While unique to the individual, generally the experience of trauma can cause lasting adverse effects, limiting the ability to function and achieve mental, physical, social, emotional or spiritual well-being. Trauma results from an event, series of events, or set of circumstances that is experienced by an individual as harmful or life threatening. This working definition will be kept under review and updated where appropriate to reflect new evidence. The evidence base exploring the use of trauma-informed practice in different settings and sectors is still being developed. The working definition presented in this document reflects the original internationally recognised definition developed by the United States Substance Abuse and Mental Health Services Administration (SAMHSA). This document seeks to address this gap by providing a working definition of trauma-informed practice for practitioners working in the health and care sector. However, there has been a lack of consensus within the health and social care sector on how trauma-informed practice is defined, what its key principles are and how it can be built into services and systems. They build on evidence developed over several decades. Trauma-informed approaches have become increasingly cited in policy and adopted in practice as a means for reducing the negative impact of trauma experiences and supporting mental and physical health outcomes.
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