Community Connections
Research & Grant Funded Initiatives: Trauma 
W-TRES: A Randomized Controlled Trial of the Trauma Recovery and Empowerment Model (TREM) Group Intervention (2004-2008)
The Trauma Recovery and Empowerment Model (TREM) group intervention was developed at Community Connections in the 1990s by clinicians led by Dr. Maxine Harris. In the years since then, more than 1500 clinicians in over twenty states have been trained in this model. Based in both clinical experience and the research literature, TREM has become one of the major trauma recovery interventions for women. (See regarding its evidence base.)
In 2004, the National Institute of Mental Health funded a four-year study of TREM groups for women. Carried out in collaboration with a research team from the New Hampshire-Dartmouth Psychiatric Research Center (PRC), the study is enrolling 300 women trauma survivors with PTSD and severe mental health problems. The study design includes two conditions. 150 women will receive a full range of mental health and other community support services while 150 will participate in TREM groups in addition to the usual services. As a "randomized controlled trial" of TREM, women who agree to participate in the study will be assigned by chance to one of the two conditions. The North Baltimore Center, a full-service mental health agency in Baltimore, Maryland will join Community Connections as clinical sites for the project.
This study is an important next step that builds on the positive findings regarding TREM in the District of Columbia Trauma Collaboration Study. The more rigorous research design will enable us to examine with greater precision TREM's potential benefits in trauma recovery, focusing on trauma-related symptoms, other mental health concerns, substance abuse problems, and revictimization. Gregory J. McHugo, Ph.D., of the PRC is the Principal Investigator for the new study. From Community Connections, Roger D. Fallot, Ph.D. and Maxine Harris, Ph.D. are Co-Principal Investigators.  For more information about TREM please contact Roger D. Fallot, Ph.D.
For information about TREM training opportunities, please see our Training & Consultation page, Events Calendar, or contact Lori Beyer, MSW, Director of Trauma Training, at 202-608-4788 or at
See our Order Form to purchase the TREM group leader's manual, self-help workbook Healing the Trauma of Abuse, and other related interventions developed at Community Connections.
See Employment for current opportunities to join the staff of particular projects or team specialty areas at Community Connections.