Therapies – Trauma Informed Care
Compassionate Trauma and Substance Abuse Treatment
A Whole-Person Approach to Recovery at Meridian Recovery
TRAUMA AND ADDICTION
ARE DEEPLY CONNECTED 
For many struggling with substance use disorder, their addiction didn’t happen in a vacuum. It came on gradually, usually as an attempt to cope with other factors. Many who used drugs or alcohol did so to numb pain or as a coping mechanism to deal with emotions they struggled to manage. Understanding the connection between trauma and addiction is essential to the recovery process, and both need to be addressed together for treatment to be truly effective.
At Meridian Recovery, trauma-informed care is not just a program or a specific type of therapy. Trauma-informed care is the foundation of everything we do. Each clinician, all of the interactions with clients, and the entire environment in which we provide treatment, have an understanding of how trauma impacts the brain, the body, and the recovery process.
What Is Trauma-Informed Care?
Trauma-informed care is the overall clinical framework for providing care to those suffering from substance abuse and co-occurring trauma.[1] Rather than being a specific type of therapy, trauma-informed care encompasses the overall approach to treatment that recognizes the prevalence of trauma, how it affects mental health and behavior, and integrates that knowledge into all levels of the care provided.
SAMHSA defines trauma-informed care as a shift in understanding, going from asking “what’s wrong with this person?” to “what’s happened to this person?”[2] It incorporates creating an environment that affords safety, trustworthiness, peer support, collaboration, empowerment, and sensitivity to culture into all treatment. When trauma-informed care is used effectively, it creates an environment in which genuine healing can occur for individuals whose trauma has impacted their relationship with substances.
At Meridian Recovery, all clinical work is delivered with a trauma-informed care lens. This informs how our staff communicates with our clients, how we structure our treatment programs, and how we think about all aspects of our facility. We know that for many clients we serve, feeling safe is not a given, but something that we must intentionally create.
The Connection Between Trauma and Substance Use Disorder
The relationship between trauma and substance use disorder is well-documented and supported in research and is clinically significant. Research has demonstrated that individuals with a history of trauma, including adverse childhood experiences, sexual abuse, child abuse, domestic violence, and other traumatic events, are at an increased risk of developing substance use disorders than individuals who do not have a history of trauma.[3] This is not merely a coincidence.
Trauma has a significant impact on brain development and the neurological systems responsible for regulating stress, emotions, and impulse control.[4] For many individuals, drug and alcohol use begins as a way to cope with symptoms associated with post-traumatic stress disorder (PTSD), such as flashbacks, intrusive thoughts, hypervigilance, and emotional dysregulation.
Over time, a method of coping with trauma may eventually become an addiction and serve to compound the original traumatic experience and create an additional clinical issue.
Co-occurring trauma and substance use disorders are common, as SAMHSA has estimated that a significant number of clients presenting for substance use treatment have experienced trauma and are likely to meet diagnostic criteria for PTSD or other trauma-related disorders. Because of this, when treating a substance use disorder without addressing trauma, you are addressing only one part of the issue, leaving that individual vulnerable to continued struggles.
The Five Key Principles of Trauma-Informed Care
SAMHSA defines five key principles for trauma-informed care.[5]:
- Safety – Creating a safe environment, both physically and emotionally, so that clients feel truly safe. For someone with a history of trauma, safety cannot be assumed; it has to be built intentionally through every interaction with our team being consistent, trustworthy, and respectful.
- Trustworthiness and Transparency – Clearly and honestly explaining what is involved in treatment, what to expect, and how decisions are made. Trust can often be broken as a result of trauma, so rebuilding trust will require consistent follow-through and transparency from the clinical team.
- Peer Support – Understanding how much connection can aid in the healing process through connection with those who have shared similar experiences. Peer support is used throughout all programs as a therapeutic component, as well as a source of hope.
- Collaboration and Mutuality – Partnering with clients. Healing happens in relationships. Our clinical staff will work with clients, not stand above them.
- Empowerment and Choice – Clients should be provided with an opportunity to have input, choice, and agency during the entire treatment process. For someone whose trauma was the result of loss of control or loss of independence, it can be a therapeutic experience to have an opportunity to make meaningful decisions about their care.
These principles guide how Meridian Recovery interacts with all of our clients.
Who Benefits from Trauma-Informed Addiction Treatment?
Trauma-informed care is an approach to care, so anyone receiving care will benefit from it. However, it is particularly meaningful for someone who:
- Has childhood trauma, has been sexually abused, physically abused, or experienced other types of traumatic events.
- Has been diagnosed with PTSD or is exhibiting PTSD symptoms in conjunction with a substance use disorder.
- Has attempted treatment before but did not feel safe or did not find a good fit with their previous program.
- Uses or has used substances to provide themselves with relief from emotional pain, intrusive memories, or overwhelming stress.
- Feels ashamed about their past, blames themselves, or does not trust their provider. This can prevent them from fully engaging in treatment.
- Has a co-occurring mental illness.
No one needs to have a formal diagnosis of PTSD in order to benefit from receiving trauma-informed treatment. Anyone who has been affected by painful or difficult experiences in their life will benefit from the trauma-informed model of care, which provides them with a more respectful and safer way to receive treatment.
Trauma-Informed Care at Meridian Recovery
Trauma-informed care at Meridian Recovery is a clinical commitment that runs through every aspect of how we work with our clients. Here are a few examples of what this looks like in practice:
- A Trained and Trauma-Aware Clinical Team – All clinical staff members have received training on the impact of trauma on behavior, emotional regulation, and recovery. They incorporate their learning into every client interaction.
- A Safe Environment – The way our treatment environment is designed, as well as the manner in which our staff members communicate with our clients, is designed to create safety for trauma survivors by minimizing triggers and creating a greater sense of respect, which survivors need in order to engage.
- Delivery of Evidence-Based Therapies – Trauma-informed care at Meridian Recovery is integrated with the delivery of evidence-based treatments such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), individual therapy, and group therapy. This approach informs the way that these therapies are delivered so that there is no accidental re-traumatization.
- Dual Diagnosis Treatment – We do not treat trauma and substance use separately. Instead, we use an integrated, coordinated treatment plan that treats them simultaneously. Research indicates that concurrent treatment is the most effective means of treating individuals that have co-occurring trauma and addiction.[6]
Healing Is Possible When You Feel Truly Safe
If you or a loved one has a history of trauma and is struggling with substance use disorder, Meridian Recovery is here to help. Our trauma-informed approach ensures that every person who walks through our doors is met with the safety, respect, and clinical expertise their recovery requires.
Frequently Asked Questions About Trauma-Informed Addiction Treatment
How does trauma affect substance abuse?
Trauma affects the areas of the brain that control stress, emotions, and impulse control, making those who have experienced trauma vulnerable to developing substance use disorders. Many individuals use drugs or alcohol to try to relieve their pain, hypervigilance, and emotional dysregulation resulting from their traumatic past. Treating both at the same time is necessary for long-term recovery.
Do most people with addiction have a trauma history?
Studies show that a good portion of people undergoing treatment for substance use disorder have suffered from trauma and are likely to meet the diagnosis criteria for post-traumatic stress disorder or other trauma-related disorders. Adverse childhood experiences, sexual abuse, and domestic violence are all significant indicators of developing a substance use disorder later in life.
What are the five key principles of trauma-informed care?
According to SAMHSA, the five components are: safety, trustworthiness and transparency, peer support, collaboration and mutuality, and empowerment and choice. These principles create a treatment environment that purposefully creates a space for real healing.
Sources
[1] [5] Substance Abuse and Mental Health Services Administration. (2024). Trauma-informed approaches and programs. https://www.samhsa.gov/mental-health/trauma-violence/trauma-informed-approaches-programs
[2] [3] [4] [6] Substance Abuse and Mental Health Services Administration. (2014). Trauma-informed care in behavioral health services. Treatment Improvement Protocol (TIP) Series 57. https://www.ncbi.nlm.nih.gov/books/NBK207191/



