Trauma-Informed & Gender-Responsive Care
Barriers & Challenges
Homelessness
Minority Stress & Emotion Suppression
Recovery Supports & TIP 51
100

This principle ensures clients feel physically and emotionally protected in treatment settings.

What is safety in regards to tip 51, women's treatment guide?

100

This fear often prevents mothers from seeking help for substance use.

What is losing custody of their children?

100

 In January 2024, this many people were experiencing homelessness in the United States — the highest number ever recorded by HUD.

What is 771,480?

100

This psychological process involves hiding or inhibiting outward emotions and is linked to depression, anxiety, and suicidal thoughts in LGBTQIA+ people.

What is expressive emotion suppression?

100

SAMHSA TIP 51 focuses on this population in substance use treatment.

Who are women?

200

Gender-responsive care acknowledges that women’s substance use is often linked to these experiences.

What are trauma and relational stressors?

200

This internalized emotion, reinforced by stigma, can keep women from entering treatment.

What is shame?

200

Clue: Between 2023 and 2024, homelessness in the U.S. rose by approximately this percentage — the largest year-to-year jump since data collection began.

What is 18 percent?

200

According to Singh et al. (2022), minority stress stems from factors such as discrimination, victimization, and this internal negative view of one’s own identity.

What is internalized homonegativity?

200

These relationships help build trust and resilience in recovery.

What are peer support relationships?

300

This trauma-informed principle encourages shared decision-making and mutual respect.

What is collaboration?

300

Lack of access to these basic needs can make it difficult for women to engage in treatment.

What are housing, transportation, and childcare?

300

Clue: According to the 2024 AHAR, about 64 percent of unhoused individuals were in shelters, while 36 percent lived in these types of locations not meant for human habitation.

What are unsheltered locations?

300

Singh and colleagues found that concealing one’s sexual or gender identity, exposure to stigma, and discrimination can lead to this breakdown in managing emotions.

What is emotional dysregulation?

300

 TIP 51 recommends integrating treatment for these co-occurring conditions.

What are mental health and substance use disorders?

400

This model of care combines substance use treatment with mental health and trauma recovery services.

What is integrated or co-occurring treatment?

400

 Women may avoid treatment due to fear of judgment from this group.

What are family and community members?

400

This group, defined as people who have experienced homelessness for extended periods due to disabling conditions, numbered around 152,585 in 2024.

Who are chronically homeless individuals?

400

The authors followed this systematic framework — commonly abbreviated PRISMA — to identify and screen studies between 1990 and 2022.

What is the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method?

400

 This type of care planning centers the woman’s voice and goals.

 What is person-centered care?

500

This approach avoids practices that can trigger past trauma and emphasizes empowerment and cultural sensitivity.

What is trauma-informed care?

500

This systemic issue can limit culturally appropriate care for women of color.

What is institutional bias or racism?

500

 Despite overall increases in homelessness, this subgroup of Americans saw a continued decline in 2024, with an estimated 32,882 individuals affected nationwide.

Who are veterans experiencing homelessness?

500

Singh et al. noted two key limitations: they only examined this specific emotion-regulation strategy and limited their review to this language.

What are expressive suppression and English-language studies?

500

TIP 51 encourages programs to be responsive to this aspect of identity, which affects treatment engagement.

What is cultural and gender identity? 


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