Traumeinformerte

Traumeinformerte, or trauma-informed, describes approaches and organizational cultures in health care, social services, education and related fields that recognize how common traumatic experiences are and how they shape people’s responses to care. A trauma-informed stance aims to avoid retraumatization and to promote safety, trust and healing by taking into account the effects of trauma on learning, behavior and health.

Core principles include safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice and choice; and cultural, historical and gender-responsive practice. These principles guide how staff interact, how services are designed, and how policies are implemented, with an emphasis on mitigating triggers and reducing power imbalances.

Implementation involves organizational readiness and leadership support, targeted staff training on trauma and its effects, and policies that embed routine screening with informed consent and optionality. It also includes trauma-informed assessment and care planning that prioritizes control and choices for service users, along with creating physical and relational environments that are predictable, respectful and supportive. Ongoing supervision, evaluation and adaptation are typically part of the process.

Applications and outcomes span many sectors, including health care, mental health services, education, child welfare, juvenile justice, veteran and homeless services. When implemented with fidelity and cultural sensitivity, trauma-informed approaches are associated with improved engagement, greater perceived safety, and reductions in retraumatization and burnout, though outcomes depend on context and resources.

Challenges include resource demands, staff turnover, ensuring appropriate follow-up after screening, maintaining cultural responsiveness, avoiding pathologizing individuals, and sustaining organizational change. Traumeinformerte practice is an ongoing process that requires leadership commitment, continuous training and active involvement from staff and communities.