Implementing Trauma-Informed Care in SUD Treatment and Recovery Settings

SAMHSA designated trauma-informed care as a best practice. Organizations that fully implement trauma-informed care will design policies, physical environments, and services that avoid re-traumatizing clients while promoting practices that reinforce resilience.

As stated by the Missouri Model for Trauma-Informed Care:

“The implementation of a trauma-informed approach is an ongoing organizational change process. A ‘trauma-informed approach’ is not a program model that can be implemented and then simply monitored by a fidelity checklist. Rather, it is a profound paradigm shift in knowledge, perspective, attitudes and skills that continues to deepen and unfold over time."

Implementing trauma-informed care is a multi-year process that often benefits from external facilitation and consultation. The goals of this multi-level transformation within an SUD treatment context are to create a culture that:

  • Realizes the prevalence of trauma.
  • Recognizes how trauma affects individuals
  • Responds by putting this knowledge into practice
  • Resists re-traumatization

For a summary of the stages of organizational implementation, please see the MO Model Developmental Model Framework.

Mid-America ATTC and TMC partnership on TIC in SUD treatment and recovery settings

Mid-America ATTC, in partnership with Truman Medical Center’s Center for Trauma-Informed Innovation, is committed to providing SUD treatment providers with the knowledge and support they need to become trauma-informed organizations. The Trauma-Informed Care in Behavioral Health (TIC in BH) team will be piloting an intensive technical assistance (TA) project with Osawatomie State Hospital (OSH) in Kansas. The goal of this project is to work closely with OSH leadership and staff to provide training and actively support a transformation in organizational culture to implement trauma-informed care (TIC) practices in all services. 

Over the next year, the TIC in BH team will use the insights they glean from this intensive TA to finalize a TIC TA guide for TTC's and behavioral health providers. Click here for an overview of the TTC TA guide

For more information, please contact Bree at

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