Name
F2 - Building Ethical, Trauma Responsive Integrated Care Systems in Higher Education
Teranda Knight
Date & Time
Thursday, May 7, 2026, 3:00 PM - 4:00 PM
Description

In this session, I share how my research uncovers the ways higher education and community health systems unintentionally “feed the beast” the harmful operational patterns that reinforce stigma, delay care, and widen inequities. Drawing on my work with trauma‑responsive leadership and integrated behavioral health workflows, I demonstrate how institutions can use attendance patterns, engagement data, and case‑management practices as ethical early‑intervention tools rather than punitive triggers. Using CJ Peek’s Three World View framework on clinical, operational, and financial, I walk participants through practical strategies for redesigning processes, so they support whole‑person care, which aligns with CFHA’s 2026 focus on real‑world integrated care solutions. My #neverfeedthebeast philosophy guides this transformation, helping leaders identify and eliminate the systemic behaviors that cause avoidable harm. #neverfeedthebeast philosophy guides this transformation, helping leaders identify and eliminate the systemic behaviors that cause avoidable harm.

Abstract
My research centers on a difficult truth: many institutions unintentionally replicate the very harm they aim to prevent. In higher education and community health settings, workflows designed for safety, compliance, or “risk management” often become reactive, punitive, or inequitable. Through my mixed‑methods research on systemic harm, leadership culture, and the replication of adversity, I explore how well‑intentioned processes such as attendance tracking, academic alerts, conduct referrals, or fragmented care coordination can reinforce stigma and delay timely behavioral health support.
In this presentation, I introduce a trauma‑responsive integrated care framework I developed to help institutions interrupt these patterns. Using CJ Peek’s Three World View (clinical, operational, financial), which guides the 2026 CFHA Conference focus on actionable integrated care solutions, I show how leaders and practitioners can operationalize ethical, efficient pathways that improve access without overwhelming staff capacity.

I walk participants through practical strategies, including:
• Transforming data points like attendance into early‑intervention opportunities that respect autonomy.
• Redesigning case‑management systems for smoother coordination, fewer handoff failures, and increased psychological safety.
• Embedding brief behavioral interventions within academic and student‑support structures.
• Using leadership practices and cultural norms to prevent systems from replicating adversity with my #neverfeedthebeast principle.
By sharing real workflows, decision pathways, and implementation templates, I give attendees tools they can immediately apply to their campuses or clinics. My goal is simple: to help organizations build systems that heal instead of harm, support instead of shame, and strengthen integrated care instead of fragmenting it.
Session Type
Concurrent
Objective 1
IDENTIFY the systemic behaviors, workflows, and cultural norms within higher education and community health settings that unintentionally reinforce stigma, delay care, or “feed the beast,” using examples aligned with CJ Peek’s Three World View framework emphasized by CFHA’s 2026 conference theme.
Objective 2
DESCRIBE how to transform reactive institutional processes, such as attendance alerts, academic flags, and fragmented case‑management pathways into trauma‑responsive early‑intervention tools that improve access, coordination, and whole‑person care outcomes.
Objective 3
APPLY a practical, trauma‑responsive integrated care model to redesign workflows and leadership practices in ways that reduce inequities, strengthen operational efficiency, and support sustainable integrated behavioral health systems.
Content Reference 1

Knight, T. (2025). The Plant of Leadership: Cultivating Ethical Growth in Times of Adversity. Virtually Renowned Consulting Access LLC.

Content Reference 2

American College Health Association. (2022–2025). National College Health Assessment Reports.

Content Reference 3

Peek, C. J. (2008). Planning care in integrated behavioral health: The Three World View Framework. (Seminal model referenced widely in integrated care implementation; used by CFHA to guide conference structure.)

Content Reference 4

Miller, B. F., Ross, K. M., & Peek, C. J. (2017–2024). Integrated Behavioral Health Implementation Literature. Various publications grounded in the IBH operational model commonly used within CFHA.

Content Reference 5

Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. U.S. Department of Health and Human Services.