Most Philadelphians have trauma. Fixing our neighborhoods can help. | Opinion

, among other health problems. As health professionals practicing in the region, we have seen this firsthand and witnessed the effects of trauma on physical and mental health for over 25 years.

This type of approach is dubbed “trauma-informed care.” It hasn’t been applied widely to physical neighborhood environments yet, but it has been applied in settings such as child welfare, schools, and mental health service providers. Most typically, trauma-informed care is implemented by workplaces or other organizations, which may change policies or train staff to respond to clients in a way that takes their trauma into consideration, and avoids retraumatizing them.

, traffic, noise, vacant land, and artificial light — are associated with physical and mental health. As this idea is novel, we don’t yet know what the ideal trauma-informed neighborhood would look like. But we do have some ideas.We know that many neighborhoods have disruptive traffic, poorly lit spaces, and loud noises from construction or police sirens. Those characteristics can be stressful or anxiety-provoking for many, particularly for those with a history of trauma.

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