Trauma-Informed Speech-Language Pathology: Application of Universal Precaution

Speech-language pathologists (SLPs) often engage with individuals with histories of trauma. Rather than providing trauma treatment, SLPs are instead positioned to engage in universal precaution for trauma: assuming that trauma is more likely than not to be part of any individual's story and intentionally responding in ways that do not create additional harm. SLPs are increasingly being encouraged to recognize the high prevalence of trauma, the ways trauma can impact communication and behavior, and to practice trauma-informed care (TIC) in their work. Yet, the application of TIC to SLP practice is still emerging in both research and practice. The purpose of this conceptual article is to begin to operationalize the four levels of TIC as related to SLP practice: (1) trauma awareness, (2) trauma-informed approach, (3) trauma-sensitive practices, and (4) interprofessional collaboration with trauma-specific treatment providers. Recommendations for trauma-informed SLP practice and continued application and discussion of TIC are provided.