SAMHSA 2019 Awareness Day

Resources for Child Trauma-Informed Care

Awareness Day resource list for Child Traumatic Stress.

This resource provides information from various government agencies on what bullying is, what cyberbullying is, who is at risk, and how you can prevent and respond to bullying.

Child Welfare

Chadwick Center for Children and Families, Rady Children’s Hospital, San Diego. Trauma System Readiness Tool (PDF | 2.1 MB)
The TSRT is a self-report measure that was designed for child welfare systems to use as they assess the trauma-informed nature of their own system. The TSRT was designed to be administered to multiple informants across all levels of the organization, including caseworkers, supervisors, managers, and administrators. It can be completed across regions within a state or county. Results from the TSRT provide cross-informant data to each system detailing how front-line case workers’ responses from the survey are similar to or different from those of supervisors and administrators.

Chadwick Trauma-Informed Systems Project, Creating Trauma-Informed Child Welfare Systems: A Guide for Administrations (PDF | 5.1 MB)
This guide will help transform the wider community child welfare system, which includes all the major systems that impact children and families involved with public child welfare, including children’s mental health, into a multi-dimensional, trauma-informed, and evidence-based system better able to meet the unique needs of abused and trauma-exposed children.

Developing a Trauma-Informed Child Welfare System
This issue brief discusses the steps that may be necessary to create a child welfare system that is more sensitive and responsive to trauma.

NCTSN Child Welfare Trauma Training Toolkit: 2nd Edition
This webinar will share how the Child Welfare Trauma Training Toolkit (CWTTT) has been implemented in three different states by nonprofit organizations in partnership with their child welfare jurisdictions.

Understanding Trauma-Informed Care in the Texas Child Welfare System Data and Recommendations from the Field (PDF | 3.7 MB)
The report is an analysis of data and information gathered by Texas CASA related to trauma-informed training, services, and practice.

Drug Addiction

Virtual Opioid Addiction Treatment (OAT) ECHO Technical Assistance Initiative
The teleECHO clinic links expert specialist teams at an academic or medical “hub” with primary health care team members in local communities – the “spokes” of the model. Every teleECHO clinic includes a 30-minute talk followed by case discussions. Didactic topics include ACEs, opioid use disorder in special populations (adolescents, pregnancy), pain management, and addressing substance use disorder-related comorbidities.

Domestic Violence and Sexual Abuse

HRSA’s Strategy to Address Intimate Partner Violence (PDF | 391 KB)
In September 2017, HRSA launched a 3-year agency-wide strategy to address intimate partner violence through the provision of training, developing partnerships to raise awareness, increasing access to care, and addressing gaps in knowledge.

"Missing Children, State Care, and Child Sex Trafficking: Engaging the Judiciary in Building a Collaborative Response" (PDF | 1.5 MB)
This technical assistance brief is intended to educate judges about steps to be taken to assist in the location and recovery efforts for children missing from care by ensuring the legal guardians, social workers, and child advocates within child-serving agencies are aware of and engage assistance from the National Center for Missing & Exploited Children on behalf of these endangered missing children.

National Center on Domestic Violence, Trauma, and Mental Health: A Systematic Review of Trauma-Focused Interventions for Domestic Violence Survivors (PDF | 712 KB)
This paper reviews the trauma-based treatments that have been designed or modified specifically for intimate partner violence survivors and provides cautions and recommendations for moving forward.

Early Childhood

Early Childhood Trauma Wikipedia Page
The HRSA-led Early Childhood Trauma Collaborative Innovation Network (COIN), a subgroup of HRSA’s Infant Mortality Collaborative Improvement and Innovation Network, is composed of more than 50 individuals from 15 states, the District of Columbia, and 31 academic and local organizations to create infrastructures, systems, and supports in order to spread awareness and build resilience against early childhood trauma and toxic stress. For additional information about COIN, please contact

Putting the Pieces Together: A Toolkit on Developing Early Childhood Systems of Care (PDF | 4.1 MB)
This toolkit focuses on intervening early to promote positive mental health, prevent mental health challenges, and address mental health problems to achieve the best possible outcomes.

Justice System

Effective Strategies in Addressing Trauma in Children of Incarcerated Parents (1 hour, 27 minutes)
This webinar addressed trauma in children of incarcerated parents across systems; behavioral health, primary care, law enforcement, and community-based.

Mental Health Screening in Juvenile Justice Settings (PDF | 773 KB)
This resource is an overview of screening, accompanied by a four-phase, 10-step guide generated from input by the juvenile justice field.

Merging Care with Control Brief I: Why Engage Juvenile Justice in System of Care
This brief is the first in the series and explores specific reasons why integrating juvenile justice in a system of care is essential and necessary. The three-part policy series examines the following topics: (1) the importance of engaging the juvenile justice system in a system of care; (2) how to integrate juvenile justice into a system of care; and (3) financing strategies to sustain successful juvenile justice integration into a system of care.

Merging Care with Control Brief II: How to Integrate Juvenile Justice into System of Care
This brief is the second in the series and explores how juvenile justice can be integrated into a system of care. The three-part policy series examines the following topics: (1) the importance of engaging the juvenile justice system in a system of care; (2) how to integrate juvenile justice into a system of care; and (3) financing strategies to sustain successful juvenile justice integration into a system of care.


National Suicide Prevention Lifeline
If you or someone you know is experiencing signs of distress, please reach out to a mental health professional or get anonymous, 24/7, free support: text 741-741 or call 1-800-723-TALK (8255).

Primary Care

Health Partners Toolkit on Intimate Partner Violence
This HRSA toolkit is designed to assist primary care providers in establishing formal partnerships with local domestic violence programs to support trauma-informed care for survivors of intimate partner violence.

Providing Trauma-Informed Care at Health Centers for HIV-Positive Men Who Have Sex with Men (PDF | 4.4 MB)
This HRSA issue brief offers health centers an introduction to providing trauma-informed care for HIV-positive men who have sex with men (MSM). The overall aims are to help health center staff understand the disproportionate prevalence of trauma and stress-related disorders among HIV-positive MSM, recognize the relationship of trauma to overall health and decreased engagement in primary care among HIV-positive MSM, and apply promising practices in trauma-informed care to improve engagement of HIV-positive MSM in behavioral health and primary care.

SAMHSA/HRSA Center for Integrated Health Solutions (CIHS)
This is a national resource for technical assistance on the bi-directional integration of care (primary care in behavioral health settings and behavioral health in primary care settings). Please note a wealth of resources and tools on these relevant webpages:

Trauma-Informed Care

Taking Care of Yourself and Others Following a Tragic or Traumatic Event
This Jed Foundation resource provides guidance on how to address and cope with trauma as an individual and community.

Advancing Trauma-Informed Care Issue Brief: Key Ingredients for Successful Trauma-Informed Care Implementation (PDF | 350 KB)
Advancing Trauma-Informed Care Issue Brief provides a framework for organizational and clinical changes that can be practically implemented across the health care sector to address trauma.

ARTIC (Attitudes Related to Trauma Informed Care)
The ARTIC is one of the first psychometrically valid measures of trauma-informed care (TIC) to be published in peer-reviewed literature. The ARTIC is a measure of professional and paraprofessional attitudes favorable or unfavorable toward TIC.

Baker et al. 2016. Development and Psychometric Evaluation of the Attitudes Related to Trauma-Informed Care (ARTIC) Scale. School Mental Health 8(1): 61–76
This paper discusses accelerating research on trauma-informed care (TIC) and facilitating data-based decision making related to the adoption and implementation of TIC.

Creating Trauma-Informed Care Environments: Organizational Self-Assessment for Trauma-Informed Care Practices in Youth Residential Settings (PDF | 293 KB)
This organizational assessment form can be used for organizations just beginning or already practicing principles of trauma-informed care. The assessment tracks the potential use of one or more sources of data and the extent to which it is occurring in the organization for the purpose of determining existing components of trauma-informed care that need further assessment, planning, data collection, and implementation while highlighting those components where progress has been made.

Georgetown University Center for Trauma and the Community Resources
This resource is a comprehensive collection of resources on trauma-informed care perspectives and resources; trauma and depression resources; and assessment instruments developed by the Center for Trauma and the Community (CTC) and others.

GUCCHD (NTTAC) Trauma Informed Care Perspectives and Resources
A comprehensive web-based, video-enhanced resource tool comprised of issue briefs, video interviews, and resource lists tells a story of implementation of trauma-informed services and offers guidance and resources to help you on your implementation journey.

Home Visiting Issues and Insights: Creating a Trauma-Informed Home Visiting Program (PDF | 218 KB)
This HRSA issue brief focuses on how to incorporate a trauma-informed approach into home visiting programs.

NCTSN What is a Trauma-Informed Child and Family Service System?
This fact sheet details the components of a trauma-informed child and family service system.

Pathways Issue on Trauma-Informed Care for the Older Youth/Young Adult Population
This issue of Focal Point focuses on trauma-informed care and its growing relevance in research, official policy, practice methods, and organizational structure.

The Center for Health Care Strategies (CHCS) is leading an initiative on TIC (all ages, not specific to children/youth)
Advancing Trauma-Informed Care is a national initiative aimed at understanding how trauma-informed approaches can be practically implemented across the health care sector.

Trauma-Informed Schools

POSTVENTION: A Guide for Response to Suicide on College Campuses (PDF | 2.1 MB)
This Higher Education Mental Health Alliance (HEMHA) resource is intended for use by colleges and universities that are affected by and/or want to be prepared for campus crises and campus deaths. Suicide postvention efforts address the need for predetermined strategies to effectively and sensitively respond to campus deaths after they occur.

"National Association of School Psychologists, Creating Trauma-Sensitive Schools: Supportive Policies and Practices for Learning"
This handout outlines brief tips and policy recommendations for creating trauma-sensitive schools.

NCTSN Creating, Supporting, and Sustaining Trauma-Informed Schools: A System Framework (PDF | 881 KB)
This resource provides a system framework for trauma-informed schools.

UCLA Center for Mental Health in Schools, Responding to Crisis at a School (PDF | 2.9 MB)
This resource provides an overview of crisis assistance and prevention and resources needed for a school to be able to plan and implement a response to crises.

Understanding Trauma

The BHARP System of Care Trauma Resources
This tab includes various resources and references on understanding trauma and ways to address its impact.

Mental Health Connection of Tarrant County Trauma Resources
This resource provides a collection of publications on trauma, its causes, symptoms, and how to help.
The primary website of the National Child Traumatic Stress Network (NCTSN), offers information on various aspects of child traumatic stress, including trauma types, treatments and practices, and trauma-informed care; the site also provides access to over 875 free resources (including training curricula, fact sheets, resource guides, and videos) to help child-serving professionals as well as parents and caregivers better support children who have experienced trauma.

SAMHSA Serious Mental Illness and Trauma: A Literature Review and Issue Brief (DOC | 41 KB)
This paper summarizes the current science on the relationship between trauma and serious mental illnesses.

Understanding Child Trauma and the NCTSN (PDF | 372 KB)
This resource provides an overview of child traumatic stress and the National Child Traumatic Stress Network.

Understanding Trauma and Promoting Resilience in Vulnerable Children (1 hour, 7 minutes)
This webinar discusses how resilience can be developed and nurtured, and what parents can do to build resilient children.

What is Child Traumatic Stress? (PDF | 600 KB)
This fact sheet, produced by the National Child Traumatic Stress Network, provides an overview of child trauma, describes traumatic stress symptoms, and identifies ways children may be affected by trauma.

YMN Understanding Trauma Guide
This guide, produced by Youth M.O.V.E. National, provides a youth-focused overview on trauma, its symptoms, resources, and what an individual can do to help.

Resources for Caregivers

Age-Related Reactions to a Traumatic Event (PDF | 290 KB)
This fact sheet, produced by the National Child Traumatic Stress Network, describes how young children, school-age children, and adolescents react to traumatic events and offers suggestions on how parents and caregivers can help support them.

Arnold Palmer Hospital for Children
This resource is a list of archived articles for caregivers on mental health and youth.

Resources for Clinicians and Providers

Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 4th Ed
This HRSA-supported initiative provides health care professionals and maternal and child health programs updated recommendations for pediatric health promotion, health supervision, and anticipatory guidance for well-child visits. The Bright Futures/American Academy of Pediatrics Periodicity Schedule (PDF | 159 KB) presents the screenings, assessments, physical examinations, procedures, and timing of anticipatory guidance recommended for each age-based visit.

Bruns, et al. (2010). Intervening in the Lives of Youth with Complex Behavioral Health Challenges and Their Families: The Role of the Wraparound Process. American Journal of Community Psychology
This paper provides a review of the place of the wraparound process in behavioral health, including a discussion of the opportunities it presents to the field, needs for further development and research, and recommendations for federal actions that have the potential to improve the model’s positive contribution to child and family well‐being.

Family Trauma Assessment: Tip Sheet for Clinicians, NCTSN
This fact sheet provides information on how to get families to embrace the need for trauma assessment, the best practices in and appropriate domains for family trauma assessment, how to choose instruments and decide what to measure, and how to present results to the family.

HRSA’s Area Health Education Centers (AHEC)
Through community-based interdisciplinary training programs that partner with academic institutions, AHECs identify, motivate, recruit, train, and retain a diverse health care workforce committed to underserved and rural populations. Today, 49 AHEC programs with more than 260 centers operate in most states and the District of Columbia. Some regional AHECs sponsor provider trainings on trauma-informed care.

NCTSN Learning Center for Child and Adolescent Trauma
This source for online training offers free courses and resources on various aspects of child traumatic stress, including hundreds of webinars, eLearning modules, and videos (many offered for continuing education credit) on special populations, clinical training, service systems, and Psychological First Aid.

NCTSN Screening and Assessment: Considerations for Implementation
This fact sheet offers guidelines to consider when selecting trauma screening or assessment tools to implement in a given system.

Trauma Screening
This resource provides trauma-informed screening and assessment practices that help providers identify children’s and families’ needs early in the process and to tailor services to meet those needs.

Trauma Transformed
San Francisco Bay Area center created through a 2014 SOC grant award that promotes a trauma-informed system by providing trainings and policy guidance to systems of care professionals and organizations.

Trauma-Informed Oregon
This database is a collection of trauma-informed resources for fields of practice, organizations, training and education, and individuals and families.

Resources for Tribal Nations

National Indian Child Welfare Association Trauma-Informed Care Fact Sheet (PDF | 295 KB)
This fact sheet provides an overview on trauma, its effects, trauma-informed care as it relates to Indian Country.

Last Updated: 08/23/2019