Think about the last time you felt genuinely safe and understood in a challenging situation. That sense of comfort and trust is at the heart of trauma-informed care.  

This approach recognizes that many people carry the effects of past trauma, which can shape how they experience life. By providing care with empathy, patience and respect, workers can create an environment where residents and clients feel valued, heard and supported. 

For those working in long-term care and home health, trauma-informed care is not just about improving resident and client experiences; it also benefits caregivers. When staff have the right tools and knowledge, they can build stronger relationships with residents and clients, reduce stress in difficult situations, and provide care that supports healing.  

What are the core principles of trauma-informed care? 

Trauma-informed care is based on five key principles: safety, trustworthiness, choice, collaboration and empowerment. These values all shape how care is delivered: 

1. Safety: People who have experienced trauma need to feel physically and emotionally safe. Safety involves clear communication, a welcoming space and respect for personal boundaries. 
   • Example: A resident or client with dementia may feel anxious when startled. Consider knocking before entering their room and introducing yourself each time, even if you’ve met before. It can help them feel safer and more in control. 

2. Trustworthiness: Trauma can make it difficult for people to trust others. Being honest, consistent and transparent helps build confidence in care providers. 
   • Example: A home health nurse can build trust by explaining each step of care before doing it. Saying, “I’m going to take your blood pressure now; let me know if you need a moment first,” reassures the resident or client.  

3. Choice: Giving residents and clients choices, even small ones, can help restore their sense of control. 
   • Example: Instead of saying, “It’s time for your bath,” a caregiver might ask, “Would you like to bathe now or after breakfast?” 

4. Collaboration: Residents and clients should be active participants in their care. Participating in their care helps them feel valued and respected. 
   • Example: A personal support worker assisting a client at home might say, “How do you usually like to start your morning routine?” 

5. Empowerment: Recognizing a resident’s or client's strengths and progress can build their confidence. 
   • Example: A long-term care home caregiver may notice a resident becoming more independent with daily tasks. Instead of immediately helping, they say, “I can see how much stronger you’ve gotten! Last week, you needed help getting to the dining room, and today, you walked there by yourself. That’s amazing progress.” 

Why it matters 

Many people receiving care have experienced trauma. A trauma-informed approach recognizes this and helps build trust and respect. Whether you work in a care home, visit clients at home or support them in another way, this approach creates a space where real healing can happen. 

It also helps workers. Understanding trauma makes it easier to handle challenging situations and improves teamwork. It creates a more compassionate workplace and helps prevent burnout. When workers feel safe and valued, they can provide better care without feeling overwhelmed. 

To learn more about creating a trauma-informed workplace, check out our March Get Psyched! or watch a past webinar on healing from the impact of trauma.