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These approaches are in contrast to traditional care systems. Advocates of trauma-informed care critique traditional service delivery systems, such as standard hospitals, for failing to understand the role of trauma in a patients life.<ref name=":7" /> Traditional service delivery systems are also critiqued for isolating the conditions of a recovering person and not addressing conditions such as substance abuse and mental illness simultaneously as part of one source.<ref name=":4" /><ref name=":7" /> Specific practices in traditional service delivery systems, such as unnecessary procedures, undressing for examinations, involuntary hospitalizations, crowded emergency rooms, and limited time for providers to meet with patients, have all been critiqued as insensitive to persons recovering from trauma and consequential mental illness or substance abuse.<ref name=":3" /><ref name=":2" /><ref name=":7" /> Limited resources and time in the United States healthcare system can make the implementation of trauma-informed care difficult.<ref name=":2" />
There are other challenges to trauma-informed care besides limits in the United States healthcare system that can make trauma-informed care ineffective for treating persons recovering from mental illness or substance dependence. Advocates of trauma-informed care argue implementation requires a strong commitment from leadership in an agency to train staff members to be trauma-aware, but this training can be costly and time-consuming.<ref name=":7" /><ref name=":5" /><ref name=":1" /> "Trauma-informed care" and "trauma" also have contested definitions and can be hard to measure in a real world service setting.<ref name=":1" /> Another barrier to trauma-informed care is the necessity of screening for histories of trauma.<ref name=":1" /><ref name=":3" /><ref name=":2" /><ref name=":7" /><ref name=":5" /> While agencies need to screen for histories of trauma in order to give the best care, there can be feelings of shame and fear of being invalidated that can prevent a recovering person from disclosing their personal experiences.<ref name=":2" To overcome this obstacle, it's best for treatment to realize the impact of trauma and understand potential paths for recovery, recognize the signs and symptoms of trauma and respond appropriately, and seek to resist retraumatization during treatment.<ref>17</ref> />
===Concerns===
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