Trauma-informed Systems Recognizes prevalence and impacts of trauma Recognizes primary and co-occurring affects of trauma, diagnoses or symptoms Assesses for traumatic histories & ongoing symptoms within the system Recognizes culture and practices that can be experienced as retraumatizing Minimizes power or control practices, attends to cultural development Practices collaborative caregiving and invites supporters Addresses training needs of staff to improve knowledge and sensitivity Practices objective, neutral language Maintains transparent systems, open to outside parties | Systems Lacking Trauma-Informed CareLacks education on trauma prevalence and common or universal precautions Shows over-diagnosis of schizophrenia, bipolar disorder, conduct disorder & addictive behaviors Displays cursory or no trauma assessment Values a "tradition of toughness" or "not dwelling on negativity" as best care approaches Maintains keys, security uniforms, manages staff demeanor, practices threatening or controlling behavior Maintains rule enforcers and expects compliance Practices fallback position of "patient-blaming" without training Practices labeling language, as well as manipulation and "attention-seeking" behavior Maintains closed systems, advocates are discouraged |