Equally important is re-examining and transforming the foundations of medical science, training, and patient care.
Transforming the Medical Model, Supporting Anti-Racism, Supporting LGBTQIA+ Care
All 3 of the scientific fields of Trauma, Health Equity, and Neurobiology are relatively new.
And it is easy to feel overwhelmed and pessimistic by the painful statistics about the harm from trauma and from structural violence.
However, A LOT of Healing Programs are being developed. This page includes a SAMPLE of Programs designed to prevent and heal trauma.
It is important to note that Indigenous Cultures have developed and practiced many regulatory healing practices and rituals for thousands of years. It is only recently that Western science has begun to comprehend the basic principles of Regulation and Healing - so that we can understand how complex and effective these Indigenous practices are.
Disclaimer: The content on the THEN Website is not a substitute for professional medical
advice, diagnosis or treatment. THEN does not endorse any specific type of Healing Therapy - and does not endorse any specific clinician.
Always seek the advice of your own physician or other healthcare provider.
THEN is excited to expand this list of Healing Programs. If you have a suggestion, please contact THEN.
Most experts recommend a combination of psychotherapy and body-centered healing (somatosensory healing)
EMDR - Eye Movement Desensitization and
EMDR therapy is designed to resolve unprocessed traumatic memories in the brain to allow normal brain function to resume.
- Dialectical Behavioral Therapy.
Four skills taught in DBT:
o Mindfulness: the practice of being fully aware and present in this one moment
o Distress Tolerance: how to tolerate pain in difficult situations, not change it
o Interpersonal Effectiveness: how to ask for what you want and say no while maintaining self-respect and relationships with others
o Emotion Regulation: how to change emotions that you want to change?
DBR - Deep Brain
DBR aims to access the core of the traumatic experience in a way which tracks the original physiological sequence in the brainstem, the part of the brain which is rapidly online in situations of danger or attachment disruption.
Neurofeedback is a computer-assisted approach to restore normal brain signaling which may have become unbalanced from traumatic experience.
Mindfulness promotes awareness that emerges from paying attention nonjudgmentally.
Mindfulness interventions may target emotional under- and overmodulation of emotional regulation and be effective in restoring connectivity between large-scale brain networks among individuals with trauma.
Expressive Arts Therapy
Expressive Arts Therapy seeks to help people discover just what forms of expression will be self-regulating, communicate their experiences in reparative ways, imagine restorative narratives, and ultimately support recovery.
Working with the "wisdom of the body," Somatosensory Therapy includes the body in therapy as both a source of information and target for intervention. RESOURCE: Ogden (2021) Impact of Relational Stress on Physiology, Posture and Movement
Positive childhood experiences (PCEs) - such as the presence of safe, stable, nurturing relationships and environments - support development of a flexible stress response system and
brain-body regulation - increasing the likelihood of health and well-being across the lifespan.
Early life PCEs are especially important to protect us by preventing and mitigating the impact of trauma.
PCEs may even be more important influencers of health than ACEs.
Some examples of PCEs are:
o Caregiver attunement and secure attachment
o Positive relationships with friends, teachers and community members
o Neighborhood safety
o Equitable access to resources for basic needs.
o Positive Childhood Experiences Scale (Bethel et al > see Resources below)
o Benevolent Childhood Experiences Scale (Narayan et al > see Resources below)
Hambrick EP, Brawner TW, Perry BD, Brandt K, Hofmeister C, Collins JO. (2019) Beyond the ACE score: Examining relationships between timing of developmental adversity, relational health and developmental outcomes in children. Arch Psychiatr Nurs
Bethell C, Jones J, Gombojav N, Linkenbach J, Sege R. (2019) Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample: Associations Across Adverse Childhood Experiences Levels. JAMA Pediatr.
Narayan AJ, Lieberman AF, Masten AS. (2021) Intergenerational transmission and prevention of adverse childhood experiences (ACEs). Clin Psychol Rev
The goals of the attachment based therapy treatment are to:
Triple P gives parents simple and practical strategies to help them build strong, healthy relationships, confidently manage their children’s behavior and prevent problems developing. Triple P is used in more 30 countries and has been shown to work across cultures, socio-economic groups and in many different kinds of family structures.
Intervention that works with parent and infant together, with the aim of improving the parent-infant relationship and promoting infant attachment and optimal infant development.
Optimizing the health and well-being of women and children are national and international priorities.
Women who remain healthy during pregnancy and after birth are more likely to stay healthy later in life and have better birth outcomes, influencing infant, child and adult health of the next generation. Therefore, the health and well-being of women matter to every person, society and country and are essential to the achievement of the Sustainable Development Goals (SDGs). The CDC estimates that almost 2/3 of pregnancy-related deaths are preventable. CDC Pregnancy-Related Death Data. Action is necessary across sectors and settings to eliminate avoidable maternal and perinatal mortality and morbidity. WHO Fact Sheet Maternal Health
Murphy (2020). Perinatal Support Through Community. The Power of Connection, Trust and Voice. North Carolina Medical Journal Describes innovation which has been shown to reduce preterm births and low birth weight babies while increasing breastfeeding.
Centering Pregnancy - a successful model for group prenatal care. (2015). Describes how to support group discussion of pregnant moms while protecting patient privacy.
Founded to address birthing issues in the Black community in U.S. This includes a mission driven by advocacy, programming, and building capacity of doulas and midwifes in the Black community.
A national network of black women-led organizations and multi-disciplinary professionals who work to ensure that all Black Mamas have the rights, respect, and resources to thrive before, during, and after pregnancy. Black Mamas Matter provides a FREE Toolkit to advance the human right to safe and respectful maternal health care.
SisterSong is the largest national multi-ethnic Reproductive Justice collective. Our membership includes and represents Indigenous, African American, Arab and Middle Eastern, Asian and Pacific Islander, and Latina women and LGBTQ people. Our purpose is to build an effective network of individuals and organizations to improve institutional policies and systems that impact the reproductive lives of marginalized communities.
The Purpose Built Communities model—is a coordinated holistic approach to tackle such complex, deeply-rooted issues as intergenerational poverty, unsafe environments, high crime, and failing schools presents many challenges.
"Our holistic approach grew from the knowledge that it’s not enough to improve or replace a single aspect of a struggling neighborhood." Key
o Defined Neighborhood
o Community Quarterback
o Mixed Income Housing
o Community Wellness
o Cradle-to-College Education Pipeline
Purpose Built Communities are now in 15 US States.
Vital Village (Massachusetts)
With a love of community and a recognition that the current model of health and child protection is broken, Vital Village is a visionary organization committed to maximizing child, family, and community well-being.
A culturally tailored, family-centered intervention for African American youth and their caregivers. The goal of SAAF is to prevent behavioral problems - and physical disease - among youth by strengthening positive family interactions, preparing youth for their teen years and enhancing caregivers’ efforts to help youth reach positive goals.
As described in the book, For Indigenous Minds
Only, many indigenous scholars, clinicians and activisits believe that healing the painful trauma of colonization (the root of Indigenous Health Disparity)
requires affirming specific principles. This approach to healing trauma is ancient - and yet new to us - and potentially transformational. Some principles:
o Healing can occur if the individual has learned to relate to their center and the natural world.
o Innate respect for each individual and their experience
o Life itself is the greatest teacher. Each person has their own hard realities as well as experiences that are joyous and pleasing.
o Reflection and sharing of experience in community allows us to understand our experience in the context of the greater whole.
A joint program of the Johns Hopkins Center for American Indian Health and the Navajo, White Mountain Apache, and San Carlos Apache Tribes, Family Spirit is an evidence-based culturally tailed home-visiting program to promote optimal health and wellbeing for parents and their children.
Basic Principles of Restorative Justice
From the National Association of Community and Restorative Justice
Restorative Justice is a way of healing and transforming the entire legal system, our family lives, our conduct in the workplace, our practice of politics. It is a vision of holistic change in the way we do justice in the world.
5 Principles of Restorative
from the Crisis and Trauma Resource Institute
Offers a FREE manual on application of Trauma Informed Care including
o How to develop Respectful Awareness
o Choosing Trust and Connection
o Recognizing Innate Strengths and Resilience
the Indigenous Roots of Restorative Justice
Restorative justice in the Westernized sense often indicates the implementation of tools used to resolve conflict, but indigenous peacemaking is inseparable from the restorative healing practices that are lived every day in connection with oneself, one’s community, and nature according to tribal traditions and lifeways. In recent decades in the US, Restorative Justice has been used to restore peace between crime victims and those who caused them harm, for persons harmed by structural violence (mass incarceration), and for the Child Welfare System.
All of these Healing Traditions use a Systems Perspective - seeing
- the Mind-Body are one interconnected system
- all living systems are constantly changing
- illness comes from imbalance (within the person, in the community or with nature)
- healing comes from restoring balance
Visit Integrative Medicine for All of the
A collaborative, multidisciplinary group committed to affordable, accessible integrative health care for all; dedicated to promoting health in underserved populations; shifting the current paradigm towards equity, wellness, prevention, patient empowerment, and self-care.
Ayurveda developed in India thousands of years ago as a "science of longevity" and continues to be practiced throughout the world, mainly in India and Nepal. Each person is felt to have a unique mixture of elements (doshas) - of vata, pitta, and kapha. Therapies include herbal medicines, medicinal oils, special diets, meditation, yoga, and massage.
NIH perspective on Ayurveda
Shamanic Healing Traditions
Shamanism is not a formalized system of beliefs or healing techniques. Shamanism is a group of activities and experiences shared by shamans in cultures around the world. Common principles:
o Unity with nature
o Unity of mind, body and spirit
o Importance of community
o Physical illness may have an emotional, spiritual or relational source
o Emotional suffering is not seen as "mental illness" but loss of the soul due to trauma
o Healing requires restoring right relationships between the person, their family, community and nature
"Nothing Heals Like Sport"
The Center for Healing and Justice through Sport
Sport is uniquely suited to support the healing of trauma because of the way sport inherently combines physical activity, relationships, routine, and competence building.
In contrast to some aspects of sports culture which may result in children (and adults) feeling that they don't fit in or aren't good enough, Trauma-Informed Sports can lead to increased confidence, connection and leadership.