If you have experienced childhood trauma, you can speak with a Blue Knot Helpline trauma counsellor including for support and applications around national redress

1300 657 380
Monday - Sunday
between 9am - 5pm AEST
or via email helpline@blueknot.org.au


Do you live with disability?  Have you experienced abuse, neglect, violence or exploitation?

For support for Disability Royal Commission or general support contact our National Counselling & Referral Service

1800 421 468
9am - 6pm AEST Mon- Fri
9am - 5pm AEST Sat, Sun & public holidays





"The Practice Guidelines for Treatment of Complex Trauma and Trauma Informed Care and Service Delivery fill the substantial gap in knowledge, understanding, and practice in the field of trauma, and bring hope to millions of trauma survivors."

Prof Warwick Middleton Psychiatrist

"The Guidelines set out the approaches needed to address trauma histories within clinical practice and mental health settings. I am very pleased to endorse the Guidelines and strongly support the implementation of trauma informed care and practice."

Janne McMahon OAM Director and Chair PMHCCN

“I think this is one of the most comprehensive analyses of the subject that I have read; Blue Knot Foundation is to be congratulated on having produced such a marvelous resource.”

A/Prof Carolyn Quadrio School of Psychiatry UNSW

"I have read the practice guidelines which I believe are unparalleled in their scope and detail. I believe they provide a comprehensive template which informs the optimal treatment of these patients. Therefore, I thoroughly endorse them."

Jeremy Butler Psychiatrist

“It was so good to see the robust way in which the Guidelines delineate how the long shadow of child abuse impacts on adult mental health years later.”

Dr Valerie Sinason Clinic for Dissociative Studies, London

Practice Guidelines

Welcome to Blue Knot Foundation’s Practice Guidelines portal

2012 Practice Guidelines
In 2012 Blue Knot Foundation launched our Practice Guidelines for Treatment of Complex Trauma and Trauma Informed Care and Service Delivery.

The publication was highly endorsed and acclaimed by clinicians, researchers, academics and people with a lived experience of complex trauma alike. Downloaded over 25,000 times the 2012 guidelines still stand and provide a helpful introductory guide for practitioners who are new to this work.  


Practice Guidelines 2019
Between 2012 and 2019 the clinical and research evidence around working clinically with complex trauma, including dissociation has exploded. This has necessitated the development of our 2019 updated Practice Guidelines for Clinical Treatment of Complex Trauma.

Again these guidelines have been extensively endorsed and acclaimed by global leaders in the complex trauma and dissociation field prior to their release – ‘truly remarkable – masterful - ground-breaking - milestone’. They provide an integrative guide for diverse practitioners working with complex trauma and dissociative clients.


Guidelines to Differences between Therapy for Complex Trauma and Standard Counselling Approaches and Guidelines to Therapist Competencies for Working with Complex Trauma and Dissociation 
(They are included within a single `Complementary’ Guidelines publication)

In addition a companion guide to the 2019 Guidelines – combined Complementary Guidelines which provide an overview of the differences between working with complex trauma clients and standard counseling approaches as well as a guide to therapist competencies for working with complex trauma and dissociation.

Dissociation Guidelines
Complex trauma-related dissociation underlies diverse presentations to health professionals and is often not detected. This means that many people do not receive appropriate responses and care. These Practice Guidelines for Identifying and Treating Complex Trauma-related Dissociation are for clinicians who work in a range of roles, come from different disciplines and have received diverse training but who want to enhance their ability to recognise and work with people experiencing complex trauma-related dissociation.




Supervision Guidelines
Organisational Guidelines for Trauma-Informed Service Delivery
`Stand-alone’ organisational guidelines: different from but complement the clinical guidelines

In 2012 we included the clinical and organisational guidelines in the one publication. Although it was important to present the 2012 guidelines in that format at that time, the trauma-informed organisational guidelines were somewhat overshadowed by the clinical set.

Although the clinical and organisational guidelines do complement one another, they also focus on different areas. This means that the diverse audience accessing them may conflate and confuse the different sets. Additionally, the sheer volume of material now available for each of these clinical and organisational domains has made an updated single publication untenable. For this reason, we have decided to release the updated clinical and organisational guidelines separately.

These reissued trauma-informed guidelines for services and organisations provide more detailed contextual information than the 2012 guidelines. This relates to the emergence and nature of the trauma-informed paradigm, issues which have arisen about it, and the current state and scope of
its implementation.


You may purchase hard copies of each publication or register and download each here

                               PURCHASE HARD COPIES               REGISTER AND DOWNLOAD 


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“Blue Knot Foundation has a key role to play in the building of community capacity in care provision to those who have experienced childhood abuse and trauma in any environment.”

NIALL MULLIGAN Manager, Lifeline Northern Rivers

“I think Blue Knot Foundation is a fantastic support organisation for people who have experienced childhood trauma/abuse, for their families/close friends and for professionals who would like to learn how to more effectively work with these people.”

Psychologist Melbourne

“It's such a beautiful thing that you are doing. Helping people to get through this.”


“It was only last September when I discovered the Blue Knot Foundation website and I will never forget the feeling of support and empathy that I received when I finally made the first phone call to Blue Knot Helpline, which was also the first time I had ever spoken about my abuse.”


"At last there is some sound education and empathetic support for individuals and partners impacted by such gross boundary violations.”


Contact Us

Phone: 02 8920 3611
PO Box 597 Milsons Point NSW 1565
Hours: Mon-Fri, 9am-5pm AEST

Blue Knot Helpline
Phone: 1300 657 380
Email: helpline@blueknot.org.au 
Hours: Mon-Sun, 9am-5pm AEST

For media comment, please contact:
Dr Cathy Kezelman
+61 425 812 197
+61 2 8920 3611
or ckezelman@blueknot.org.au

For media enquiries, please contact: 
Jo Scard
+61 457 725 953 
or jo@fiftyacres.com


The information and resources on this site are provided for general education and as information and/or a guide only.

They do not replace, and should not be used as a substitute for, counseling, therapy or other services, and should at no time be regarded or treated as professional advice of any kind. Personal needs and circumstances should always be carefully and thoroughly considered to determine the optimal approach in each individual case.