Trauma-informed Ethical Decision-Making: Employing the 10 Principles of Trauma-Informed Ethical Practice
Presented by: Cortny Stark, PhD and Kylie Rogalla, PhD

This on-demand professional training program on Trauma-informed Ethical Decision-Making: Employing the 10 Principles of Trauma-Informed Ethical Practice is presented by Cortny Stark, Ph.D., and Kylie Rogalla, Ph.D.
The proposed trauma-informed ethical decision-making model provides helping professionals with a two-part framework for addressing ethical dilemmas with client survivors of trauma. The 10 Principles of Trauma-informed Practice (authors, 2021) and decision-making framework enable the clinician to utilize their knowledge of individuals’ responses to trauma to inform how they interpret and understand the client’s behavior, thought process, and emotional experience. This understanding informs every step of the ethical decision-making process.
The principles outlined below build upon the SAMHSA (2014) three E’s, four R’s, and eight key principles of trauma-informed care. Key concepts, including Adverse Childhood Experiences (ACE) and their long-term impact (Anda, 2007; Edwards et al., 2015; Felitti et al., 1998; Felitti, 2009; Wade et al., 2016) further inform the principles of trauma-informed ethical practice.
The 10 Principles of Trauma-informed Practice (authors, 2021) include:
1. Attachment and Developmental Considerations
2. Physiological and Neurobiological Changes
3. Intergenerational and Historical Trauma
4. Minority Stress
5. Cognitive Schema
6. Self-Concept
7. Protective Factors
8. Family and Community
9. Clinician Health and Wellbeing
10. Military, Veteran, and Law Enforcement Status and History
This program is intended for intermediate-level professionals. The target audience for this presentation includes helping professionals from all backgrounds, namely social workers, case managers, mental health counselors, addictions counselors, rehabilitation counselors, and psychologists. Counselor educators may also be interested in learning more about this approach and including the model in their ethics and fieldwork courses.
Multiple methods are used to increase attendee engagement, including pinup.com (for sharing brief blurbs about attendees’ personal and professional experiences relevant to the topic) and polls everywhere to assess attendees’ understanding of key concepts and perceptions of the topics discussed. The presentation structure is as follows:
Review key concepts associated with trauma-informed practice and ethical decision-making, briefly explore the impact of trauma on survivors' health and mental health outcomes and physiological and neurological processes, discuss the practical application of the trauma-informed ethical decision-making framework (to include Kitchener and Anderson’s (2011) ethical decision-making model and the 9 Principles of Trauma-informed Ethical Practice), discuss attendee questions.
Upon completion of this training, participants will be able to:
Key topics covered in this training include:
Attachment and Developmental Considerations
Physiological and Neurobiological Changes
Intergenerational and Historical Trauma
Minority Stress
Cognitive Schema
Self-Concept
Family and Community
Clinician Health and Wellbeing
Military, Veteran, and Law Enforcement Status and History
Palo Alto University, Continuing & Professional Studies (CONCEPT) is approved by, recognized by, or maintains sponsorship provider status with the following boards and agencies. We maintain responsibility for all content in our CE/CPD programs. For more information, visit here.
American Psychological Association (APA): Approved sponsor of continuing education for psychologists.
Association of Social Work Boards (ASWB): Approved continuing education provider (ACE program, Provider #1480), 11/22/2023–11/22/2026.
Canadian Psychological Association (CPA): Approved to sponsor continuing education for psychologists.
National Board for Certified Counselors (NBCC): Approved Continuing Education Provider (ACEP No. 7190).
Palo Alto University, Continuing and Professional Studies (CONCEPT) is approved by the American Psychological Association to sponsor continuing education for psychologists. Palo Alto University, Continuing and Professional Studies (CONCEPT) maintains responsibility for this program and its content. Palo Alto University, Continuing and Professional Studies (CONCEPT), is approved by the Canadian Psychological Association to offer continuing education for psychologists. Palo Alto University, Continuing and Professional Studies (CONCEPT), SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0356 and the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0073. Palo Alto University, Continuing and Professional Studies (CONCEPT) has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6811. Programs that do not qualify for NBCC credit are clearly identified. CONCEPT Professional Training, #1480, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. CONCEPT Professional Training maintains responsibility for this course. ACE provider approval period: 11/22/23-11/22/26. Social workers completing this course receive (clinical or social work ethics) continuing education credits.