Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.

The need for health and social services to be trauma- and violence-informed has never been so pressing. In the wake of COVID-19, racial violence intensified and violence against women spiked globally. Mental health for many is worsening, while the ongoing toxic drug overdose crisis provides horrendous evidence of the impact of trauma, violence, stigma, and social inequities. Service providers across sectors are increasingly impacted by these dynamics and, without supportive environments, are burning out. Implementing Trauma- and Violence-Informed Care aims to support health and social service organizations and providers to create environments, policies, and practices to mitigate the harms of structural and interpersonal violence and the trauma that ensues. The book is organized around case examples of trauma- and violence-informed care (TVIC) implementation and impact in diverse settings, providing how-to guidance for getting started, sustaining momentum, and assessing outcomes. The book describes the importance of TVIC at multiple levels, from individual practices to organizational protocols and system-level policies, emphasizing TVIC’s alignment with system transformation goals. In doing so, the book presents TVIC as a call to action to improve service user experiences and outcomes, efficient and effective use of resources, and the health and well-being of staff, while addressing and reducing health and social inequities.

The Workshop on Integrating New Measures of Trauma into the Substance Abuse and Mental Health Services Administration's (SAMHSA) Data Collection Programs, held in Washington, D.C. in December 2015, was organized as part of an effort to assist SAMHSA and the Office of the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services in their responsibilities to expand the collection of behavioral health data to include measures of trauma. The main goals of the workshop were to discuss options for collecting data and producing estimates on exposure to traumatic events and PTSD, including available measures and associated possible data collection mechanisms. This report summarizes the presentations and discussions from the workshop.

Most people accessing mental health and addiction services have experienced trauma. For those working in community services, treatment agencies and hospitals, providing "trauma-informed care" requires an understanding of the effects of trauma, and of how to create programs, spaces and policies that place priority on trauma survivors' safety, choice and control. Becoming Trauma Informed describes trauma-informed practice at the individual, organizational and systemic levels. This multi-authored collection brings together the voices of those who have integrated trauma-informed principles into various mental health and addiction treatment and social service environments, and of the diverse groups with which they work. Becoming Trauma Informed is an important resource for those who are working, or who are planning to work asaddiction andmental healthpractitioners and program and system planners."

Exposure to potentially traumatic events puts individuals at risk for developing a variety of psychological disorders; the complexities involved in treating them are numerous and have serious repercussions. How should diagnostic criteria be defined? How can we help a client who does not present with traditional PTSD symptoms? The mechanisms of human behavior need to be understood and treatment needs to be tested before we can move beyond traditional diagnostic criteria in designing and implementing treatment. No better guide than Retraumatization exists to fulfill these goals. The editors and contributors, all highly regarded experts, accomplish six objectives, to: define retraumatization outline the controversies related to it provide an overview of theoretical models present data related to the frequency of occurrence of different forms of trauma detail the most reliable strategies for assessment to provide an overview of treatments. Contained within is the most current information on prevention and treatment approaches for specific populations. All chapters are uniformly structured and address epidemiological data, clinical descriptions, assessment, diagnosis and prognosis, and prevention. It is an indispensible resource that expands readers’ knowledge and skills, and will encourage dialogue in a field that has many unanswered questions.

This book gives mental health professionals the knowledge and practical skills they need to provide effective treatment to individuals who engage in IPV and have a history of exposure to trauma.

Mental health practitioners are becoming increasingly aware that they are encountering a very large number of men and women who are survivors of sexual and physical abuse. This volume identifies the essential elements necessary for a system to begin to integrate an understanding about trauma into its core service programs. The fundamental elements of a trauma-informed system are identified and the necessary supports for bringing about system change are highlighted. The basic philosophy of trauma-informed practice is then examined across several specific service components: assessment and screening, inpatient treatment, residential services, addictions programming, and case management. Modifications necessary to transform a current system into a trauma-informed system are discussed in great detail as well as the changing roles of consumers and providers.This is the 89th issue of the quarterly journal New Directions for Mental Health Services.