Tiffany Lindsey

Policy Analyst

Dr. Tiffany Lindsey is a Policy Analyst at Chapin Hall. Her work focuses on quality improvement and system reform efforts in child welfare jurisdictions. Lindsey has specific expertise in applying safety science to improve the safety, reliability, and effectiveness of organizations. Her approach leverages tools like organizational assessments, team-based behavioral strategies, and systemic analysis of critical incidents, including deaths and near deaths, to help organizations learn and improve. Lindsey has over 10 years of experience in child welfare and is coauthor of two tools within the Transformational Collaborative Outcomes Management (TCOM) framework—the Safe Systems Improvement Tool (SSIT) and Team First: A Field Guide for Safe, Reliable, and Effective Child Welfare Teams.

Before coming to Chapin Hall, Lindsey served as a quality improvement director within Tennessee’s Department of Children’s Services (DCS). During her time at DCS, she oversaw the Department’s nationally acclaimed child death review process and was foundational to its creation. She provided leadership to DCS’ safety culture survey, confidential safety reporting, and several other applications in safety science. She taught team-based casework strategies at DCS’ Child Protective Services Academy, held in partnership with Vanderbilt University and the Tennessee Bureau of Investigation. Lindsey also has a strong clinical background working with vulnerable populations. In addition to her work at Chapin Hall, Lindsey serves as adjunct faculty for doctoral students within the School for Graduate and Continuing Studies at Trevecca Nazarene University and owns a small mental health counseling practice.

Lindsey is a licensed professional counselor with special designation as a mental health service provider. She holds a Master of Arts in Marriage and Family Therapy/Professional Counseling from Johnson University and a Doctor of Education in Leadership and Professional Practice from Trevecca Nazarene University.

Lindsey, T., Lomascolo, D., & Epstein, R. (2018, October). Spreading TCOM through spaced education. Breakout speaker. TCOM Annual Conference, Chicago, IL.

Simerly, M., Huggins, R., & Lindsey, T. (2018, October). Improving our culture: The use of the Safe Systems Improvement Tool (SSIT) and the Confidential Safety Reporting Systems (CSRS). Breakout speaker. TCOM Annual Conference, Chicago, IL.

Huggins, R., Simerly, M., & Lindsey, T. (2018, October). Safety Systems Analysis with special populations in child welfare. Breakout speaker. TCOM Annual Conference, Chicago, IL.

Lomascolo, D., Cull, M., Epstein, R., Lindsey, T., & Vogus, T. (2018, June). Advancing a safety culture in child welfare. Presented at the Academy Health Annual Research Meeting, Seattle, WA.

Cull, M., Lindsey, T., Lomascolo, D., & Epstein, R. (2018, May). Advancing a safety culture in child welfare. Peer reviewed poster presentation at the Institute for Healthcare Improvement National Congress, Boston, MA.

Lindsey, T. & Harris, D. (2018, May). Advancing a culture of safety in child welfare. Invited panel and breakout speaker at the “New England Association of Child Welfare Commissioner and Directors: New England Convening,” Portland, ME.

Cull, M., Epstein, R., & Lindsey, T. (2017, October). Development of a communimetric measure for child death review in child welfare. Presentation at the TCOM Annual Conference, San Antonio, TX.

Cull, M., & Lindsey, T. (2019). TeamFirst: A field guide of strategies and tactics to support safe, reliable, and effective child welfare teams. Chicago, IL: The Praed Foundation. Available at:

Lindsey, T. (2018). The effects of safety culture on the outcomes for children in state care. Trevecca Nazarene University, ProQuest Dissertation Publishing. doi: 10750794.

Cull, M., Lindsey, T., & Epstein, R. (2017). Safe Systems Improvement Tool. Chicago, IL: The Praed Foundation. Available at: