Evidence and Outcomes
Outcomes of Trauma Informed and Chronic Illness Aware Employment Support
The evidence points in a consistent direction.
The outcomes framework is built to be evidenced.
TRIUMPH RECLAIM is a programme in this commissioning space built on a convergent body of evidence from trauma science, employment support research, and public health policy simultaneously. The programme is co-led by Victoria Taylor (trauma specialism) and Stephanie Brown (chronic illness specialism), two directors whose lived and professional expertise spans both dimensions of this population's barriers. To our knowledge, few programmes address all three together. This page sets out the evidence base and the outcomes framework that supports it.
Outcomes designed around DWP style measures · 13 and 26 week sustained outcomes · Full cost analysis available
The Research Base
What the Evidence Tells Us
The four pillars of the evidence base each address a different dimension of the challenge. Together they make the case not just for trauma-informed employment support, but for this specific design: sequential, relational, long enough, and human enough.
SAMHSA's guidance on trauma informed approaches names safety as the first of six key principles.
SAMHSA, 2014
This is the evidential foundation for the Readiness phase. It explains why TRIUMPH RECLAIM cannot begin with employment support. It must begin with safety.
When safety comes first, everything else becomes possible.
TUC analysis found that 1.54 million economically inactive women gave long term sickness as their reason, up 48% in five years and the highest number on record.
TUC, May 2024
This figure names the scale of the problem TRIUMPH RECLAIM exists to address. Permanent labour market exit is not inevitable for this population. It is often the result of insufficient support at the right time.
The 26-week active programme, with outcome tracking continuing to 48 weeks, reflects this concern.
Permanent exit is not inevitable. It is often the result of insufficient support at the right time.
A systematic review found that higher relational continuity of care may be linked to better outcomes for people with serious mental illness.
Engström and colleagues, BMC Psychiatry, 2023
Relational continuity (the same two practitioners present with each cohort across all seven phases) is central to the design of TRIUMPH RECLAIM.
The programme is structured so that the same practitioner team is present from Readiness through to Mastery because research on continuity of care suggests that relationships support good outcomes.
The same two practitioners, wherever possible, every step of the way.
A review of supported employment found that ongoing support was described as vital for finding and keeping work, although results varied.
Patmisari and colleagues, PLOS ONE, 2024
This is part of the thinking behind the Integration phase, a phase many programmes do not include. TRIUMPH RECLAIM does not withdraw support at job entry. It intensifies it.
The sustained employment outcomes the programme targets at 13 and 26 weeks are supported by this design decision.
The programme does not end at job entry. It ends at mastery.
Outcomes Framework
What the Programme Measures
TRIUMPH RECLAIM uses an outcomes framework designed around DWP style outcome measures. Employment starts are evidenced through employer confirmation, payslips and trading evidence, and HMRC data where access is agreed. Sustained employment is measured at 13 weeks and 26 weeks post-placement. Every outcome is evidenced, documented, and reported to commissioners in both an interim report at week 26 and a final report at week 48.
| Outcome Measure | Target | How It Is Measured | When Reported |
|---|---|---|---|
| Programme Completion | 80% of enrolled participants complete the programme | Attendance records and phase registration | Interim report (week 26) and final report (week 48) |
| In Work, Self-Employment or a Work-Related Outcome at Exit | 65% of completers | Employment start confirmations, employer confirmation, payslips and trading evidence | Interim report (week 26) and final report (week 48) |
| Sustained Employment at 13 Weeks | 70% of completers | Employer confirmation, payslips and trading evidence, and HMRC data where access is agreed | Final report and ongoing milestone tracking |
| Sustained Employment at 26 Weeks | 60% of completers (about 48% of those enrolled) | Employer confirmation, payslips and trading evidence, and HMRC data where access is agreed | Final report (week 48) |
| Cost Per Participant | £13,000 fully loaded | Total programme cost divided by cohort size | Final report with full cost analysis |
For context, a summary of 28 studies of supported employment reports an average competitive employment rate of 55%, against 25% for comparison groups. DWP statistics show that 31% of Work and Health Programme participants reached a job outcome within 24 months. Our figures are targets, not results. TRIUMPH RECLAIM has not yet delivered a cohort, and the pilot and its independent evaluation are designed to test them.
Beyond Employment Outcomes
The Distance Travelled Data
Employment outcomes are not the only measure of impact. TRIUMPH RECLAIM tracks participant transformation across seven TRIUMPH pillars throughout the programme.
This distance travelled data is designed to show change even in participants who have not yet reached employment, and is designed to capture value to commissioners and to the broader public purse.
T
Trust
Rebuilding trust in self, body, and others. The foundation without which nothing else holds.
She learns to trust her own judgement again.
R
Reclamation
Moving from victim to protagonist. From patient to agent of her own life.
Her history becomes a source of strength, not shame.
I
Identity
Who she is. Not what happened to her, not what her body has done.
She knows who she is, independent of her history.
U
Boundaries
The capacity to protect what she needs, in the workplace and beyond.
She stops saying yes when she means no.
M
Energy
Understanding and managing energy as the asset it is, not the enemy it has felt like.
She works with her body, not against it.
P
Purpose
Meaningful work that aligns with her values and her actual capacity.
She knows what she is working toward and why.
H
Health
Physical, mental, and relational health as integrated and inseparable.
She is not managing her health. She is living alongside it.
Non-employment outcomes captured through the TRIUMPH pillar data, including improved health self-management, reduced crisis service usage, increased social participation, and improved family functioning, are designed to capture value to commissioners and to the broader public system.
These outcomes are documented in every final report and tell the story of transformation even before the employment headline is achieved.
Different women move furthest on different pillars. For many women with trauma histories the greatest movement is often in Trust and Identity. For many women living with chronic illness it is often in Energy and Boundaries, a change in their relationship with their own limits that most employment programmes never touch.
Value for Money
The Cost Analysis
TRIUMPH RECLAIM is designed to deliver value for money. At £13,000 per participant fully loaded, modelled cost recovery is around 21 months at cohort level.
21
Month modelled payback
Programme cost recovered through public savings alone
0.56
Year one benefit to cost ratio (modelled)
Modelled year one public savings cover about 56% of delivery cost
1.68
Three year benefit to cost ratio (modelled)
At cohort level, based on the modelled outcomes
The Health Economics Case
Each sustained participant generates £15,200 in illustrative annual public savings through reduced NHS usage, reduced benefits dependency, and tax revenue from sustained employment.
Across a cohort of twelve, with the projected outcomes applied, this equates to about £87,500 in illustrative annual public savings per cohort. Illustrative: twelve enrolled, 80% completing, 60% of completers in work at 26 weeks, £15,200 each.
What £13,000 Covers
The cost per participant includes practitioner delivery, programme management, assessment materials, venue and technology, supervision, evaluation, and contingency.
Seen enough to want a conversation?
The scoping call is thirty minutes. A direct conversation about your population, your contract requirements, and whether TRIUMPH RECLAIM is the right fit.
Book a Scoping Call Request Programme OverviewTRIUMPH®, TRIUMPH RECLAIM® and The TRIUMPH Framework® are registered trade marks of Mindset + Mastery Ltd (Company Number 16890773).
TRIUMPH RECLAIM is a programme by Mindset + Mastery, founded by Victoria Taylor and Stephanie Brown. We work with women experiencing economic inactivity due to chronic illness, trauma, or both.
email: [email protected] (for general enquiries)
Email: [email protected] (for commissioner and funder enquiries)
Email: [email protected] (for referral enquiries)
Phone: 020 8058 4508
TRIUMPH RECLAIM is a structured employment support programme delivered by Mindset + Mastery Ltd. It is not a regulated health or therapeutic service and does not constitute clinical treatment.
Mindset + Mastery Ltd operates a safeguarding policy for all programme participants. Details available on request.
Mindset + Mastery Ltd · Registered in England and Wales · Company No. 16890773 · Registered Office: 20 Wenlock Road, London, England, N1 7GU
Also part of the Mindset + Mastery ecosystem: victoriataylorspeaks.com | stephaniebrowninspires.com | mindsetplusmastery.com | visiblyher.org
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TRIUMPH®, TRIUMPH RECLAIM® and The TRIUMPH Framework® are registered trade marks of Mindset + Mastery Ltd (Company Number 16890773). © 2026
TRIUMPH®, TRIUMPH RECLAIM® and The TRIUMPH Framework® are registered trade marks of Mindset + Mastery Ltd (Company Number 16890773). © 2026