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It is the policy of the Oregon Health Authority (OHA) that all state and community providers, and those who oversee public mental health and addiction services:
Trauma can play a significant role in the lives of individuals with mental or substance use disorders. This is true whether the trauma was experienced in the past, present, or secondhand. Trauma is not always immediately obvious to others, or even to the person who experienced it.
As shown in this figure, when trauma occurs, it can prompt social, emotional and health difficulties across the lifespan. It has even been correlated with diseases and early death.
Trauma affects people in all walks of life. Traumatic experiences include adverse childhood experiences and any others that make the individual respond with fear, horror and helplessness. They include:
OHA advocates that all health care partners apply these four R’s throughout their organizations:
Organizations must apply a trauma informed approach using six key principles:
House Concurrent Resolution 33 (2017) recommends that all Oregon agencies work together to address trauma and provide trauma informed services. OHA is developing an agency-wide policy on trauma informed approaches to more effectively partner among OHA divisions and with other state agencies.
OHA behavioral health contractors must use trauma informed approaches in their service delivery. Coordinated care organizations (CCOs) are working toward this goal which has been integrated into the CCO 2.0 contract expectations.
OHA funds Portland State University’s Trauma Informed Oregon (TIO), a valuable resource working to shape national policies and standards. TIO has trained thousands of providers and maintains a highly visited interactive website with training, educational, referral and other resources.
Kathleen BurnsProgram and Policy Development CoordinatorChild and Family Behavioral Health Team Leadshe/her/hers
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