The most commonly used Trauma-Informed Approach framework that has been implemented in organisations, institutions, healthcare and communities is the one developed by Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services.


THE FRAMEWORK INTEGRATES KNOWLEDGE DEVELOPED THROUGH RESEARCH AND CLINICAL PRACTICE ALONG WITH VOICES OF TRAUMA SURVIVORS.

Over the last 20 years SAMHSA has been a leader in recognising the need to address trauma and stress and has been supporting the development of trauma-informed systems of care across public mental health.

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The three “E’S” OF TRAUMA:

EVENT(S) or circumstances including physical threat or psychological harm or significant neglect that impedes healthy development and/or overall functioning of an individual.
The individual’s EXPERIENCE of these events. A particular event that is traumatic for one might not be for another. Which often leads to the question of ‘Why me?’. However, the event experienced may be connected with a range of other factors including but not limited to cultural and individual beliefs, availability of social support, developmental or life stage of the individual etc.
The long lasting EFFECTS of such events forms a vital component. The adverse effects might have an immediate or a delayed onset. The duration of these effects could be long term or short term. Worse, in most cases the individual may not even recognize the connection between such events and the effects.

The four “R’S”: Key assumptions in a trauma-informed approach

All people at all levels of the program, system or organization, that is trauma-informed have a basic REALIZATION of the impact of trauma on individuals, families, organisations and communities.
All people at all levels of the program, system or organization, that is trauma-informed also have the required skills and knowledge to be able to RECOGNISE the signs of trauma. Trauma detection can be aided by trauma screening and assessment.
The program, system or organization also RESPONDS by applying principles of trauma- informed approach to multiple areas of functioning. It incorporates the knowledge that everyone involved is affected, whether directly or indirectly, by traumatic events experiences. Every member of the organization's staff, from the person who answers the door to the executives and the governance board, has to modify their language, actions, and policies to reflect the trauma that both adult and children as well as staff members may have experienced.
Preventing RE-TRAUMATIZATION of individuals impacted by trauma and stress by decreasing the occurrence of unnecessary triggers (i.e., trauma and loss reminders) and by implementing trauma-informed policies, procedures, and practices.

SAMHSA’s concept of trauma includes:

Manushee follows SAMHSA’s SIX KEY PRINCIPLES to implement trauma-informed approach through ongoing trainings, workshops and above all , continuously educating the leaders to realize the role of chronic stress and trauma in the lives of the individuals.

Safety

Trustworthiness and Transparency

Operations and decisions are transparent aiming towards building trust with individuals, staff aswell as their family members and anyone else involved in the organisation.

Peer Support

Collaboration and Mutuality

Empowerment, Voice and Choice

Cultural, Historical and Gender Issues

We Implement Trauma -Informed Approach in the following domains


  • Governance and Leadership
  • Policy
  • Physical Environment
  • Engagement and Involvement
  • Cross Sector Collaboration
  • Screening, Assessment and Treatment Services
  • Training and Workforce Development
  • Progress monitoring and Quality assurance
  • Evaluation