For all in-house training enquiries, click here or call us on (02) 8920 3611 to speak to our training team. Download our In-house Training Booklet here




"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

Practice Guidelines

These internationally and nationally acclaimed Practice Guidelines have served as the basis for Blue Knot Foundation's professional development training in this same area. Blue Knot Foundation provides training both scheduled and in-house from its extensive suite of packages. To find out more about our training, please visit:

Blue Knot Foundation’s 'The Last Frontier': Practice Guidelines for Treatment of Complex Trauma and Trauma Informed Care and Service Delivery present the collective wisdom of the last two decades of national and international research in the trauma field. They are poised to revolutionise possibilities for recovery for the large numbers of people with unresolved "complex trauma" - child abuse in all its forms, neglect, family and community violence and other adverse childhood events. They establish insights that optimism about recovery from complex trauma is warranted, and that childhood trauma can be resolved.

RACGP accepted clinical resource icon  The Last Frontier: Practice Guidelines for the Treatment of Complex Trauma & Trauma Informed Care and Service Delivery have been officially recognised as an Accepted Clinical Resource by The Royal Australian College of General Practitioners.

You can purchase a hard copy of the guidelines or register to download a copy.

                               PURCHASE A HARD COPY               REGISTER AND DOWNLOAD 

What experts are saying:

"The Guidelines are poised to spearhead the policy and practice reforms needed to respond appropriately to trauma across and within service sectors. Their widespread implementation is urgently needed to assist the recovery of those whose trauma is unresolved."
A/Prof Martin Dorahy, PhD, Associate Professor Department of Psychology University of Canterbury

"The Guidelines weave information from neuroscience and attachment theory with recovery-orientated, trauma-informed and therapeutic principles. They have been widely welcomed by the national and international community of consumers, workers and practitioners."
Adah Sachs Consultant Psychotherapist, London



Blue Knot Foundation would like to acknowledge the funding from the Federal Department of Health and Ageing which made the development of these guidelines possible.

The Hon Mark Butler MP, Federal Minister for Mental Health stated in a letter to Blue Knot Foundation (then ASCA): "I would like to congratulate you and your colleagues at Adults Surviving Child Abuse (ASCA) for the development of these Guidelines. The Australian government is committed to improving mental health care nationally, and I am grateful for your continued commitment to addressing complex trauma in adults who have experienced interpersonal trauma in childhood as the result of abuse in all its forms". Blue Knot Foundation is keen to work with government on the reforms needed to embed these guidelines into practice and close the gap between research knowledge and service responses. Identifying and appropriately addressing the needs of people who have experienced trauma is a major global public health challenge. These guidelines are an important step towards beginning to address this challenge. They set the standards needed to put research into practice both for trauma-specific services and trauma-informed services.

Latest Articles


Donate Now!


“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
Hours: Mon-Sun, 9am-5pm AEST

For media comment, please contact:
Dr Cathy Kezelman
+61 425 812 197
+61 2 8920 3611

For media enquiries, please contact: 
Jackie Hanafie
+61 3 9005 7353
+61 412 652 439


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, counselling, 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.