Trauma Informed Care
The science and information about trauma is growing rapidly. Years of research has identified the dramatic impact that chronic trauma has on brain development and functioning, particularly in early childhood. Trauma can impact not only our mental and physical health but it can also impact capacities as parents, friends, partners, and employees.
There are specific populations in which we know high rates of trauma exposure have occurred. These populations include those in the child welfare system, children and adults with mental illness, youth served in the juvenile justice system, homeless populations, domestic violence victims/survivors as well as adults in the criminal justice system.
Due to the high prevalence of trauma, especially in specific subpopulations along with the wide and diverse impact trauma exposure can have, more organizations and communities are becoming “trauma informed”. Trauma-informed care is an approach to engaging people with histories of trauma that recognizes the presence of trauma symptoms and acknowledges the role that trauma has played in their lives. This is a culture shift in which policies, practices and environments are viewed through the lens of trauma with a focus of doing no harm and building resilience. The core principles of trauma informed care include safety, trustworthiness, choice, collaboration and empowerment[3a].
The Department of Mental Health (DMH) offers support, training and consultation on trauma. Below are just a few of the many resources that now exist on trauma, including a document developed by DMH and its partner organizations which provides a roadmap and resources for becoming trauma informed.
- The MO Model: A Developmental Framework on Trauma Informed
- MO CD Trauma Informed Foundation
- Trauma Screening Policy Guidance
- HR Policy Guidance
- Organizational Requirements
1 "The Relationship of Adult Health Status to Childhood Abuse and Household Dysfunction", published in the American Journal of Preventive Medicine in 1998, Volume 14, pages 245–258 http://www.ajpmonline.org/article/S0749-3797(98)00017-8/abstract
2 Understanding the Effects of Maltreatment on Brain Development, Child Welfare Information Gateway, Children’s Bureau, Issue Brief, April 2015.
3 Finkelhor, D., Ormrod, R.K., Turner, H.A., & Hamby, S.L. (2005). The victimization of children and youth: A comprehensive, national survey. Child Maltreatment, 10(1), 5-25. (CV73)
3a Creating Cultures of Trauma-Informed Care (CCTIC): A Self-Assessment and Planning Protocol
Roger D. Fallot, Ph.D. and Maxine Harris, Ph.D. Community Connections, July, 2009. https://www.healthcare.uiowa.edu/icmh/documents/CCTICSelf-AssessmentandPlanningProtocol0709.pdf