Table 1.

Applying Trauma-Informed Care (TIC) Principles to Care of Homebound LGBTQ + older adults

TIC principle*	Application
Safety	Create an environment of psychological safety with intention toward physical and interpersonal environments that facilitate feeling safe in your “safe space”
Peer support	Create connections to peers including local SAGE** chapters and other community resources to assist in combating social isolation and improve community connectedness
Empowerment, voice, and choice	Understand existing power differentials and the ways LGBTQ + persons have historically been diminished in voice and choice and recipients of coercive treatment
Cultural, historical, and gender issues	Move past stereotypes and biases to offer access to gender-affirming care. Leverage the healing value of traditional cultural connections and incorporate policies, protocols, and processes that recognize and address historical trauma, especially as it relates to sexual orientation and gender identities

^*Adapted from Substance Abuse and Mental Health Services Administration (SAMHSA) Principles, **Services & Advocacy for LGBT Elders