REPORT: 2023 State & Federal Trauma-Informed Policy Review

RESOURCES:

The impact of and energy embodied by CTIPP’s network of advocates, activists, and partners in trauma-informed, resilience-building, healing-centered, prevention-oriented, and community-led change throughout 2023 was remarkable. 

From growing grassroots efforts to continuing to expand our understanding of what helps and what hurts in preventing and addressing trauma and adversity to co-building capacity to support well-being and resiliency in our communities, it is no doubt that dedicated work and a shared vision are bringing us closer to fostering a just, healthy, and nurturing world for all.

To maintain a high level of momentum and morale in an effort that seeks sweeping, multifaceted transformation, it is essential to recognize that progress comes in many forms and that every step forward – no matter the size – deserves celebration. 

While there are many possible markers for positive progress to uplift, the evolution of trauma-informed policy stands out as a critical reflection of the impacts of collective action continues happening on the ground across sectors, systems, and state lines. 

It is clear as we see more and more meaningful action revealed in CTIPP’s annual landscape analysis that the movement’s messages are not only being heard but are being actively and enthusiastically embraced in greater numbers within our systems and institutions.

This resource intends to facilitate a deep dive into the discourse and strategies shaping trauma-informed public policy action. In presenting our comprehensive analysis, we remain anchored in the belief that the steady progress we are continuing to notice presents further opportunities to fortify change efforts and infuse greater clarity, depth, and values alignment into the conversations constituents have with their representatives about addressing the complex challenges facing their community, the state that they live in, and our broader society. 

Some of the activities that we have engaged in to achieve our best hopes of creating an expansive yet useful tool to support those doing the work on the ground include:

As we reflect on the year’s achievements, it is vital that we acknowledge the collective wisdom and persistent efforts that continue to propel this important work forward. 

The initiatives and insights detailed in this resource underscore an ongoing commitment to transforming our society and offer a roadmap for sustained engagement and advocacy, ensuring that what we know and continue to learn about individual and collective healing, growth, resiliency, and well-being guides systemic and institutional change in meaningful ways moving forward.

We at CTIPP invite all who engage with this resource to join us in pausing to intentionally notice and celebrate the impacts of the good work accomplished in years past and also in walking along the pathways of hope, possibility, and impact in the work ahead illuminated in what is explored and uplifted. 

It is through the act of building on this positive progress that we may co-construct the most impactful plan to enliven our collective vision for a nurturing and resilient world that bolsters and ignites the inherent capacity of every individual, family, group, community, and system to flourish and thrive.

Whitney Marris, LCSW

Author and CTIPP’s Director of Practice and System Transformation

There are many considerations and resources that give shape to what you will find presented in this year’s trauma-informed policy analysis.

The most critical component of this analysis is an annual policy report put forth by the Institute on Trauma and Trauma-Informed Care (ITTIC). 

In the spirit of its mission to support individuals, organizations, and systems in engaging in universal precautions for individual, historical, and collective trauma, ITTIC creates this report to keep current with how trauma-informed approaches are being recognized, conceptualized, and embedded into the public policy landscape. 

It is important to note that ITTIC’s report has evolved through the years based on the continual increase in support for trauma-informed policy proposals since its humble 2015 beginnings. 

In parallel with a building understanding of and increased interest in trauma within the discourse of our broader society, public policy proposals have become more specific and sophisticated about the what, why, and how of addressing and preventing trauma and building resilience over time. 

In earlier versions of the policy report, any mention, however brief, of “trauma-informed” within legislative text would warrant enthusiastic inclusion given the scarcity of proposals explicitly utilizing a trauma-informed framework at the time. 

Even when including every instance of the use of the simple phrase “trauma-informed” in many past years, chronicling the year’s fullest exploration of relevant policy measures would span a maximum of tens of pages.

This year’s report, in contrast, spans nearly 200 pages – meaning trauma-informed policy action has increased more than tenfold in less than a decade. In light of this exciting development, the ITTIC team has taken a more selective approach about what is and is not included in the report, as momentum has increased through the years.

Rather than simply including bills that merely mention “trauma-informed” in passing, the most recent report is the result of intentional analysis that considers factors such as SAMHSA’s “4 Rs” framework, the principles of a trauma-informed approach, as well as allied frameworks connected to redressing cycles of collective and historical trauma such as principles CTIPP includes under the umbrella of ABDEIJ (Accessibility, Belonging, Diversity, Equity, Inclusion, and Justice).

That means that the 310 bills and resolutions that saw movement in 2023 explored in the report are substantially and meaningfully aligned with the spirit and key principles of a trauma-informed approach. This diligence and discernment create a more accessible, targeted analysis for advocates, activists, and partners in trauma-informed change to reference when determining the direction of the work ahead toward further transformation.

Once ITTIC’s report is complete for the year, the CTIPP team engages in further, deeper analysis based on our guiding comprehensive vision, values, and priorities. We set the course for our exploration based on what we learn from being in community with our network of advocates, activists, and partners in change, the broader sociopolitical landscape, as well as emerging insights and knowledge from the field.

As we look to 2024 and beyond, this year’s analysis shines a spotlight both on strides already made as well as the pathway ahead as we forge forward together in this important work.

In our examination of the ITTIC’s latest policy report, we have evaluated the scope and substance of each legislative initiative uplifted. In doing so, we have noted which of the dimensions of our comprehensive vision for a trauma-informed world are substantially represented.

Noticing what dimensions already have significant momentum as well as which dimensions are less prominent in the progress made this past year are important considerations for advocates, activists, and partners in trauma-informed change to draw from. 

In assessing alignment with each dimension, CTIPP carefully examined each policy and determined that no fewer than one or more than five relevant dimensions apply. Most proposed measures include concepts meaningfully aligned with more than one dimension, as outlined in the chart.

Our findings describe what constitutes a policy that addresses each dimension for reference, along with an example of the 2023 legislative proposal(s) uplifted in the ITTIC report related to that dimension.

In doing so, we have worked to uplift policy proposals representing various regions and political party sponsorship to showcase the breadth and depth of policy action in 2023 and demonstrate how universally relevant this framework is to all. 

The uplifted policy measures are accordingly not necessarily always the “strongest” representations for each dimension, yet all serve as examples of progress within each dimension through a lens that is inclusive of a variety of legislative settings and actors.

We witnessed unprecedented progress in the enactment and promotion of trauma-informed legislation at both federal and state levels in 2023, building upon the foundations laid in previous years. The steady increase in legislative activity over time underscores a deepening collective consciousness and commitment to addressing and mitigating trauma.

The continuous learning and adaptation that a trauma-informed approach requires is reflected in the ever-evolving policy landscape, with 2023’s legislative activities encompassing a broad array of trends and themes.

As ITTIC’s report notes, the rate at which trauma-informed policies are signed into law is higher than the average rate, indicating that many legislators already recognize the merit and potential of this approach to reckon with our society’s most pressing issues.

Among the 83 trauma-informed measures signed into law in 2023, five CTIPP dimensions appeared most frequently:

This does not differ significantly from our 2022 report’s results – some takeaways include:

Words carry power—the power to validate experiences, anchor in strengths, and set the precedent for how a particular word, term, or phrase is interpreted in future legislative efforts.

Many policy proposals considered in 2023 included specific definitions of key concepts and terms. On the one hand, the significantly varied definitions used for certain terms in different venues might lead to the dilution of what a particular term means based on established frameworks and evidence-informed definitions; on the other hand, some definitions explored reflect a nuanced and contextualized understanding of the populations and needs represented within a particular venue.

Definitions found throughout legislation uplifted in ITTIC’s 2023 report attend to this duality, and the exploration below highlights how sometimes terms were defined in a consistent, unified fashion, and other times more diverse definitions emerged to shape future trauma-informed proposals.

Much like in last year’s policy analysis, in addition to noting policy dimensions represented among party-led initiatives as depicted below, we continue to see a promising number of trauma-informed policy measures reflecting cooperation and collaboration across party lines.

Democrat-Sponsored Legislative Initiatives

Out of the 152 measures sponsored/co-sponsored exclusively by Democrat legislators, the most commonly represented CTIPP dimensions include:

Republican-Sponsored Legislative Initiatives

Out of the 26 measures sponsored/co-sponsored exclusively by Republican legislators, the most commonly represented CTIPP dimensions include:

Initiatives that Cut Across Partisan Divides

There are 107 trauma-informed measures in 2023 that were sponsored/co-sponsored by both Democrats and Republicans and/or those that also were endorsed by Independent legislators or nonpartisan representatives (as in Nebraska, where there are no official political parties within the legislature), with the most commonly-represented dimensions including:

Examining the robust cross-party support for trauma-informed policy that continues to emerge illuminates elements of the shared values and common humanity that exists among decision-makers, and also underscores the universal relevance of trauma-informed approaches when seeking to address and prevent challenges that threaten well-being.

Particularly in what is projected to be a contentious election year that is reminiscent of 2020 in many notable and potentially activating ways, being attentive to the ways in which policymakers and other leaders who are positioned in decision-making roles in our society-shaping systems and institutions may bridge divides and foster unity to move us all collectively toward greater well-being will remain an important priority.

Cross-sector, cross-system partnership and action is a core component of comprehensive trauma-informed transformation. Encouragingly, many policies appearing in ITTIC’s 2023 report call for collaboration with recognition that sweeping trauma-informed change efforts require coordination that transcends the traditional silos that currently exist.

The conversations that take place within the many task forces, working groups, and others convened for the shared purpose of better understanding the nature and impact of trauma as well as building solutions relevant to localized context and population preferences are deeply important, and that more of this dialogue will continue holds promise to shape a resilient, healthy future.

Having said that, it remains crucial to ensure that these partnerships translate into concrete action. The reality of the limited funding available to dedicate to trauma-informed approaches in a sea of competing demands and policy priorities calls for us to think about how to move beyond funding groups whose solutions often remain unimplemented. After all, it is not uncommon that there are several consecutive legislative sessions where similar measures to fund groups whose solutions may not have the opportunity to be implemented are continually enacted.

This not only hinders real progress, but also only gathers evidence for communities that may not necessarily have much in common with the localized context in which solutions are being implemented. Rather than basing recommendations solely on established evidence-based interventions, tapping into the promise of real-world solution-building to begin implementing real change, inform best practices based on unique localized factors, and evaluate progress to further shape the evidence base is a trauma-informed strategy to both continue leveraging the power of cross-sector, cross-system partnerships while simultaneously building community will and capacity to spearhead meaningful change.

While there are some legislative efforts that do incorporate pilot programming in this vein, the majority of measures convening groups do not include action steps for implementing the recommendations derived from the ongoing dialogue. With the nature of rotating legislatures and the rapidly shifting sociopolitical landscape, this means that solutions presented in the final reports often go unimplemented as other policy priorities take precedence, and by that point the momentum and excitement around trauma-informed approaches may have petered out.

To help translate planning and partnerships into on-the-ground, operational programs and practices that have a tangible positive impact on individuals, families, communities, and systems, it is first vital to ensure that voices of those who will be most impacted by potential changes based on the issue being explored are meaningfully engaged and actively incorporated into implementation processes.

This also entails establishing clear change implementation goals and metrics that go beyond the number of meetings held by the group or the amount of reports produced over three years of existence. Adding legislative language to expand the partnership beyond convening professionals and administrators toward including working alongside individuals and communities with lived experience of trauma to also implement the recommendations within a particular time frame while layering and looping learning to continue to inform future action is one possible method of moving this work forward.

It is essential that priorities and benchmarks for success are framed flexibly enough that data collection may be shaped in partnership with individual communities, and that evaluation methods are participatory and center community perspective in addition to what practical policy-related metrics might be included in legislation.

When change is community-led, positive outcomes are likely to be more significant and sustainable, which also has the potential to further expand the evidence base and create a case for more policies funding for community-led trauma-informed initiatives anchored in cross-sector, cross-system partnerships. By encouraging legislators to include a roadmap proactively aligning research and resulting recommendations with beginning implementation action informed by lived experience of trauma and adversity, we can ensure that these promising partnerships move accountably from devising plans into implementing lasting positive change.

There is no denying that the COVID-19 pandemic ushered in a time of turmoil, uncertainty, and upheaval across the globe, marked by complex, compounding crises deepening divisions as well as laying bare systemic shortcomings and institutional inequities.

Amidst this backdrop of ongoing racial reckonings, eroding social cohesion, constricted access to necessary services and supports, widening disparities and socioeconomic stratification, as well as a surge in identity-based violence perpetrated at individual, family, community, and systemic levels, it is unsurprising that we are collectively continuing to explore ways to promote healing ongoing impacts of the last several years while also seeking to build resilience to withstand similar complex, intersecting public health crises that may occur in the future.

Similarly to trends in 2022’s trauma-informed policy analysis, many trauma-informed policy proposals in 2023 mention continuing to learn more about and working to address the continuously unfolding impacts of the syndemic as a significant priority.

One notable possibility is that this recognition could be a major factor in elevating CTIPP’s trauma-informed policy dimension of “Drive Collective Well-Being with a Public Health Approach” from being included in just 12% of measures explored in 2022, to being included in 29% of measures explored in 2023 – an increase of over 140% year over year.

The increased attention to trauma-informed public health approaches to promoting healing and resiliency in relation to COVID-19 presents advocates, activists, and partners in change with myriad opportunities to broaden the focus from merely addressing one public health crisis to encompassing the advancement of individual-, community-, and population-level resilience in a more comprehensive, holistic manner.

For example, there is space to advocate to embed the principles of a trauma-informed approach more explicitly into public health campaigns as well as the systems and institutions that administer them, such as through ensuring messaging destigmatizes and normalizes trauma responses while also providing clear steps to connect to appropriate services, supports, and resources.

As another related area of many to consider, it is also a ripe time to advocate for expanding trauma-informed services in rural and remote communities, emphasizing how tailoring delivery models – such as through mechanisms like expanding telehealth capabilities and reimbursement policies as well as deploying mobile service units – can reduce barriers to access and improve outcomes.

One final possible area for advocacy action to build on this momentum involves helping policymakers recognize the cyclical relationship between poverty/economic insecurity and trauma. Integrating trauma-informed approaches into economic development policies, financial assistance programming, and employment practices can help break the cycle. As the global economy’s stability continues to be characterized by uncertainty and change, demonstrating the need for economic initiatives to be inclusive, supportive, equitably conducive to long-term resilience, and anchored in the principles of a trauma-informed approach could play a significant role in laying the groundwork for enduring well-being in spite of potential disasters, crises, and other collectively traumatic events in the future.

Reflecting on the insights garnered from 2023’s policy analysis, it is clear that the collective journey toward trauma-informed transformation continues to make significant strides.

Leveraging lessons learned from noticing what is already working well as well as where growth edges lie reveal many trailheads leading to deeper engagement and innovation toward transformation upon which advocates, activists, and partners in trauma-informed change may choose to embark.

While there are a variety of factors that will determine what direction for the work ahead fits for each advocate, activist, community, and partner in change, some notable areas that this year’s analysis reveals to be ripe for action are presented below.

While this only constitutes CTIPP’s second annual policy analysis process, a clear pattern reveals that certain areas remain in the periphery of trauma-informed public policy’s focus.

To this point: the same three CTIPP dimensions – “Champion Veterans, Service Members, and Their Families,” “Fortify Resilient Aging and End-of-Life Experiences,” and “Advance Climate and Environmental Justice” – appeared least frequently across trauma-informed legislation explored in both 2022 and 2023.

When charting a course for the work ahead, it will be important to grow the collective voice of advocates, activists, and partners in change uplifting how critical these dimensions are to a comprehensive vision of a trauma-informed world.

Champion Veterans, Service Members, & Their Families

In a world marked by instability and escalating conflict both at home and abroad, the holistic well-being of veterans, service members, and their families demands advocacy attention in 2024. From exposure the omnipresent nature of media coverage of war to service members and their families navigating cycles of deployment, there are many factors that pose threats to well-being to consider in meeting the multifaceted needs among those related to this dimension. More intentionally integrating

Bolstering support structures to address immediate needs while also building a foundation for long-term resilience and well-being remains an important priority. There are many considerations worthy of bringing awareness to and demanding action on when connecting with policymakers, including but not limited to efforts establishing or expanding coordinated, integrated resources, services, and supports that unlock flourishing beyond visible and invisible wounds, assist in transition to civilian life, and help foster meaning-making, along with policies that seek to increase choice and accessibility of providers, settings, and types of healing modalities covered.

For more insights and ideas on potential directions for trauma-informed policy advocacy within this dimension, click here.

Advance Climate & Environmental Justice

Despite the limited representation of policy proposals related to this dimension in 2023’s report, the urgency of addressing climate and environmental justice through a trauma-informed lens remains high.

The escalating frequency and severity of weather- and climate-related events not only pose a direct threat to our physical environment but also bear profound psychological and spiritual impacts on communities through the loss, uncertainty, and displacement they engender. This is particularly true for those historically marginalized and disproportionately impacted by environmental injustices.

It is vital to anchor in an ABDEIJ framework in considering trauma-informed policy to advance climate and environmental justice. Every community has an inherent right to inhabit spaces that are not only safe and sustainable but also well-resourced and supportive of connectivity and belonging.

Ensuring communities are structurally supported to experience flourishing, and that community members feel a sense of belonging and collective care, entails directly redressing and implementing reparations for the injustices of the past. It also means reimagining environments through a trauma-informed lens to lay the groundwork for resilience, well-being, as well as environmental stewardship to emerge.

Advocacy for trauma-informed community planning and design serves as a powerful tool, providing a pathway for policymakers to better grasp the significance of creating spaces that are not only environmentally sustainable but also supportive of the psychological well-being of community members. For instance, incorporating green spaces into communities not only mitigates environmental hazards, but also offers a healing refuge for those grappling with the aftermath of climate-related traumas. This also provides opportunities for physical and social engagement and has been demonstrated both to generate positive emotions such as creativity and calmness as well as to promote a sense of community connectedness and pride.

For more insights and ideas on potential directions for trauma-informed policy advocacy within this dimension, click here.

Fortify Resilient Aging & End-of-Life Experiences

As the global population ages into older adulthood in numbers greater than ever before, the complexities of these years – often marked by a broad range of activities such as reflection on life’s journey, meaning-making, experiences of grief and loss, and inevitable physical, emotional, social, professional, cognitive, and spiritual transitions that accompany aging – require compassionate, comprehensive approaches that honor the dignity and worth of every person.

In response to the gaps noted in this year’s policy report, the principles of a trauma-informed approach offer a useful blueprint to reshape how policymakers and our society-at-large support aging individuals and the people who care about them while navigating this life stage.

Advocacy efforts related to this dimension may entail, among other activities, ensuring access to care throughout all stages of older adulthood that respects choice, increasing funding for accessible resources and services that support aging in place as well as sustained community connection, and establishing supports for caregivers others who care about aging adults in their lives to access respite care and mental health supports, as well as to learn about the aging process and caretaking through a trauma-informed lens.

For more insights and ideas on potential directions for trauma-informed policy advocacy within this dimension, click here.

When framing the journey of trauma-informed transformation, it is vital to be intentional regarding the delicate balance of speaking transparently to the depth of trauma without casting shadows on the lived experiences that have shaped human stories, while also focusing on bolstering protective factors and conditions that help positive experiences and resiliency emerge.

The mantra “name it to tame it” underscores the significance of explicitly acknowledging trauma, demonstrating how radical honesty about what has happened and how it has manifested has the power to counter the stigma and silence that often envelop traumatic experiences. It is important to recognize that using terms like “trauma-informed” and “trauma-responsive” aims not to dwell on trauma or pathologize pain, but to anchor in truth-telling to highlight the capacity, strength, adaptivity, and wisdom those with lived experiences of trauma and adversity have demonstrated through their enduring survival.

While the breadth, depth, and scope of 2023’s collection of trauma-informed legislation is more robust and multidimensional than ever before, it remains true that the majority are focused solely on redressing harm that has already happened. This level of acknowledgment is certainly worth a celebration, particularly given the context of the here and now characterized by a great deal of residual pain and ongoing challenges!

It is fundamental, however, that our policies seek not only to provide pathways to heal trauma, but that they also explicitly demonstrate a commitment to enhancing holistic well-being, positive enrichment, and joy so that all may live a self-actualized life. This involves promoting the proactive cultivation of the context and conditions that facilitate empowerment, positive experiences, and flourishing emerging.

For healing-centered engagement and relationship-building to have the most significant impact, it is critical that policymakers are equally focused on recognizing, realizing, and responding to trauma and engaging in prevention efforts at the systemic and institutional levels to reduce vulnerability to re-traumatization, as well as on creating and reinforcing protective factors known to actively support well-being, resiliency, and thriving at the individual, family, community, and systemic levels. This dual focus affirms the significance of every individual's story, witnessing and embracing the shadows while also striving towards the light.

To move toward our comprehensive vision of a trauma-informed world, addressing cultural, gender, and historical issues is critical. Based on analyzing 2023’s policy report, it appears that policies often fail to deeply engage with the types of collective and intergenerational trauma – especially absent are those experienced by marginalized communities such as racial, cultural, and historical trauma – and thus miss opportunities to mobilize a trauma-informed framework to address the ongoing impacts.

Repairing harm involves being radically honest about historical injustices, amplifying voices of lived experience of collective and intergenerational trauma to shape pathways forward, investing in authentically community-led initiatives, and engaging robust efforts to restore trust and foster reconciliation. Attending to collective and intergenerational trauma also means implementing policies that address the root causes of the cascading and compounding pain and challenges experienced, such as poverty, discrimination, limited access to supportive resources to promote well-being, as well as disparities and inequities.

In pursuing policy change in this realm, it is essential ensure that legislative language incorporates the flexibility needed to facilitate equitable access to traditional and culturally-specific healing practices and other culturally-sustaining practices based on what resonates with the unique context of each community. In addition to uplifting policy solutions to heal past wounds as well as disrupt ongoing cycles of pain and trauma, there is an opportunity to celebrate the rich heritage and resilience inherent in each community that has endured these experiences as well as to bolster individualized supports and resources that uplift and increase access to well-being, solidarity, collective wisdom, and cultural celebration.

The role of advocates, activists, and partners in trauma-informed change in clarifying and promoting accurate understanding of trauma-informed and allied concepts is crucial, particularly in the context of policy-making where misinterpretation may not only lead to the enactment of legislation that inflicts harm in the immediate future, but that also has the potential to set the precedent for the same harmful misinterpretation in future legislative efforts.

One example to illustrate comes from a “sneak peek” at 2024’s policy report as it is concerning a bill that is currently under consideration: Kentucky Senate Bill 93.

This measure seeks to strike language regarding requirements to integrate a trauma-informed approach into schools within a bill initially signed into law in 2019 following a fatal school shooting. The original language has been reaffirmed in subsequent bills, including a measure that was signed into law in 2022 – which was explicitly uplifted and celebrated as a strong representation of progress aligned with CTIPP’s vision on p. 8 of our 2022 Policy Review.

This significant of a pivot taking course after the passing of a relatively short period of time indicates that there are misunderstandings around what integrating trauma-informed into school settings does and does not do, fueled by political conversations happening on a more macro-level scale. That assertion seems to be supported based on the divided discourse around the measure, which has been featured in several local news articles.

Like so many instances of trauma and re-traumatization, it is important to note the gap between intent and impact. Certainly, while this measure may very well be a well-intentioned effort to maintain what, from someone’s value system and perspective, constitutes a safe and inclusive learning environment, it appears to be premised on a misinterpretation of how a trauma-informed approach operates based on localized context, and in doing so increases vulnerability to harm. There is a potential to suppress and discourage diverse perspectives and open, authentic conversations crucial to developing into adults who are able to navigate the world with curiosity, compassion, critical thinking, and citizenship.

Further, the prohibition of virtually anything aligning with principles of (A)BDEI(J) threatens safety for many learners and members of the education workforce alike. The policy proposal also does not fully engage with the complexities of cultural, gender, and historical issues in relation to trauma and how these experiences impact may learning and healthy development.

The trauma-informed principle of trustworthiness and transparency illuminates an opportunity for those engaged in advocacy in venues where this is happening or at-risk of happening to support legislators in developing a more integrated understanding of trauma-informed principles, correcting misunderstandings that will result in the passage of policy that runs counter to what helps students learn and grow.

One of many examples of how advocates might think about framing this is rooted in helping clarify what concepts that underpin a commitment to a trauma-informed approach such as equity truly mean through a lens that magnifies common values. For legislators in communities with constituents heavily impacted by substance use, to counter misconceptions about trauma-informed, equity-centered approaches, it might be useful to uplift what an equitable distribution that prioritizes communities disproportionately impacted by opioid use in granting access to State Opioid Settlement funds.

This example is one of many that could demonstrate how the concept of equity – critical in a trauma-informed approach yet often misconstrued as preferential treatment or politically polarized – is fundamentally about addressing needs based on factors such as their intensity, prevalence, and historical underservicing to support thriving and flourishing for all operating through an abundance mindset versus a scarcity one. With this frame in mind, it is easier to help a skeptical legislator see the potential of a trauma-informed approach to help be sensitive to localized context to ensure justice for all.

The analysis of 2023’s trauma-informed policy landscape reveals several instances where governors vetoed important bills that align significantly with trauma-informed transformation, often citing duplication of efforts or, most frequently, excessive costs of implementing trauma-informed approaches.

For bills to have made it to an Executive’s desk in the first place implies that they are likely to have merit, highlighting the importance that all who have significant influence and decision-making power when it comes to trauma-informed policy have a foundational contextual understanding of trauma-informed concepts and principles.

This may help overcome barriers that lead to promising and powerful trauma-informed legislation being vetoed rather than signed into law.

One new and important finding in recent research on the economic burden of ACE-related adult health conditions, presenting a newly-calculated figure estimating costs at $14.1 trillion annually. Presenting this figure highlights the urgency of addressing ACEs and, more broadly, trauma, while proactively institutionalizing supports and structures to advance holistic health and well-being to reduce this societal burden.

This attention-grabbing statistic is a powerful lead-in to describing the significance and merit of trauma-informed, healing-centered, resilience-building, prevention-oriented, and community-led approaches. It is through seizing these opportunities of presenting emerging and evolving insights from the field highlighting the long-term cost savings of investing in solutions aligned with CTIPP’s vision.

This also presents advocates, activists, and partners in change to help policymakers and leaders know that implementing trauma-informed approaches is more about the “how” than the “what” and is thus not duplicative but instead presents potential to further enhance the success of what good work to address seemingly intractable societal challenges already underway.

Notably, champions among state governors do already exist, and many are already enthusiastic and eager to sign trauma-informed proposals into law. Case in point: the National Governor’s Association (NGA) has shown a promising awareness of the importance of addressing ACEs and trauma, a commitment which can be explored more deeply on the page of their website dedicated to this issue topic.

This indicates a growing recognition among state leaders of the indelible impacts of trauma and the potential of trauma-informed approaches to promote recovery and growth, and an opportunity to bring other leaders along toward standing in support of rather than in the way of trauma-informed transformation.

While scheduling meetings with governors and their staff can indeed be more challenging than arranging a meeting with a federal representative or state legislator, there are strategies to increase your likelihood of getting in contact to help fill in gaps and advocate for them to consider legislation through a trauma-informed lens in the future. One example is recognizing the power in numbers and bringing together a group of people with shared goals rather than attempting to secure an individual visit to advance trauma-informed policy priorities.

Another approach might involve leveraging relationships and connections with mutual contacts who are aligned with a trauma-informed vision, such as local politicians or business leaders, who have existing relationships with the governor’s office and may assist in arranging a meeting.

In lieu of engaging directly with others who play key roles in the decision-making processes when it comes to trauma-informed policy implementation, raising consciousness throughout the state can be an effective strategy to elevate visibility and generate greater awareness and enthusiasm. Arranging campaigns, holding town halls, submitting press releases, and other similar strategies all can play a role in garnering the attention and support of governors, the President, and other leaders.

The best hope is that this exposure will lead to fewer vetoes and more robust support pertaining to trauma-informed measures that make it to their desks.

We have witnessed and ought to celebrate meaningful progress in 2023, and there is a wellspring of hope illuminating the path ahead for bold, collaborative action toward a trauma-informed society. The potential for impactful, lasting change through continued action is immense, and each step forward – no matter how small or large – is a stride toward recovery, resilience, and well-being for all.

Let us move forward together with the clear conviction that our vision is vibrant and that the work we do matters. Together, we may harness the momentum of 2023’s successes as both a validation of the efforts of collective action taken toward trauma-informed transformation and as a call to action to build upon the foundation of progress laid thus far, amplify our advocacy, align our strategies with emerging opportunities.

CTIPP extends heartfelt gratitude to our dedicated network of advocates, activists, and partners in change. It is with great anticipation that we look forward to continuing on this journey toward realizing a vision of a compassionate, resilient, and holistically well world.

Find a 2023 policy proposal from the ITTIC report that achieves progress in relation to something you care deeply about, whether that policy was considered in a venue of which you are a constituent or not. (Consider utilizing the search feature within the document for this.)

Once you have found a policy summary that resonates with you, visit the webpage listed for that measure. Notice who submitted the measure for consideration, and see if you can find that legislator’s contact information through the legislature website.

Write a short email thanking the legislator for their leadership. Keep your message respectful, concise, and honest, focusing on the positive impact their work has had on the issue you care about. Be sure to share the “why” of this policy proposal being so meaningful to you, doing your best to stay within your circle of comfort and capacity when it comes to determining what you do and do not disclose about your story.

Relationship-building is a critical component of advancing trauma-informed change. While your message may indeed have the most power if you are a constituent of the legislator to whom you reach out, by acknowledging and affirming the work aligned with a trauma-informed approach that is already happening even beyond our own district, we are expanding our collective impact by demonstrating broader public support for this cause and creating further positive momentum for the issue.

Knowing their work has wider relevance and resonance, a legislator’s continued commitment to trauma-informed principles may be strengthened, increasing the likelihood that they will submit more trauma-informed policy proposals. Additionally, this is a kind thing to do, and models the model of being trauma-informed by anchoring a culture of recognition and noting progress toward broader change!