Trauma-Informed Practice

Each section provides a brief overview of one of the four principles of trauma-informed practice and their relevance to the use and misuse of prescription and illicit opioids. [...] Substance use, depression, and anxiety are very common responses to experiences of trauma and violence, and are differentially experienced by women and men, transgender and gender-diverse people. [...] Trauma-informed practice is a way of working that recognizes the prevalence and impact of trauma on the lives of those of trauma and accessing health care and social services. [...] Trauma Awareness and Opioid Prescribing Guidelines The relationship between experiences of trauma and violence, mental health concerns, and problematic substance use are widely recognized and physicians and nurse practitioners are encouraged to consider these issues when discussing the possible benefits and harms of opioid use with their patients. [...] The 2017 Canadian Guideline for Opioid Therapy and Chronic Non-Cancer Pain reports that opioids are associated with a 5.5% risk of addiction and recommends avoiding opioid use for individuals with a history of substance use disorder or a diagnosis of mental illness and recommends against the use of opioids for individuals with current substance use concerns.32 While there are a number of screening