SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach

SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach

Prepared by SAMHSA's Trauma and Justice Strategic Initiative July 2014

U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Office of Policy, Planning and Innovation

Acknowledgements This publication was developed under the leadership of SAMHSA's Trauma and Justice Strategic Initiative Workgroup: Larke N. Huang (lead), Rebecca Flatow, Tenly Biggs, Sara Afayee, Kelley Smith, Thomas Clark, and Mary Blake. Support was provided by SAMHSA's National Center for Trauma-Informed Care, contract number 270-13-0409. Mary Blake and Tenly Biggs serve as the CORs.

Disclaimer The views, opinions, and content of this publication are those of the authors and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS.

Public Domain Notice All materials appearing in this volume except those taken directly from copyrighted sources are in the public domain and may be reproduced or copied without permission from SAMHSA or the authors. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, Department of Health and Human Services.

Electronic Access and Copies of Publication The publication may be downloaded or ordered from SAMHSA's Publications Ordering Web page at . Or, please call SAMHSA at 1-877-SAMHSA-7 (1-877-726- 4727) (English and Espa?ol).

Recommended Citation Substance Abuse and Mental Health Services Administration. SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

Originating Office Office of Policy, Planning and Innovation, Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD 20857. HHS Publication No. (SMA) 14-4884. Printed 2014.

Contents

Introduction ........................................................................................................................2 Purpose and Approach: Developing a Framework for Trauma and a Trauma-Informed Approach......................................................................................3 Background: Trauma -- Where We Are and How We Got Here ........................................5 SAMHSA's Concept of Trauma ..........................................................................................7 SAMHSA's Trauma-Informed Approach: Key Assumptions and Principles .....................................................................................................................9 Guidance for Implementing a Trauma-Informed Approach ..............................................12 Next Steps: Trauma in the Context of Community ..........................................................17 Conclusion ........................................................................................................................17 Endnotes ..........................................................................................................................18

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