Trauma is described by the American Psychological Association as “an emotional response to a terrible event." Trauma is estimated to affect more people living in the United States than many chronic diseases, yet receives significantly less attention. Trauma may be triggered by many factors including childhood abuse or neglect, interpersonal violence (IPV), sexual assault (SA), natural disasters, illness, sudden death, oppression, accidents, and historical trauma that has occurred in the community. Therefore we know that trauma history may create increased health care costs but also may increase the opportunity to interface with those who have experienced trauma. TIC offers a framework to approach patient care, employee support in an organization, and a safer more therapeutic environment that recognizes the significant impact that trauma history has on the individual.