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What we're working on

Trauma-informed approach

Trauma can have serious effects on health, behaviors, relationships, work, school, and other aspects of life. A trauma-informed approach (TIA)—often referred to as trauma-informed care (TIC)—is a promising model for organizational change in health, behavioral health, and other settings that promotes resilience in patients and staff.

How does it work?

A trauma-informed approach recognizes people’s symptoms and behaviors as signs of resilience—the ways in which they have bounced back, beaten the odds, or transformed their pain into something positive.

The Substance Abuse and Mental Health Services Administration (SAMHSA) envisions trauma-informed approaches as four key elements surrounded by six principles.

Key elements

  • Realize the impact of trauma.
  • Recognize the signs and symptoms of trauma.
  • Respond by integrating knowledge about trauma into policies, procedures, and practices.
  • Resist retraumatization.


  • Safety
  • Trustworthiness and transparency
  • Peer support
  • Collaboration and mutuality
  • Empowerment, voice, and choice
  • Cultural, historical, and gender issues

Learn more about trauma-informed approaches on the SAMHSA website.

How are we doing this work?

HCA has awarded nearly 1.4 million dollars in grants to organizations across the state to build on the trauma-informed work already happening across the state and to support interest that has been unfunded to date.

Distribution of awards and partnerships