A conversation starter for substance use service providers. Trauma informed practice takes into account the common experience and enduring effects of trauma, and focuses on relational approaches. TIP is not an individual counselling technique, but rather a paradigm for providing support, structuring learning environments, and creating organizational culture change. TIP is not based on disclosing trauma. Instead, it can be seen as a “universal precaution” offered when working in substance use services that protects everyone. TIP is based on principles that include creating safety, promoting choice and building skills in a collaborative manner.