The Four Underlying Assumptions That Trauma-Informed Care Is Based On

What is Trauma?

According to SAMHSA’s Trauma and Justice Strategic Initiative, “trauma” is described as “an occurrence, series of events, or accumulation of circumstances that a person experiences as physically and psychologically harmful or disturbing and has long-term negative effects on the individual’s personal wellbeing and physical, social, emotional, or spiritual well-being.”

Trauma may strike people of all races, ethnicities, ages, sexual preferences, genders, psycho – social backgrounds, and geographical locations. A traumatic incident may be a single occurrence, a sequence of occurrences, or a long-term illness (e.g., childhood neglect, domestic violence). Individuals, households, classes, neighborhoods, societies, and generations may all be affected by trauma. It usually overshadows a person’s or a public’s ability to cope, and it often triggers the “battle, flight, or freeze” response at the time of the case (s). Fear, weakness, and powerlessness are often felt as a result.

Traumatic incidents are often unforeseen. Individuals can be personally affected by the traumatic incident, encounter it, feel intimidated, or know about it from somebody they know. Incidents may be man-made, including a technological failure that triggers a catastrophe such as conflict, terror, sexual violence, or crime and also natural disasters (e.g., flooding, hurricanes, tornadoes). Trauma may strike at whatever age or phase of growth, and events that occur from outside planned life stages are often regarded as traumatic e.g., A teenager dying before a parent, a teenager developing cancer, a personal disease, or losing a career before retiring.

The Four Underlying Assumption

Through prevention to treatment, TIC is also a strategy and organizational approach which centers on how trauma can impact an individual’s life and responsiveness to behavioral health services. There are several different meanings of TIC, as well as different frameworks for implementing it through corporations.

All members of staff, including receptionists, admissions personnel, direct care staff, supervisors, managers, peer supports, and board members, must consider that an individual’s personal trauma history can profoundly affect his or her sensitivity to and involvement with programs, as well as experiences with staff and clients. Responsiveness to program instructions, policies, and interventions is also essential.

Since every trauma-informed care, agency, or structure recognizes the pervasive effects of trauma and acknowledges alternative pathways for recovery, trauma-informed care includes program policies, protocols, and practices to protect the weaknesses of those who have undergone trauma and also Identifies the signs and symptoms of trauma in employees, customers, and those who interact with the system, and reacts by completely incorporating trauma awareness into policies, processes, activities, and environments. The following are the four assumptions that trauma-informed care is based on:

  • Recognize That Trauma-Related Symptoms And Behaviors Are The Result Of Traumatic Experiences Being Adapted To.

Trauma-related symptoms and behaviors are viewed as an individual’s strongest and perhaps most durable effort to overcome, deal with, and develop above his or her traumatic experiences, according to trauma-informed care+ assumptions. Some people’s methods for adjusting and dealing have performed well in the past but aren’t working as well now. Some people struggle in one aspect of their lives but have managed to negotiate and worked perfectly in the others.

Survivors of trauma have a wide variety of experiences and signs of traumatic stress behaviors. The intensity of traumatic stress symptoms varies; they are frequently assessed by the degree of weakness or discomfort that clients record, and then they are based on a number of factors including the trauma itself, human history and attributes, social factor, social and cultural qualities, and available services.

The nature of the trauma and the traumatic stress responses that follow can have a significant impact on how people adjust to their surroundings, relationships, treatment, and recovery services.

  • Take A Close Look At Trauma In The Context Of People’s Daily Lives.

Multiple factors may influence a person’s reaction to trauma, whether it’s personal, group, or community-based. Individual features, genetic factors, both protective and risk factors, personal history, type of trauma, particular trauma features, amount and duration of trauma experience, and cultural significance of traumatic experiences are all factors to consider. Furthermore, the amount of losses associated with the trauma, internally and externally resources such as coping mechanisms and family care, as well as community responses, are all elements that influence an individual’s long-term responses to trauma.

Trauma cannot be examined via a particular perspective; rather, it must be examined through a relational lens that incorporates biopsychosocial, interpersonal, culture, and systemic the extent of individualistic or collective different cultures traits that are visible prior to and during the trauma. Housing availability, community response, compliance to or maintenance of family habits and structure, and degree of family support are all factors to address in the rapid and sustained response to the event(s), as well as the short- and long-term effects of the traumatic event(s).


  • Reduce The Possibility Of Retraumatization Or The Replication Of Previous Trauma Experiences.

Clients with a history of trauma are more likely to perceive specific treatment processes and activities as harmful, reflective of specific aspects of past trauma or abuse, or retraumatizing—feeling as if the past trauma is getting more frequent or the treatment experience is as risky and hazardous as previous traumas.

Clients may demonstrate feelings of helplessness or being stuck if they are not actively engaged in care decisions; if treatment methods or providers duplicate particular actions from the clients’ previous trauma experiences, they may show anxiety or react in the same way.

Seclusion or “time-out” procedures that isolate patients, misdiagnosing client symptoms as personality or other psychiatric conditions rather than traumatic stress reactions, experiences that command authority and care assignments that can intimidate clients are only a few of the possibly retraumatizing aspects of care. Ordering a client to wear a sign in group that represents one of their care problems, even though the task focuses on the client’s positive qualities, addressing clients as resistant, or portraying care as based on adherence to the provider’s values and interpretations of issues are examples of this.

  • Build a Secure Environment

The need to build a secure atmosphere is not new to trauma-informed care providers; it necessitates an organization commitment backed up by sound systems and guidelines. Creating protection in a trauma-informed setting, on the other hand, goes far beyond the traditional standards of physical plant safety, e.g., Protection of staff members, customers, and personal property, policies and practices, as well as those related to seclusion and restraint, emergency disaster preparedness management, and compliance to client rights are among the issues raised by facility, environmental, and space concerns. To build and support clients’ sense of physical and emotional protection, providers must be sensitive and modify the environment.


Note that several cross-cutting variables affect the perceptions, help-seeking attitudes, intervention reactions, and outcomes of patients, families, and communities who have experienced trauma as you read this assumption trauma-informed treatment is based on. Single, multiple, or chronic traumatic events, as well as the mental, cognitive, behavioral, and spiritual approaches to trauma, must be recognized within a social-ecological context that identifies the many factors that set the stage for healing prior to, during, and after traumatic events.