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This section provides a “how-to guide” for organizations, bureaus, or health care facilities that want to work towards addressing trauma and becoming healing centered. The roadmap framework is adapted from Trauma-Informed Oregon’s Road map to Trauma-Informed Care. Within each module linked below, considerations, actions, tools, and examples from HIV-service entities are provided. Working through the modules will advance you through the Roadmap to Healing spectrum. Although displayed linearly, this process will likely be cyclical or iterative; NASTAD’s Program Readiness Assessment for Trauma-Informed Approaches may offer a good starting point. 

Becoming a healing-centered organization is not a fix that can be made quickly. Rather, it is a slow-moving process aimed at creating sustained culture change within every person in a system, as well as the system itself. It is important to attend to feelings of denial, resistance, or guilt that may arise as these approaches are implemented. Finally, give yourself credit for the work your agency is already doing to promote resilience and healing.

Roadmap to Healing Graphic

Trauma-affected: No trauma or trauma healing efforts implemented by the organization. 

Trauma-aware: This organization is actively working through the Recognition and Awareness module. 

Module Downloads:

Trauma-sensitive: This organization is actively working through the Foundational Knowledge, Agency Readiness, and Process & Infrastructure modules. 

Trauma-responsive: This organization is actively working through the Gather Information & Identify Opportunities and Prioritize & Create a Work Plan modules.

Trauma-informed: This organization is actively working through the Implement & Monitor and Celebrate & Maintain modules. 

Healing-centered: This organization worked through all the modules and is sustaining the changes and progress made.

Most people are not dying from HIV and AIDS. Most people are dying from preventable illnesses related to trauma, such as overdose, depression, suicide, heart, lung, and liver disease, and our goal is to awaken the Ryan White System to this reality and help build a better Ryan White system.

Edward Machtinger, MD, Toolkit Advisory Panel