It is widely accepted that the roots of trauma-informed care (TIC) as a concept and as a movement grew in the soil conceived and nurtured by the Substance Abuse and Mental Health Services Administration (SAMHSA), a bureau of the US federal government. In the years since the Dare to Vision conference in 1994, SAMHSA has produced three seminal publications that have defined, outlined, and tracked the evolution of the theory and practice of a trauma-informed approach (TIA).
SAMHSA released the most recent of those reports this year: Practical Guide for Implementing a Trauma-Informed Approach, which cites the Traumatic Stress Institute’s Whole-Systems Change Model to TIC as one of several frameworks used to develop their guide.
In 2014, SAMHSA published SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach, which defined the trauma-informed approach while also laying out six principles of TIA and 10 implementation domains to guide organizations and systems trying to make TIA culture change. Along with the work of Roger Fallot, Ph.D., and Maxine Harris, Ph.D., this document is widely cited as the theoretical underpinning of TIA and TIC. Later that same year, SAMHSA released Tip 57: Trauma-Informed Care in Behavioral Health Services.
Now, in 2023, SAMHSA describes the primary goal of its Practical Guide is to expand the discussion presented in SAMHSA’s earlier resources, specifically focusing on tools and strategies for implementing a trauma-informed approach. In the section entitled “Framework for this Resource”, it states, “multiple frameworks describe the process of planning and implementing a TIA at the systems and organizational level” (p. 10) and lists the TSI Whole-System Change Model as one of those frameworks....READ MORE
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