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Hub AI
Trauma-informed care AI simulator
(@Trauma-informed care_simulator)
Hub AI
Trauma-informed care AI simulator
(@Trauma-informed care_simulator)
Trauma-informed care
Trauma-informed care (TIC), trauma-informed practice, or Trauma-and violence-informed care (TVIC), is a framework for relating to and helping people who have experienced negative consequences after exposure to dangerous experiences. There is no one single TIC or TVIC framework or model. Various frameworks incorporate a number of perspectives, principles and skills. TIC frameworks can be applied in many contexts including medicine, mental health, law, education, architecture, addiction, gender, culture, and interpersonal relationships. They can be applied by individuals and organizations.
TIC principles emphasize the need to understand the scope of what constitutes danger and how resulting trauma impacts human health, thoughts, feelings, behaviors, communications, and relationships. People who have been exposed to life-altering danger need safety, choice, and support in healing relationships. Client-centered and capacity-building approaches are emphasized. Most frameworks incorporate a biopsychosocial perspective, attending to the integrated effects on biology (body and brain), psychology (mind), and sociology (relationship).
A basic view of trauma-informed care (TIC) involves developing a holistic appreciation of the potential effects of trauma with the goal of expanding the care-provider's empathy while creating a feeling of safety. Under this view, it is often stated that a trauma-informed approach asks not "What is wrong with you?" but rather "What happened to you?" A more expansive view includes developing an understanding of danger-response. In this view, danger is understood to be broad, include relationship dangers, and can be subjectively experienced. Danger exposure is understood to impact someone's past and present adaptive responses and information processing patterns.
Trauma researchers Maxine Harris and Roger Fallot first articulated the concept of trauma-informed care (TIC) in 2001. They described trauma-informed as a vital paradigm shift, from focusing on the apparently immediate presenting problem to first considering past experience of trauma and violence. They focused on three primary issues: instituting universal trauma screening and assessment; not causing re-traumatization through the delivery methods of professional services; and promoting an understanding of the biopsychosocial nature and effects of trauma.
Researchers and government agencies immediately began expanding on the concept. In the 2000's, the Substance Abuse and Mental Health Services Administration (SAMHSA) in the United States began to measure the effectiveness of TIC programs. The U.S. Congress created the National Child Traumatic Stress Network, which SAMHSA administers. SAMHSA commissioned a longitudinal study, the Women, Co-Occurring Disorders and Violence Study (WCDVS) to produce empirical knowledge on the development and effectiveness of a comprehensive approach to help women with mental health, substance abuse, and trauma histories.
Several significant events happened in 2005. SAMHSA formed the National Center for Trauma-Informed Care. Elliott, Fallot and colleagues identified a consensus of 10 TIC concepts for working with individuals. They more finely parsed Harris and Fallot's earlier ideas, and included relational collaboration, strengths and resilience, cultural competence, and consumer input. They offered application examples, such as providing parenting support to create healing for parents and their children. Huntington and colleagues reviewed the WCDVS data, and working with a steering committee, they reached a consensus on a framework of four core principles for organizations to implement.
In 2011 SAMHSA issued a policy statement that all mental health service systems should identify and apply TIC principles. The TIC concept expanded into specific disciplines such as education, child welfare agencies, homeless shelters, and domestic violence services. SAMHSA issued a more comprehensive statement about the TIC concept in 2014, described below.
The term trauma- and violence-informed care (TVIC) was first used by Browne and colleagues in 2014, in the context of developing strategies for primary health care organizations. In 2016, the Canadian Department of Justice published "Trauma- (and violence-) informed approaches to supporting victims of violence: Policy and practice considerations". Canadian researchers C. Nadine Wathen and Colleen Varcoe expanded and further detailed the TVIC concept in 2023.
Trauma-informed care
Trauma-informed care (TIC), trauma-informed practice, or Trauma-and violence-informed care (TVIC), is a framework for relating to and helping people who have experienced negative consequences after exposure to dangerous experiences. There is no one single TIC or TVIC framework or model. Various frameworks incorporate a number of perspectives, principles and skills. TIC frameworks can be applied in many contexts including medicine, mental health, law, education, architecture, addiction, gender, culture, and interpersonal relationships. They can be applied by individuals and organizations.
TIC principles emphasize the need to understand the scope of what constitutes danger and how resulting trauma impacts human health, thoughts, feelings, behaviors, communications, and relationships. People who have been exposed to life-altering danger need safety, choice, and support in healing relationships. Client-centered and capacity-building approaches are emphasized. Most frameworks incorporate a biopsychosocial perspective, attending to the integrated effects on biology (body and brain), psychology (mind), and sociology (relationship).
A basic view of trauma-informed care (TIC) involves developing a holistic appreciation of the potential effects of trauma with the goal of expanding the care-provider's empathy while creating a feeling of safety. Under this view, it is often stated that a trauma-informed approach asks not "What is wrong with you?" but rather "What happened to you?" A more expansive view includes developing an understanding of danger-response. In this view, danger is understood to be broad, include relationship dangers, and can be subjectively experienced. Danger exposure is understood to impact someone's past and present adaptive responses and information processing patterns.
Trauma researchers Maxine Harris and Roger Fallot first articulated the concept of trauma-informed care (TIC) in 2001. They described trauma-informed as a vital paradigm shift, from focusing on the apparently immediate presenting problem to first considering past experience of trauma and violence. They focused on three primary issues: instituting universal trauma screening and assessment; not causing re-traumatization through the delivery methods of professional services; and promoting an understanding of the biopsychosocial nature and effects of trauma.
Researchers and government agencies immediately began expanding on the concept. In the 2000's, the Substance Abuse and Mental Health Services Administration (SAMHSA) in the United States began to measure the effectiveness of TIC programs. The U.S. Congress created the National Child Traumatic Stress Network, which SAMHSA administers. SAMHSA commissioned a longitudinal study, the Women, Co-Occurring Disorders and Violence Study (WCDVS) to produce empirical knowledge on the development and effectiveness of a comprehensive approach to help women with mental health, substance abuse, and trauma histories.
Several significant events happened in 2005. SAMHSA formed the National Center for Trauma-Informed Care. Elliott, Fallot and colleagues identified a consensus of 10 TIC concepts for working with individuals. They more finely parsed Harris and Fallot's earlier ideas, and included relational collaboration, strengths and resilience, cultural competence, and consumer input. They offered application examples, such as providing parenting support to create healing for parents and their children. Huntington and colleagues reviewed the WCDVS data, and working with a steering committee, they reached a consensus on a framework of four core principles for organizations to implement.
In 2011 SAMHSA issued a policy statement that all mental health service systems should identify and apply TIC principles. The TIC concept expanded into specific disciplines such as education, child welfare agencies, homeless shelters, and domestic violence services. SAMHSA issued a more comprehensive statement about the TIC concept in 2014, described below.
The term trauma- and violence-informed care (TVIC) was first used by Browne and colleagues in 2014, in the context of developing strategies for primary health care organizations. In 2016, the Canadian Department of Justice published "Trauma- (and violence-) informed approaches to supporting victims of violence: Policy and practice considerations". Canadian researchers C. Nadine Wathen and Colleen Varcoe expanded and further detailed the TVIC concept in 2023.