The 6 Pillars of Trauma Informed Care

Rachel Archambault, M.A. CCC-SLP is speech-language pathologist who specializes in trauma-informed care (TIC). Rachel found TIC after experiencing a traumatic event at work on 2/14/18. She was looking for ways to help her students who had just undergone trauma as well as herself. She realized that not only would this help for those specific students, but that TIC could be applied to any setting, any population, and with any age group. As an SLP, she offers a unique perspective to how trauma informed care falls under her professional scope of practice as well as for other healthcare professionals and educators.

Key Takeaways:
Trauma based practice should be something practiced before visible trauma occurs. It’s a mindset. The six pillars should be proactively practiced to reduce the impact of trauma when it occurs. It is much more effective when used to prepare rather than heal.
The 6 Pillars of Trauma Informed Practices Safety Trustworthiness & Transparency Peer Support & Mutual Self Help Collaboration & Mutuality Empowerment & Voice and Choice Cultural, Historical, and Gender Issues Safety needs to be an ongoing, two way communication between teachers, staff, and admin to make sure that the individual needs of people are met. If someone does not feel safe, they are unable to learn or work.
Transparency is what builds trust because it lends a feeling of control and minimizes the feeling that information is being withheld. The examples of unannounced fire drills and welcome back bands  show us how to keep from triggering unknown past trauma.
We need to continuously balance the phrase "who would this harm if I acted in this way or didn’t share this information".
Turbulence on an airline example shows how some outside organizations handle trauma inducing events.
Traumatic experiences make peers rather than age, physician, or title.
Be wary of the pitfalls of labeling Big “T” trauma and Little “t” trauma
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