title: Trauma informed care: a radical shift or basic good practice?
abstract: OBJECTIVE
  There is significant multidisciplinary work contributing to the implementation of trauma informed care (TIC) into mental health policy and practice in Australia. Within psychiatry, there may be potential confusion about how to navigate the integration of TIC into a speciality built upon treating psychological distress; creating dismissive reactions of a patronising approach and paradoxical radicalism. This paper aims to discuss the need for psychiatry to view TIC as a significant and urgent paradigm shift required to integrate existing knowledge about the prevalence and effects of trauma into a progressive articulation of the relational and interpersonal underpinnings of modern psychiatric practice; and to lead and support its widespread implementation.
  
  
  CONCLUSIONS
  Active consideration of the intent of TIC may aid in reducing misunderstanding and misaligned resistance while allowing services and individuals an important opportunity to reflect on how to deliver mental health treatment that is universally sensitive to the dynamics of trauma in the care environment.
authors.affiliation: Sydney Local Health District Mental Health Service, Administration, Concord Centre for Mental Health, Concord, NSW, Australia sophie.isobel@sswahs.nsw.gov.au.
authors.forename: Sophie
authors.initials: S
authors.lastname: Isobel
mesh_terms: D001315:Australia; D003156:Community Mental Health Services / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D018802:Patient-Centered Care / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D000067073:Psychological Trauma / Q000628:therapy*
keywords: trauma; trauma informed care