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Trauma-Informed Care in Behavioral Health Services: A Treatment Improvement Protocol.

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United States Substance Abuse and Mental Health Services Administration. Center for Substance Abuse Treatment.
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Part of a series of Treatment Improvement Protocols (TIPs) developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) to provide best practice guidelines for the prevention and treatment of substance use and mental disorders, this TIP focuses on providing trauma-informed care in behavioral health services. Part 1 discusses the variety of ways that substance abuse, mental health, and trauma interact; the importance of context and culture in a person’s response to trauma; trauma-informed screening and assessment tools, techniques, strategies, and approaches that help behavioral health professionals assist clients in recovery from mental and substance use disorders who have also been affected by acute or chronic traumas; and the significance of adhering to a strengths-based perspective that acknowledges the resilience within individual clients, providers, and communities. Part 2 provides an overview of programmatic and administrative practices that will help behavioral health program administrators increase the capacity of their organizations to deliver trauma-informed services. Chapter 1 examines the essential ingredients, challenges, and processes in creating and implementing trauma-informed services within an organization. Chapter 2 focuses on key development activities that support staff members, including trauma-informed training and supervision, ethics, and boundaries pertinent to responding to traumatic stress, secondary trauma, and counselor self-care. Advice to Administrators and/or Supervisors is also provided and supports the organizational implementation of trauma-informed care (TIC). In addition, case illustrations, organizational activities, and text boxes reinforce the material. Part 3 has three sections: an analysis of the literature links to select abstracts of the references most central to the topic, and a general bibliography of the available literature. 35 exhibits and numerous references.

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