Stop Running on Heroics.
Start Building Capacity.

When demand is relentless and your team is stuck in crisis mode, effort alone won’t stabilize the system.

We build the structural capacity high-pressure organizations need to operate with reliability under sustained demand.

Does constant crisis mode feel "normal"?

Everything feels urgent.
You’re constantly putting out fires with no margin to think.
You’re making no-win decisions daily.
You’re one resignation away from real instability.
You can’t step away without something slipping.  
You don't remember what it's like to not be burnt out.
Sound familiar?  

This is what sustained pressure looks like when systems aren’t built to carry it.



Take our free assessment to see where pressure is concentrating (and what to stabilize first).

Most burnout solutions fall short. (But there is hope.)

Many burnout interventions focus on building individual coping:
resilience and self-care workshops,
staff wellness initiatives,
mindfulness and stress management training,
time management training,
team building days or company retreats,
trauma-informed care training,
burnout prevention webinars.

But when sustained demand exceeds structural capacity, no amount of effort, training, or motivation will stabilize the system.

High-pressure organizations need systems built to absorb stress, distribute load, and prevent chronic strain from routing through people.

See the structural approach we use instead →
matches with different levels of burnout

What Actually Builds Workforce Stability
And Gets You Out of Crisis Mode

You can't make the pressures or demands of the job go away. But you can change how they are carried within the system.

Workforce stability under chronic pressure does not mean finding ways to do less. (We all know that isn't usually a realistic ask.) And it isn't about just taking a deep breath or a bubble bath. (No amount of "self-care" is going to change the relentless pressure you face.) It’s about building structural capacity to carry more without collapse.

 High-pressure teams stabilize when they:  

  • Stop absorbing pressure silently at the frontline and correct where it actually originates. 
  •  Break recurring patterns that keep the same crises resurfacing week after week.  
  • Remove ambiguity about who decides, who enforces, and who follows through.  
  • Take moral and policy weight off individual staff and place it where it structurally belongs.  
  • Build systems that hold when leaders are tired, absent, or replaced.  
  • Embed trauma-informed care into authority, supervision, and workflow — not just training days.

That kind of stability doesn’t happen by accident. It requires a deliberate system for diagnosing pressure and correcting how it’s carried.

You can meet the relentless pressures without collapse.
Here's how.

We map where pressure is being generated and where it is landing — across leadership, frontline roles, policy demands, and workflow design. From there, we apply interventions proven to stabilize even the most chronically stressed and stretched teams: 

  • Immediate stabilization to reduce acute strain. 
  • Structural correction where recurring instability is rooted. 
  • Reinforcement mechanisms that ensure progress holds under turnover, growth, and continued demand. 

This is not a one-hour training. It is a staged, system-level intervention designed to increase capacity in high-pressure environments.

That’s the Staff Sustainability System™.

Staff Sustainability System framework -- three phases: Relieve, Reset, Reinforce

What are the Five Ives™? (We're glad you asked!)

Five Ives Framework -- five stages from Survive to Hive for organizational burnout or stress recovery

The Five Ives™ Framework is our proprietary research-backed model that maps the journey from crisis to sustainability across five universal stages.

This progression gives leaders a roadmap to know when and how to implement systems, initiatives, and strategies — avoiding the trap of one-off trainings and interventions that don’t stick.

It’s not about adding “one more thing.” The Five Ives™ help organizations know what will actually work in the moment they’re in.

What people say
This isn’t just “one more training.”
Hear what people have to say.
100%
rated the work useful for their day-to-day operations
85%
more willing to stay in the profession long-term
100%
of clients have renewed or referred new business
I wish this training was longer. Great information — looking forward to the next ones.
Healthcare Administrator AACHC cohort
Grace and high expectations. Brilliant. I just don’t see this being taught anywhere.
California Teacher CPCA cohort
They were transparent that we work in systems we can’t always change, but we can change how we respond.
Primary Care Leader California
I always look forward to this meeting and I have learned so much. Thank you for the knowledge and skills.
Classroom Teacher Head Start
They meet you where you are, customize what they deliver, and leave you with strategies your staff will actually use.
Thrive to Five · Lancaster, PA Jeniffer Potter, M.Ed., Director of Education Supports
You nailed this training. Resonant with the work, dialed into our biggest struggles.
Statewide Child Advocacy Leader Leadership cohort
This information can be applied in any setting. It will help me support my employees after a traumatic event.
Community Health Center Leader Arizona
Would you like to better serve your employees and those you serve? Five Ives™ is what you have been looking for.
Lighted Pathway Becky Dobbins, Founder
Founders
Meet Our Experts
Built by practitioners who understand what it costs to keep showing up in systems under pressure.
Jessica Doering, PhD — Co-Founder of Five Ives
Jessica Doering, PhD
Co-Founder, Five Ives™
Trauma care strategist helping high-stress, trauma-facing organizations stabilize their workforce and strengthen the quality of community care. More than a decade on the frontlines serving vulnerable populations — a rare combination of clinical insight, systems thinking, and practical leadership expertise.
Lauren Spigelmyer, M.Ed. — Co-Founder of Five Ives
Lauren Spigelmyer, M.Ed.
Co-Founder, Five Ives™
Trauma and behavior specialist helping trauma-facing organizations build stable, regulated, high-performing teams. More than a decade supporting individuals impacted by trauma — and the leaders who care for them — with deep expertise in frontline realities, organizational systems, and practical, trauma-informed implementation.
About
Five Ives™
Five Ives™ is a trauma-responsive workforce sustainability consultancy serving high-pressure organizations across the United States.
Co-founded by Jessica Doering, PhD (Cincinnati / Northern Kentucky) and Lauren Spigelmyer, M.Ed. (Phoenix), Five Ives™ helps organizations in healthcare, behavioral health, nonprofit, education, public safety, and legal services build the structural capacity to operate reliably under sustained demand. Engagements are delivered virtually nationwide, with limited in-person work.
Healthcare
Behavioral Health
Nonprofit
Education
Public Safety
Legal Services
We deliver the Staff Sustainability System™ — a staged, system-level intervention that changes how pressure is carried in trauma-facing teams.
Questions
What leaders ask us first
Five Ives™ is a trauma-responsive workforce sustainability consultancy serving high-pressure organizations across healthcare, behavioral health, nonprofits, education, public safety, and legal services. We deliver the Staff Sustainability System™, a staged, system-level intervention that builds the capacity for teams to operate reliably under sustained demand.
Executive directors, chiefs, VPs of HR and Operations, and Training Managers inside trauma-facing organizations. Our work has reached state primary care associations, community health center networks, behavioral health organizations, and statewide child advocacy leadership across the United States.
Burnout trainings target the practitioner. The Staff Sustainability System™ works at all four levels where burnout originates — Policy, Practice, Practitioner, and the People served — through three structured phases: Relieve, Reset, Reinforce. Engagements run over months, not hours.
Leaders rate the work 93–96% satisfactory and 100% useful for their day-to-day operations. Across multiple cohorts and fields, 85% of frontline practitioners say they’re more willing to stay in the profession long-term because of the work done with Five Ives™. And every client Five Ives™ has worked with has either renewed their engagement or referred new business.
Five Ives™ produces outcomes at every level of an organization — from how practitioners work to how the people they serve respond.
Healthcare & behavioral health
Across healthcare and behavioral health cohorts, 176 leaders rated the training immediately useful, with 100% reporting they could apply the material directly to their day-to-day work. Practitioners adopt the material immediately, which is what makes it hold.
Early-childhood education pilot
  • Every classroom that completed the program reached high fidelity in trauma-informed teaching practice (Teaching Pyramid Observation Tool) across two consecutive years, compared with fewer than half of non-participating classrooms.
  • Children improved four times as much as the comparison group on social-emotional screening (ASQ:SE-2) in a single year.
  • 90–97% of children met or exceeded social-emotional expectations on Teaching Strategies GOLD.
The Capacity Squeeze Map™ is a free organizational assessment that shows leaders where pressure is concentrating across their team and what to stabilize first. It is built for executive leaders in trauma-facing organizations and takes about ten minutes to complete.
Our core work is the Staff Sustainability System™, a multi-month engagement designed to change how pressure is carried inside a system. We take paid keynote and speaking engagements, but we do not deliver one-off training sessions as a stand-alone fix, because isolated trainings rarely hold under sustained demand.