Trauma-Informed Care: National Center forA New Framework for Trauma-Informed CareHealing and Recovery Revolutionizing Mental HealthNCTIC promotes a dynamic learning The Center for Mental Health Services, National and Human Servicesexchange arising from the growing Center for Trauma-Informed Care providesrecognition of psychological trauma as consultation, technical assistance, and training toa pivotal force that shapes the mental, revolutionize the way mental health and humanemotional, and physical wellbeing of those services are organized, delivered, and managed,seeking healing and recovery with the while furthering the understanding of trauma-support of mental health and human services. informed practices through education and outreach.Knowledge about the prevalence and impact oftrauma has grown to the point that it is nowuniversally understood that almost all of those National Center for Trauma-Informed Careseeking services in the public health system 4550 Montgomery Avenuehave trauma histories. Trauma-Informed Care Suite 800 North(TIC) provides a new paradigm under which Bethesda, MD 20814the basic premise for organizing services is p: 301-634-1785transformed from “what is wrong with you?” f: 301-634-1801to “what has happened to you?.” TIC isinitiated through an organizational shift from NCTIC@abtassoc.coma traditional “top-down” environment to one www.mentalhealth.samhsa.gov/ncticthat is based on collaboration with consumersand survivors. Receive the latest news and information in trauma-informed care by signing up to ourIn true partnership, the path to healing is led e-mail list!by the consumer or survivor and supportedby the service provider. Within this dynamic For consultation, technical assistance, or traininglearning community where staff and clients requests, please contact the NCTIC Trauma Teamlearn from one another, consumers and at 301-634-1785 or NCTIC@abtassoc.com.survivors no longer experience a hierarchical The National Center for Trauma-Informed Care isapproach in service delivery. Those seeking funded by the U.S. Department of Health and Humanservices are empowered to proactively set Services, Substance Abuse and Mental Health Servicesgoals and manage their roads to health and Administration, Center for Mental Health Services.wellbeing. This, indeed, is a revolutionaryadvance in mental health and human servicesdelivery.Focus Not on Sickness, but on Wellness
A dynamic learning exchange to systemically transform the way we organize, deliver, and manage mental health and human services About NCTIC Making Trauma-Informed Programs and Services the Priority Violence, abuse, neglect, disaster, war, and Trauma-informed services acknowledge lived Some of the actions that programs, agencies, or other emotionally destructive experiences experiences as the bedrock for therapeutic institutions can take to begin the transformation create trauma and these experiences know no decision-making and promote consumer choice to a trauma-informed environment include: boundaries with regard to age, race, ethnicity, and empowerment, as necessary, for successful economics, gender, geography, or sexual treatment. A trauma-informed approach is based • Commit to a TIC Organizational Mission orientation. Trauma affects us all, directly or on the recognition that many behaviors and and Dedicate Resources to Support It indirectly, and can be devastating. responses (often seen as symptoms) expressed • Conduct Universal Screening for Trauma for by survivors and consumers are directly related While the prevalence of trauma is more All Consumers and Survivors to traumatic experiences that often cause recognized now than ever, there is still great mental health, substance abuse, and physical • Incorporate Values and Approaches Focused need to create trauma-informed environments health concerns. For many consumers and on Safety and Prevention for Consumers, with trauma-specific interventions that support survivors, systems of care perpetuate traumatic Survivors, and Staff consumers and survivors. NCTIC offers experiences through invasive, coercive, or forced consultation and technical assistance, education treatment that causes or exacerbates feelings of • Create Strength-Based Environments and and outreach, and resources to support this threat, a lack of safety, violation, shame, and Practices that Allow for Consumer and revolutionary shift in publicly-funded programs. powerlessness. Unlike traditional mental health Survivor Empowerment NCTIC is working closely with a wide variety services, TIC recognizes trauma as a central of human service organizations and agencies to • Provide Ongoing TIC Staff Training and issue. Incorporating trauma-informed values and support the systemic changes needed to bring Education services is key to improving program efficacy and about TIC. supporting the healing process. • Improve and Target Staff Hiring Practices NCTIC was created in 2005 and is funded by for TIC Understanding that a wide range of programs the Center for Mental Health Services (CMHS) and systems need to integrate trauma-informed • Update Policies and Procedures to Reflect through contract number 280-03-2900 to Abt practices, NCTIC provides technical assistance New TIC Mission Associates. Program managers include Susan to help these programs and services take Salasin as CMHS Federal Project Officer; Gail this critical and revolutionary step forward. With a better collective understanding of trauma, Robinson as Abt Project Manager and Danna Programs and systems that benefit from NCTIC’s more survivors and consumers will find their Mauch as Abt Organizational Change Advisor; services include mental health, substance abuse, path to wellness and recovery. And with a CMHS Public Health Advisors Mary Blake and criminal justice, victim assistance, peer support, greater public commitment to providing trauma- Wanda Finch; Mary Ann Beall, Ruta Mazelis, education, primary care, domestic violence, child informed programs and systems for survivors, and Jacki McKinney for survivor and consumer welfare, and others. we lessen and prevent a wide range of health, program development; the National Association behavioral health, and social problems for of State Mental Health Program Directors, generations to come. National Technical Assistance Center for training and technical assistance; and Witness Justice for training, education, and outreach.