruitment for TRB roles is now ongoing, with candidates being interviewed on a consistent basis. Diversity and cultural background is being intentionally woven into the TRB’s work to ensure it remains world‑leading, forward‑thinking and aligned with the needs of individuals and the wider needs of each nation.

Nepal - trauma effects following fire incidents

The unspoken trauma that follows disasters can profoundly shape the human experience. Life can be harsh and unforgiving and for many communities, tourism offers only a narrow window to earn income, support local employment and provide services to visitors.

The recent fire at the Annapurna Base Camp (ABC) hotel is a powerful example of the hidden trauma that can negatively affect mental health and worsen people’s lived experience. As the TRB grows its capacity to identify, prevent, reduce and support trauma, a unique opportunity arose to respond to this incident at unprecedented international speed.

The first Fire Box was delivered in under 15 days from the incident. It was carried by two fast‑moving and highly capable members of Team Nepal. As this newsletter is being written, a post‑fire exploration is underway. Kaleb and Baek an American and a Nepali gathered items for the Fire Box from across Kathmandu and Pokhara and completed an unguided ascent to ABC at remarkable speed.

Despite sore shoulders, their efforts now allow the TRB to demonstrate its commitment to post‑fire support and to the trauma care it can provide, not only in Nepal but also in the UK. This work will help deliver meaningful support to UK families affected by such incidents.

Nepal - trauma support for survivors of trafficking

Work also continues to develop trauma support for individuals intercepted in human trafficking across the Nepal-India border. A TRB team member recently undertook a volunteer visit to a previously visited safe house, providing support to both the girls and the staff.

The visit focused on ensuring that policies and procedures remain effective and that the foundations for future work are robust and appropriate for everyone involved. The lived experiences of the intercepted girls and the trauma they have endured were carefully considered, alongside the wellbeing of staff who remain consistently committed to the girls’ welfare.

The TRB is pleased with the findings from the safe house and remains committed to supporting all involved in international humanitarian and frontline contexts.

See newsletter dated 25th February for further details.

United States - advancing trauma regulation and collaboration

The TRB continues to conduct research across the United States, building new connections with leading organisations focused on military and first responder mental health. Collaborations at senior levels are developing rapidly, as the TRB stands ready to support and assess organisations seeking to regulate trauma more effectively.

Different nations require different approaches and considerations, but the TRB is prepared for these challenges.

Current areas of focus include:

Addressing unregulated support: Tackling unstructured or unregulated attempts at providing help.
Preventing harm: Reducing the risk of organisational and individual harm arising from poorly managed trauma exposure.
Enhancing performance and retention: Supporting workforce performance, resilience, and long‑term retention.
Supporting trauma‑exposed individuals: Helping those exposed to trauma access meaningful, appropriate support.
Improving wellbeing and reducing absence: Strengthening wellbeing, reducing sickness and absence, and building organisational capability.

The TRB is also learning more about existing social support networks that provide care to battle‑hardened troops from different generations, ensuring that new approaches complement and enhance what already exists.

Developing medical teams with integrated trauma awareness

Recruiting, training, retaining and developing the workforce remains central to building stable and resilient teams. In the United States, the TRB has begun integrating trauma preparedness, avoidance, reduction, measurement, recording and support into the rollout of medical teams.

When individuals feel supported and regulated in their roles, teams become stronger, workplaces healthier, and the quality of service delivery naturally improves. A supported workforce is not only more effective; it forms the foundation of safe, sustainable organisational practice.

The Trauma Regulation Board continues to lead the way in trauma regulation on the international stage. Individuals and organisations across the globe are already experiencing the benefits of structured, evidence‑informed trauma governance.

Be involved. Be connected. Be the change.

Contact[email protected].

How TRB Training Supports You

The TRB is offering the UK’s first trauma-governed workforce standard. Our CPD's and accredited programs help you engage with individuals affected by trauma and equip you with a solid foundation of trauma awareness by grounding practice in the Universal Trauma Practice Standards. The training reinforces the safeguards required for the trauma informed practitioner. It supports practitioners across all sectors most importantly, it enables anyone working with traumatised persons to align their practice with emerging regulatory expectations, ensuring that their approach is ethically robust, trauma‑aware, and compliant with the TRB’s evolving oversight framework.

Take Action Today

How to Register Your Interest

Reply to this email or contact:

📨[email protected]

Organisations wishing to participate in pilot conversations or early collaborations are welcome to get in touch

Together, we are building the first statutory pathway for trauma therapy and transforming how the UK defines, delivers, and regulates trauma care.

Advisory role - Expressions of Interest

Linkedin - Follow The Trauma Regulation Board

Contact email - Accreditation enquires