A Treatment Improvement Protocol: Trauma-Informed Care in Behavioral Health Services
AuthorU.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration
Peer ReviewedPanel contributed to the creation and editing of this document
MetadataShow full item record
Other TitlesTIP 57
Trauma-Informed Care in Behavioral Health Services
AbstractMany individuals who seek treatment in behavioral health settings have histories of trauma, but they often don’t recognize the significant effects of trauma in their lives; either they don’t draw connections between their trauma histories and their presenting problems, or they avoid the topic altogether. Likewise, treatment providers may not ask questions that elicit a client’s history of trauma, may feel unprepared to address trauma-related issues proactively, or may struggle to address traumatic stress effectively within the constraints of their treatment program, the program’s clinical orientation, or their agency’s directives. By recognizing that traumatic experiences and their sequelae tie closely into behavioral health problems, front-line professionals and community-based programs can begin to build a trauma- informed environment across the continuum of care. Key steps include meeting client needs in a safe, collaborative, and compas sionate manner; preventing treatment practices that retraumatize people with histories of trauma who are seeking help or receiving services; building on the strengths and resilience of clients in the context of their environments and communities; and endorsing trauma-informed principles in agencies through support, consulta tion, and supervision of staff. This Treatment Improvement Protocol (TIP) begins by introducing the scope, purpose, and organization of the topic and describing its intended audience. Along with defining trauma and trauma- informed care (TIC), the first chapter discusses the rationale for addressing trauma in behavioral health services and reviews trauma- informed intervention and treatment principles. These principles serve as the TIP’s conceptual framework.
Table of ContentsConsensus Panel.........vii KAP Expert Panel and Federal Government Participants ........ix What Is a TIP? ...........xi Foreword..........xiii How This TIP Is Organized ......... xv Te r m i n o l o g y . . . . . . . . . . . x v i PART 1: A PRACTICAL GUIDE FOR THE PROVISION OF BEHAVIORAL HEALTH SERVICES ......... 1 Chapter 1—Trauma-Informed Care: A Sociocultural Perspective ........... 3 Chapter 2—Trauma Awareness .....33 Chapter 3—Understanding the Impact of Trauma ............59 Chapter 4—Screening and Assessment ...............91 Chapter 5—Clinical Issues Across Services.............111 Chapter 6—Trauma-Specific Services ........137 PART 2: AN IMPLEMENTATION GUIDE FOR BEHAVIORAL HEALTH PROGRAM ADMINISTRATORS...............157 Chapter 1—Trauma-Informed Organizations ............159 Chapter 2—Building a Trauma-Informed Workforce .......173
CitationU.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. Trauma-Informed Care in Behavioral Health Services. Treatment Improvement Protocol (TIP) Series 57. HHS Publication No. (SMA) 13-4801. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.
Series/Report No.HHS Publication No. (SMA) 14-4816;
Rights/TermsAttribution-NonCommercial-NoDerivatives 4.0 International
front line information
trauma informed services
Treatment Improvement Protocols (TIP)
Mental health services
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/15502
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
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