From Small Steps to Big Impact: Transforming Treatment and Staff Well-Being

In this episode of the Reflection Series, we sat down with Dr. Rain Carei, a psychologist at the Washington State Department of Corrections. For more than 15 years, Dr. Carei has walked alongside incarcerated women on their journeys of healing, helping them address trauma and prepare for life after prison. She reminded us that these women are still daughters, mothers, and neighbors, and that their recovery has a profound impact on families and communities across the state.

Dr. Carei highlighted a project called “Redesigning Quality Indicators to Improve Treatment Outcomes and Job Satisfaction.” The goal was simple but powerful: measure what truly matters. By focusing on real treatment outcomes rather than just processes, the team found ways to enhance care for women while also creating a more positive work environment for staff. When women feel supported in their recovery, staff also feel more energized and fulfilled.

The project started small, with limited resources and plenty of challenges. But by tracking progress, mentoring staff, and celebrating little wins, momentum grew. What began with one case eventually reached more than 300 women, all receiving trauma-informed treatment that made a lasting difference. Along the way, staff experienced less burnout and stress, proving that healing environments benefit everyone.

The impact doesn’t stop at prison walls. By addressing the root causes of incarceration, especially trauma, this work reduces the chances of women returning to prison and strengthens families and neighborhoods when they come home. Dr. Carei’s message is clear: even with limited resources, change is possible if you “Move forward anyway.” With persistence, compassion, and a focus on people, systems can shift toward hope and healing.