Trauma-informed and trauma-responsive care are at the heart of this thoughtful conversation about how we support children and young people who have experienced adversity.
In this Mind the Kids episode 'Trauma responsive care: It's all about me', hosts Dr. Jane Gilmour and Professor Umar Toseeb, talk with Dr. Sarah Parry, University of Manchester, about what trauma actually is, how it overlaps with adverse childhood experiences (ACEs), and why simply “totting up” ACEs scores can miss the individual context and meaning of events for each young person.
They explore the principles that should underpin good practice with all children and adolescents – consistency, curiosity, low emotional tone, and sensitivity to triggers – and ask whether these should be seen as core to high-quality care rather than an “add‑on” labelled trauma-informed.
The discussion moves from definitions to practice: Sarah unpacks the difference between being “trauma-aware”, “trauma-informed” and “trauma-responsive”, arguing that truly responsive care must be embedded across whole organisations and systems, not just in the therapy room. Drawing on her work in residential care and with young people who hear voices, she highlights the importance of framing, coping strategies, choice, safety, and timing in talking therapies, as well as the potential harms of blame and poorly timed debriefing after traumatic events.
The episode also touches on intergenerational and indirect forms of trauma, links with cultural humility, and how environments can be shaped so that all young people – including those in care or from marginalised communities – can engage and recover.
Whether you are a clinician, researcher, educator, or caregiver, this conversation offers a nuanced, practical look at moving beyond buzzwords toward everyday, trauma-responsive environments that genuinely support young people’s mental health.
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