Trauma and Trauma-Informed Care

  • Leigh KimbergEmail author
  • Margaret Wheeler


Traumatic experiences can have life-long effects on a person’s health, well-being, and longevity. Preventing trauma and addressing its harmful sequelae require reorienting patient care, clinical operations, organizations, and community engagement to support resilience and healing. An approach informed by cultural humility that addresses unequal power imbalances and asks the question, “What happened to you?” rather than “What’s wrong with you?”, trauma-informed care promotes health equity in direct patient care, organizations, and communities. This chapter presents the foundational principles and mission of trauma-informed care and a practical framework called the 4 Cs (Calm, Contain, Care, and Cope) to transform theory into practice.


Trauma-informed care Trauma Resilience Cultural humility Power imbalances Structural violence Equity Self-care Practice change Behavioral health 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of General Internal Medicine, San Francisco General Hospital (SFGH)University of California, San Francisco (UCSF)San FranciscoUSA

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