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What Is Trauma-Informed Care?

What Is Trauma-Informed Care?

Trauma-informed care, or TIC, recognizes that trauma can negatively impact people of all ages. TIC encourages health care organizations to take into consideration a person’s past traumatic experiences when providing care.

Becoming trauma-informed requires an organization to re‐examine its existing procedures that could be improved upon to make participants feel more comfortable and secure. It equips staff to be more empathetic and encourages them to create a more welcoming environment.

Overall, becoming trauma-informed involves:

  • Minimizing perceived threats
  • Avoiding re-traumatization
  • Supporting recovery

What is Trauma?

Trauma is a response to a disturbing event that is challenging to cope with. Trauma can cause feelings of helplessness, a lack of self-awareness, and the inability to effectively process emotions and experiences.

Trauma can have lasting effects on your physical, mental, behavioral, social and/or spiritual well-being.

Examples of traumatic experiences are:

  • Childhood neglect
  • Living with a family member with mental health or substance use disorders
  • Physical, sexual and emotional abuse
  • Poverty
  • Racism, discrimination and oppression
  • Sudden separation from a loved one or death
  • Violence in the community, war or terrorism

The Effects of Trauma on Health

The Adverse Childhood Experiences (ACE) study shows that when a child is exposed to adverse childhood experiences, they are at greater risk for chronic health conditions and risky behaviors.

The ACE study asked people to indicate the number of traumatic events they’ve experienced prior to the age of 18. It also provides an “ACE score” that consists of the sum of each traumatic experience question answered with “yes." Compared to people who scored a zero on this self-assessment, individuals with an ACE score of 4 or more were approximately:

  • 2x as likely to smoke
  • 2.5x more likely to have sexually transmitted diseases
  • 4x more likely to have chronic obstructive pulmonary disease
  • 7x more likely to consider themselves an alcoholic
  • 10x as likely to have injected street drugs
  • 12x as likely to have attempted suicide

The Pair of ACEs tree. At the top of the tree is "Adverse Childhood Experiences", which include maternal depression, emotional and sexual abuse, substance abuse, domestic violence, physical and emotional neglect, divorce, mental illness, incarceration, and homelessness. The roots of the tree are "Adverse Community Environments." These include poverty, discrimination, community disruption, lack of opportunity, economic mobility, and social capital, violence, and poor housing quality and affordability. This diagram is credited to Ellis and Dietz (2017).

How Trauma Affects the Brain

Experiencing childhood trauma can change your brain structure, resulting in long-term physical and behavioral health problems. Experiencing trauma causes your body to produce cortisol and adrenaline, which activate your body’s processes of fight, flight or freeze.

The Importance of Being Trauma-Informed

Being trauma-informed should be the standard, not the exception. Using trauma-informed approaches in work, family, community and everyday life can positively impact the lives of everyone involved