Embedding Trauma-Informed PBS in Supported Living

Many adults in Supported Living have experienced trauma, whether through restrictive institutional settings, disrupted placements or past safeguarding concerns. Trauma-informed PBS ensures support is rooted in emotional safety and dignity. For more on values-led practice, see PBS Principles & Values or Restrictive Practices & Human Rights.

Why trauma-informed practice matters

Trauma changes how people interpret threat, relationships and routine demands. When services overlook trauma history, behaviours of concern are easily mislabelled as “non-compliance”. Trauma-aware PBS reframes these behaviours as adaptations — not problems.

1. Prioritise felt safety

  • Predictable routines, calm voices and stable staffing reduce perceived threat.
  • Explain every action before you take it — never surprise the person.
  • Give choices wherever possible to build control and trust.

2. Understand survival responses

  • Fight, flight, freeze and fawn responses may appear as aggression, withdrawal or avoidance.
  • Reactive strategies should focus on comfort, not control.
  • Debriefs must be gentle, not interrogative.

3. Build relationships before expectations

  • Staff consistency is essential for trust.
  • Use co-regulation techniques: breathing, modelling calm, offering quiet space.
  • Limit the number of people in the person’s support circle where possible.

4. Reduce triggers linked to past experiences

  • Identify sensory, relational or environmental cues associated with trauma.
  • Avoid authoritarian tone, rushed demands, or hands-on prompts unless essential.
  • Create safe exit routes within the home.

5. Focus on empowerment, not compliance

  • Invite the person to co-design routines and goals.
  • Reinforce strengths, not deficits.
  • Give meaningful roles in the home to support belonging.

6. Involve families and clinical partners

  • Families often understand historical patterns invisible to staff.
  • Psychologists can support trauma-informed formulations that guide practice.

Trauma-informed PBS is not a bolt-on — it is a mindset. When Supported Living services adopt it, people experience greater stability, reassurance and emotional wellbeing.

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Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd — bringing extensive experience in health and social care tenders, commissioning and strategy.

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