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	Trauma Informed Care
	People with SUDs often suffer trauma related to past events (physical/emotional/sexual abuse, interactions with the healthcare system, stigma, homelessness, etc.). Being in the clinic or hospital can retraumatize people with SUDs.
  Trauma Informed Care is an evidence-based approach to deliver healthcare in a way that recognizes and responds to the long-term health effects of the experience of trauma in patients’ lives.
  Below are resources to learn more about integrating trauma informed care into your own practice.
	
	  - Patients with SUDs are significantly more likely than the general  population to have a history of trauma. Positive interactions with patients  with SUDs can provide a bedrock of safety and trust.
- Create a welcoming and safe environment for patients as hospitals in  general can be a challenging place for patients with SUDs
- As much as possible do not stand over patient, rather sit with  patient meeting patient at eye level. 
- Be sure to clearly identify who you are and what your role is
- Allow patients agency and choices regarding treatment when at all  possible
- Ensure patients are aware that you are collaborating with them  towards a solution or goal that the patient wants and desires.
- Words matter. Use person centered language. Avoid using "addict,"  "clean,” dirty," "med seeking." Rather, use language such  as “a person with a substance use disoder,” “urine toxicology is positive (or negative),”  “experience symptoms of cravings and withdrawal,” etc.	
 
 
   
     
                             
                   
				     Harvard Health Blog: 
				     Trauma-informed care: What it is, and why it’s important
                     by Monique Tello, MD, MPH
		 Contributing Editor
                       Learn More