Trauma survivors often have complex psychological needs and many face barriers (such as chronic homelessness) to accessing clinical and psychosocial care. Recovery isn’tpossible if staff can’t understand and address the scope of a patient's needs.

Before the first session, intake clinicians conduct a comprehensive biopsychosocial interview to assess the client’s psychosocial needs, mentalhealth, and history of trauma. Throughout, intake clinicians explain the reasoning behind their questions and encourage clients to provide only as much information as feels comfortable. Then, patients begin the program with their assigned therapists. TRC clinicians use a client-centered approach to create asense of safety and trust. Clinicians focus on clients’ strengths and offer psychoeducation about trauma and coping. Clinicians and clients shape the careplan across the first three sessions. Clinicians indicate clients’ levels of need on a scale of 1 (not at all) to 5 (extremely) to prioritize next steps. See sample patient need categories below.

TRC’s 16-session treatment program includes both case management and therapy, which is determined by the unique needs of each client. Common case management tasks include: accompanying clients to court, filing restraining orders or police reports, filing for disability entitlements, and securing safeshelter or housing. Clinicians also offer comprehensive mental health care and refer clients to psychiatrists who offer evidence-based, trauma-focused therapies and medication evaluation and management. Clinicians give clients the tools to manage the impact of their trauma, such as panic attacks, nightmares, and insomnia. Clients can also participate in group therapy, some of which targets specific types of trauma (such as drug-facilitated sexual assault). Throughout the program, clients’ preferences determine care plan goals and interventions.

Clinicians reassess clients every eight weeks to determine progress acrosst reatment goals, including help with PTSD, depression, pain, and sleep. Clinicians then adjust the treatment path, extend clients' timeline for care as needed, or transition clients into long-term therapy if necessary.