Due to the high prevalence of trauma, especially in specific subpopulations along with the wide and diverse impact trauma exposure can have, more organizations and communities are becoming “trauma informed”. Trauma-informed care is an approach to engaging people with histories of trauma that recognizes the presence of trauma symptoms and acknowledges the role that trauma has played in their lives. This is a culture shift in which policies, practices and environments are viewed through the lens of trauma with a focus of doing no harm and building resilience. The core principles of trauma informed care include safety, trustworthiness, choice, collaboration and empowerment. Trauma happens when an experience of extreme stress- abuse, neglect, violence, death or instability - overwhelms a person's capacity to cope. When trauma happens in childhood it can create a lifelong impact. Findings from the 2016 National Survey of Children's Health were recently released and show that in Missouri 47.8 percent of the children under the age of 18 have experienced trauma through at least one adverse childhood experience (ACE).