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Trauma-informed care: what the term means and what it changes

The phrase appears on a lot of Singapore service descriptions. Here is what it actually commits a provider to.

A person looking away from the camera, expression withdrawn.

Trauma-informed is not a treatment. It is a way of running a service so that it does not re-injure the people using it.

The underlying claim

A trauma-informed service assumes that a meaningful proportion of the people walking through the door have a trauma history, whether or not it has been disclosed, and designs around that assumption rather than waiting to be told.

What it looks like in practice

  • Explaining what will happen before it happens, so nothing is done to a person without warning.
  • Offering choice wherever choice is genuinely available, including about who is in the room.
  • Asking what happened to someone rather than what is wrong with them.
  • Not requiring a person to narrate the event in order to receive help.
  • Physical arrangements that reduce feeling trapped: seating, exits, noise.
  • Staff who are supported, because a depleted workforce cannot deliver any of the above.

What it is not

It is not trauma-focused therapy, which is a specific clinical treatment delivered by a trained clinician. A service can be trauma-informed and not provide trauma treatment. If you are looking for treatment for post-traumatic stress disorder, ask specifically what therapy is offered and by whom.

Where to find it in Singapore

The Institute of Mental Health lists trauma-informed care among its caregiver offerings, including a one-hour awareness talk covering trauma, how it presents in children and young people, and adverse childhood experiences, and a four-hour workshop for parents and caregivers covering integration, healing approaches and recovery.

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