Trauma-Informed Solutions and Treatment Modalities

The National Center for Trauma-Informed Care & Alternatives to Seclusion and Restraint (NCTIC) as a division of the Substance Abuse and Mental Health Services Administration (SAMHSA) has established six key principles of a trauma-informed approach and trauma-specific interventions address trauma’s consequences and facilitate healing:

These principles may be generalizable across multiple types of settings, although terminology and application may be setting- or sector-specific:

  1. Safety
  2. Trustworthiness and Transparency
  3. Peer support
  4. Collaboration and mutuality
  5. Empowerment, voice and choice
  6. Cultural, Historical, and Gender Issues

from NCTIC/SAMHSA's Trauma-Informed Approach and Trauma-Specific Interventions

Utah's Trauma-Resiliency Collaborative does not endorse any specific intervention(s) and content below is for information purposes only.

Trauma-Informed Treatment Modalities

Addiction and Trauma Recovery Integration Model (ATRIUM)

ATRIUM is a 12-session recovery model designed for groups as well as for individuals and their therapists and counselors. The acronym, ATRIUM, is meant to suggest that the recovery groups are a starting point for healing and recovery. This model has been used in local prisons, jail diversion projects, AIDS programs, and drop-in centers for survivors. 

Cognitive Behavioral Intervention for Trauma in Schools (CBITS)

The CBITS program is designed to help mental health clinicians support students coping with post-traumatic stress disorder, depression, and behavioral problems resulting from a traumatic event. CBITS includes 10 group sessions, one to three individual sessions, and two parent information sessions. The group leader should have clinical skills to help students with trauma processing and the ability to troubleshoot if any students need extra help. 

Essence of Being Real

The Essence of Being Real model is a peer-to-peer approach intended to address the effects of trauma. The developer feels that this model is particularly helpful for survivor groups (including abuse, disaster, crime, shelter populations, and others), first responders, and frontline service providers and agency staff.

Psychological First Aid—Listen, Protect, Connect (PFA—LPC)

PFA—LPC is a toolkit to prepare school staff to be empathetic and supportive listeners. The PFA—LPC strategies are appropriate for supporting people experiencing the effects of daily stress or victims of traumatic stress.  

Risking Connection

Risking Connection is intended to be a trauma-informed model aimed at mental health, public health, and substance abuse staff at various levels of education and training. There are several audience-specific adaptations of the model, including clergy, domestic violence advocates, and agencies serving children.

Sanctuary Model

The Sanctuary Model® represents a theory-based, trauma-informed, trauma-responsive, evidence-supported, whole culture approach that has a clear and structured methodology for creating or changing an organizational culture.

Seeking Safety

Seeking Safety is an evidence-based, present-focused counseling model to help people attain safety from trauma and/or substance abuse. It can be conducted in group (any size) and/or individual modality. 

Support for Students Exposed to Trauma (SSET)

The SSET program is designed to help educators help students in the aftermath of traumatic events. SSET includes 10 lessons. The group leader should have the ability to effectively teach in a group, and the leader should have some type of clinical backup in case students need extra help. 

Trauma Affect Regulation: Guide for Education and Therapy (TARGET)

TARGET is a model designed for use by organizations and professionals with a broad range of experience with and understanding of trauma. The developer feels that TARGET works with all disciplines and can be used in all levels of care for adults and children.

Trauma Recovery and Empowerment Model (TREM and M-TREM)

The Trauma Recovery and Empowerment Model is intended for trauma survivors, particularly those with exposure to physical or sexual violence. This model is gender-specific: TREM for women and M-TREM for men. This model has been implemented in mental health, substance abuse, co-occurring disorders, and criminal justice settings. The developer feels this model is appropriate for a full range of disciplines.

Trauma Systems Therapy (TST)

Trauma Systems Therapy (TST) is a model of care for traumatized children that addresses both the individual child’s emotional needs as well as the social environment in which he or she lives. TST is about breaking down barriers between service systems, understanding a child’s symptoms in the context of his or her world, and building on a family’s strengths and dreams. TST is about leaving a better system. 

Trauma, Addiction, Mental Health, and Recovery (TAMAR)

Developed as part of the first phase of the SAMHSA Women, Co-Occurring Disorders and Violence Study, the TAMAR Education Project is a structured, manualized 10-week intervention combining psycho-educational approaches with expressive therapies. It is designed for women and men with histories of trauma in residential systems. Groups are run inside detention centers, state psychiatric hospitals, and in the community.

NCTSN: Treatments That Work

Treatments That Work

The National Child Traumatic Stress Network (NCTSN) and its various centers have developed and implemented a range of clinical treatments, mental health interventions, and other trauma-informed service approaches as a means of promoting the Network’s mission of raising the standard of care for traumatized youth and families. NCTSN's section on Treatments That Work includes links to roughly 30 evidence-based interventions backed by research and science to address symptoms and effects of trauma on children and families.

Please note:

While every effort has been made to ensure resources shared are safe and reputable, no resource is endorsed or guaranteed by Utah's Trauma-Resiliency Collaborative or its members.  No resource listed is in an any way a substitute for obtaining professional help.


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