Trauma Recovery


About Trauma Recovery: What is PTSD?

Posttraumatic stress symptoms which have not been properly identified or treated in a comprehensive and integrated manner, are the “elephant in the living room” in the field of behavioral healthcare. PTSD is believed by many to be highly co-prevalent among populations treated by the Community Mental Health system in the United States. And according to multiple research studies, more than half of the individuals presenting for addictions treatment bring with them unresolved or poorly managed symptoms of posttraumatic stress. Yet how many substance use disorder treatment providers are well-equipped to treat PTSD as part of effective, integrated addictions treatment? Evidence-based group and individual treatments for posttraumatic stress have been developed, such as Trauma Recovery & Empowerment Model (TREM), Seeking Safety,  "Cognitive Processing Therapy" (CPT), "Eye Movement Desensitization & Reprocessing" (EMDR),  "Prolonged Exposure Therapy" (PET), and "Medications for PTSD". Through research informed by thermal brain imaging and other available tools, our understanding of how traumatic experiences impact the human brain is increasing (for a brief overview, watch "PTSD and the Brain"). Optimally effective, cutting-edge behavioral health treatment providers have no excuse not to implement and deliver these important interventions to best position their clients for sustainable recovery success. For a brief whiteboard explanation of the symptoms of PTSD, watch "What is PTSD?". For a brief whiteboard presentation outlining many of the well-developed treatment choices, watch "PTSD Treatment: Know Your Options" or any of the other whiteboard presentations linked in in bold, purple font in the paragraph above.

Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

SAMHSA & VA Resources

U.S. Department of Veterans Affairs National Center for PTSD resources:

Treatment Resources


Seeking Safety

Trauma Recovery & Empowerment Model (TREM)

Eye Movement Desensitization & Reprocessing (EMDR)

Cognitive Processing Therapy (CPT)

Prolonged Exposure Therapy (PET)


"What Happened To You?" Addressing Trauma with Community Mental Health Populations: A Toolkit for Providers

Table of Contents and Chapter-specific supplements
  1. Overview (pp. 1-4)
  2. Getting Started (pp. 5-18)
  3. Self-Selected Work Groups (pp. 19-42)
  4. Trauma-informed Services Conference (pp. 43-48)
  5. Treatment Model Consideration and Adaptations (pp. 49-60)
  6. Trauma-specific Trainings (pp. 61-68)
  7. Launching Trauma-specific Services (pp. 69-78)
  8. Continuing Forward (pp. 79-82)
  9. References and Resources (pp. 83-90)
  10. Appendices (pp. 91-151)

This manual was developed in 2008-09 by Stephen R. Wiland, LMSW, ICADC, with grant funding from the State of Michigan's Department of Community Health.

Reactions to the "What Happened to You?" manual by practitioners in the field:

  • "I saw the toolkit that you developed for trauma integration into a CMH setting and am very impressed." - CMH Vice-President and C.O.O.
  • "I just wanted to let you know that your [manual] is incredible! I work for [an organization], we have a grant to use IMR (Illness Management and Recovery), and I found some of the program lacking. When I opened your materials I discovered the information I needed to assist my clients through their panic attacks, PTSD, etc., which is mainly what I am dealing with in my client population. Our caseloads are very high and we have been told that therapy will be a thing of the past in a short time, but with the way you've set up your manual I know that I will be able to still assist my clients in a case-management-only mode. Thanks so much! I really appreciate all of the work you and your staff put into this manual." - CMH Case Manager