Throughout the organization, staff and the people they serve feel physically and psychologically safe.
• Safety throughout the organization, staff and people served
• Physical and psychological safety
• Physical Setting is safe
• Interpersonal interactions promote a sense of safety
Organizational operations and decisions are conducted with transparency and the goal of building and maintaining trust among staff, clients, and family members of those receiving services.
• Maximizing trustworthiness, making tasks clear, and maintaining appropriate boundaries
• Organizational operations and decisions are conducted with transparency
• Constantly building trust
These are integral to the organizational and service delivery approach and are understood as a key vehicle for building trust, establishing safety, and empowerment.
• Understood as the key vehicle for building trust, establishing safety and empowerment
• Utilizing their stories and lived experience to promote recovery and healing
There is true partnering and leveling of power differences between staff and clients and among organizational staff from direct care staff to administrators. There is recognition that healing happens in relationships and in the meaningful sharing of power and decision-making. The organization recognizes that everyone has a role to play in a trauma-informed approach. One does not have to be a therapist to be therapeutic.
• Maximizing collaboration and sharing of power with consumers and families
• Leveling of power differences between staff and clients and among organizational staff from direct care staff to administrators
• Recognition that healing happens in relationships and meaningful sharing of power and decision-making
• Everyone has a role to play in TIA: “one does not have to be a therapist to be therapeutic.
Throughout the organization and among the clients served, individuals' strengths are recognized, built on, and validated and new skills developed as necessary. The organization aims to strengthen the staff's, clients', and family members' experience of choice and recognize that every person's experience is unique and requires an individualized approach. This includes a belief in resilience and in the ability of individuals, organizations, and communities to heal and promote recovery from trauma. This builds on what clients, staff, and communities have to offer, rather than responding to perceived deficits.
• Strengthens clients and family member’s experience of choice
• Recognizes that every person’s experience is unique
• Individualized approach
The organization actively moves past cultural stereotypes and biases (e.g., based on race, ethnicity, sexual orientation, age, geography), offers gender responsive services, leverages the healing value of traditional cultural connections, and recognizes and addresses historical trauma.
• Organization actively moves past cultural stereotypes and biases
• Offers gender responsive services
• Leverages the healing value of traditional cultural connections
• Recognizes and addresses historical trauma
Six Guiding Principles of Trauma-Informed Care from the Substance Abuse and Mental Health Services Administration.
The Ohio Departments of Mental Health and Addiction Services (OhioMHAS) and Developmental Disabilities (DODD) collaborate on a statewide Trauma-Informed Care (TIC) Initiative intended to promote a greater sense of safety, security and equality among consumers/clients. TIC is an approach that explicitly acknowledges the role trauma plays in people’s lives. TIC means that every part of an organization or program understands the impact of trauma on the individuals they serve and adopts a culture that considers and addresses this impact. Working through six Regional Collaboratives, the initiative will expand opportunities for Ohioans to receive trauma-informed interventions by enhancing efforts for practitioners, facilities and agencies to become competent in trauma-informed practices.
Behavioral Health Equity: Lesbian, Gay, Bisexual and Transgender (LGBT) Resources on the LGBT population include national survey reports, agency and federal initiatives, and related behavioral health resources. http://www.samhsa.gov/behavioral-health-equity/lgbt (2016)
Trauma-Informed Approaches for LGBTQ Survivors of Intimate Partner Violence Contains a set or preliminary practice observations from the field, which are intended to inform the development of atrium-informed transformative justice approach to LGBTQ survivors of intimate partner violence (IPV) (2016).
Trauma-Informed Approaches for LGBTQ Survivors of Intimate Partner Violence Practice Observations Literature review that sets the context for thinking about trauma-informed practice (TIP) for the LGBTQ communities (2016).
Trauma-Informed Approach and Trauma-Specific Interventions SAMHSA aims to reduce the pervasive, harmful, and costly health impact of violence and trauma by integrating trauma-informed approaches throughout behavioral health systems. For more information, visit SAMHSA’s Trauma-Informed Approach and Trauma-Specific Interventions webpage.
Medical Director, OhioMHAS
Mark Hurst, M.D.
Regional Liaison Team Lead, DODD
TIC Interdepartmental Team
TIC Advisory Committee Members 2015
TICAC@mha.ohio.gov has been created for Advisory Committee members only to communicate among each other.
The emotional toll from the mass shootings in Orlando and Ohio recently continue to resonate both locally and throughout the state. Following a tragedy of this magnitude, mental health support can make a substantial difference in beginning to heal a traumatized community. SAMHSA has tools and resources to support survivors, community members, responders, and behavioral health providers to foster recovery and resiliency.
Tips for Survivors Managing Stress
Tips for Survivors Coping With Grief After Community Violence
Tips for Disaster Responders Understanding Compassion Fatigue
Tips for Disaster Responders Preventing and Managing Stress\
Tips for Disaster Responders Returning to Work
Tips for Families of Returning Disaster Responders: Adjusting to Life at Home
Tips for Talking with and Helping Children and Youth: A Guide for Parents, Caregivers and Teachers