What are trauma-informed practices?
It’s not an intervention or set of specific actions. Trauma-informed practices (sometimes referred to as trauma-informed care) are a model for understanding and compassionately serving people who live with, or are affected by, the consequences of toxic stress or trauma. First, by acknowledging the role that trauma has played in their health, behaviors, and relationships. Secondly, by providing services and support in ways that do not blame or re-traumatize a person in need.
Trauma-informed practices are rooted in empathy. They are a model to reduce the stigma that often surrounds mental and behavioral health disorders like depression, harmful substance use, chronic disease, and other effects of trauma. It is important to think about how we are approaching and supporting individuals who have experienced trauma. Rather than the typical medical approach of asking “what is wrong with you,” a trauma-informed approach would instead ask “what has happened to you?” This shift moves us away from the medical model to a more strengths-based perspective that highlights how common it is for trauma to be present in certain behavior and symptoms. It is a more holistic approach to caring for someone who is struggling.
The Substance Abuse and Mental Health Services Administration has helped establish the standard of care for practitioners with a set of essential principles and requirements for implementing trauma-informed practices in a wide variety of settings.
Six guiding principles
Strive to create environments where people feel physically and emotionally safe.
Collaboration and mutuality
Striving for dignity and equality in our relationships by sharing power and decision-making so that everyone has a role to play.
Trustworthiness and transparency
Striving to build and maintain trust by being transparent in our actions and choices.
Empowerment and choice
Striving to recognize, validate, and build on the strengths that people have to offer, and work to facilitate recovery rather than control it.
Striving to encourage trust and collaboration by sharing stories and lived experiences that promote recovery and healing.
Cultural, historical, and gender Issues
Striving to move past biases, recognize historical trauma and the healing power of cultural connections, and incorporate practices that are responsive to racial, ethnic, and cultural needs.
The four "R's"
The four “R’s” represent four step-by-step assumptions for implementing a trauma-informed approach.
Realizing the prevalence of trauma
In Wisconsin alone, nearly 60% of adults report at least one adverse childhood experience while growing up.
Recognizing how trauma affects individuals
Trauma can overwhelm a person's ability to cope and lead to negative consequences, including harmful substance use, as well as mental and physical health problems.
Responding by putting this knowledge into practice
Trauma-informed practices create safe environments for patients that promote healing and recovery by prioritizing people’s dignity, voice, and self-empowerment.
This means recognizing and taking steps to minimize situations that could cause distress or mirror the person's traumatic experiences.
Hope in Action
Hope in Action: An Environmental Scan of Trauma-Informed Efforts to Prevent and Address Substance Harm in Wisconsin reviewed more than 70 community programs working at the intersections of trauma and substance harm. By identifying what’s working well, what to avoid, and opportunities to maximize impacts, this report is a helpful tool for organizations seeking best practices, tools, and techniques for addressing the root causes of harmful substance use.
This 2020 report includes:
- A message from Governor Tony Evers.
- An overview of harmful substance use in Wisconsin.
- Effective principles, promising practices, common barriers, and key considerations for guiding trauma-informed efforts.
- Program profiles.
- Additional resources, including toolkits and training opportunities.
Download this report (PDF)
Watch: Trauma-Informed Care: Putting Humanity Back Into Human Services
This exclusive training webcast for people working in helper professions provides an overview of trauma, explores trauma in the workplace, provides an overview of trauma-informed care, and explores trauma-informed supervision. Watch the video. Contact Resilient Wisconsin with questions about this training.
Use these Resilient Wisconsin resources to guide your work.
Want to learn more about trauma-informed approaches and how to effectively implement these practices in your community or organization? Check out these additional resources.
- The National Child Traumatic Stress Network: Trauma-Informed Care
- Centers for Disease Control and Prevention: 6 Guiding Principles To A Trauma-Informed Approach
- ACES Connection: Trauma-Informed Toolkits
- Wisconsin Office of Children's Mental Health: Trauma-Informed Care Workgroup
- Substance Abuse and Mental Health Services Administration: TIP 57: Trauma-Informed Care in Behavioral Health Services
Take a closer look at the essential principles, evidence-based frameworks, and best practices that help public health professionals and others understand and promote resilience in our communities and organizations, in our relationships, and within ourselves.