project director and principle trainer, samhsa national center for trauma-informed care, rockville, md; tonier cain, team leader and director of peer/consumer involvement, samhsa promoting alternatives to seclusion and restraint through trauma-informed practice, rockville, md; dr. h. westley clark, director, center for substance abuse treatment, substance abuse and mental health services administration, u.s. department of health and human serviceses, rockville, m; dr. maxine harris, ceo and co-founder, community connections, washington, dc. dr. clark, what is trauma and how do we define trauma? the definition of trauma is a little ambiguous, but it's tied to specific adverse events that a person may experience or a community may experience, including disasters, physical or sexual abuse, or witnessing the above-mentioned. it's of that nature, it could be psychological as well as physical, and there are a wide range of issues associated with the definition. very good, and what are the various sources of trauma? well, the sources are similar to the precipitant. it could be from a relative or a pa

but i would like to just say one thing about what tonier was saying about domestic violence. i think we really can't underestimate the needs of the children who witness domestic violence in the home. so, it's not just the safety for the parent, but to get that treatment. so, i'm going to throw the carrot to you. dr. clark. well, our hope is that the affordable care act will provide opportunities for treatment to victims of trauma, whatever the source of the trauma is. as you know, the effort of the affordable care act is to make health care available to a wider range of individuals. and because they'll be providing coverage to people with lower incomes, many of whom are the victims of trauma, they'll be able to get assistance from community health centers, providers, community mental health centers, social workers and psychologists, and other providers of care. so, this will provide a mechanism both for adults and for children and adolescents. but i would like to point out that children and adolescents are often eligible for care now through other insurance programs. but the