Conceptualizing Trauma-Informed Speech-Language Pathology Practice: Adaptations and Implications Across Levels of Practice

Purpose: There is an increasing drive to integrate trauma knowledge and the principles of trauma-informed care into speech-language pathology (SLP) practice. While work has been done to move this forward, the concept of trauma-informed SLP practice requires a clearer conceptualization. In this article, we outline our current framework for conceptualizing trauma-informed SLP practice, developed through our work with SLP providers and leaders implementing and researching trauma-informed practice adaptations, and our engagement with mental health experts in childhood trauma and attachment disruption. We explain the key guiding principles that SLP practitioners, leaders, and decision-makers can adopt from best practices in the field of mental health to enhance service delivery, engagement, relationship building, and outcomes for all clients, as well as trauma-informed and trauma-responsive adaptations and implications to all levels of SLP practice. Conclusions: It is important to recognize that many clients may have experienced trauma, whether or not care providers are aware; therefore, our systems should be designed to be responsive to everyone. This clinical focus article underscores the critical need for systemic change, to create supportive environments that foster healing and resilience for all individuals involved in systems and support services.