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## Breadcrumb

            -           SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach      

# SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach

"SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach" responds to and recognizes the impact of trauma on many sectors in behavioral health and beyond. The paper introduces the concept of trauma and offers a framework for how organizations, systems, and service sectors can become trauma-informed.

The paper also expands on the following topics:
                      - Definition of trauma (the three “Es”):                         - Event(s)
                        - Experience of the event(s)
                        - Effect
                      - Definition of a trauma-informed approach (the four “Rs”):                         - Realize
                        - Recognize
                        - Respond
                        - Resist retraumatization
                      - Six key principles of a trauma-informed approach:                         - Safety
                        - Trustworthiness and transparency
                        - Peer support
                        - Collaboration and mutuality
                        - Empowerment, voice, and choice
                        - Cultural, historical, and gender issues
                      - Ten implementation domains:                         - Governance and leadership
                        - Policy
                        - Physical environment of the organization
                        - Engagement and involvement of people in recovery, trauma survivors, consumers, and family members receiving services
                        - Cross-sector collaboration
                        - Screening, assessment, and treatment services
                        - Training and workforce development
                        - Progress monitoring and quality assurance
                        - Financing
                        - Evaluation
                      - Sample questions to consider when implementing a trauma-informed approach

By cross-walking the key principles with trauma-specific content, this paper aims to provide a viable and unified framework that can be used to support the work of consumers, communities, and stakeholders. The engagement process with the public was a critical piece in creating such a framework for the many sectors who serve survivors and their families.

Download the digital version of “SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach.”

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