People with diverse sexual orientations, gender identities, and gender expression are at greater risk for trauma, discrimination, and victimization than heterosexual and cisgender populations. Trauma-informed care (TIC) provides a framework for providing lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ +) mental health services. Substance Abuse and Mental Health Services Administration (SAMHSA)'s principles of TIC guide practitioners to create safety, trust, transparency, collaboration, and empowerment in helping relationships, and to ensure that services have cultural and gender relevance. This article first explores the role of trauma in contributing to behavioral health concerns presented by LGBTQ + clients. The application of TIC to mental health counseling and social services for LGBTQ + clients will then be described, with specific suggestions for translating TIC principles into affirmative practice. Through the lens of trauma, clinicians can improve clinical case conceptualization and effective treatment strategies for LGBTQ + clients. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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与 LGBTQ+ 客户进行创伤知情和积极的心理健康实践。

与异性恋和顺性别人群相比，具有不同性取向、性别认同和性别表达的人遭受创伤、歧视和受害的风险更大。创伤知情护理 (TIC) 提供了一个框架，用于提供女同性恋、男同性恋、双性恋、变性人、酷儿/质疑者 (LGBTQ +) 心理健康服务。药物滥用和心理健康服务管理局 (SAMHSA) 的 TIC 原则指导从业者在帮助关系中建立安全、信任、透明、协作和赋权，并确保服务具有文化和性别相关性。本文首先探讨了创伤在导致 LGBTQ + 客户提出的行为健康问题中的作用。然后将描述 TIC 在 LGBTQ + 客户的心理健康咨询和社会服务中的应用，以及将 TIC 原则转化为肯定性实践的具体建议。通过创伤的镜头，临床医生可以改善 LGBTQ + 客户的临床案例概念化和有效治疗策略。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。