A Relational-Cultural Trauma-Informed Care Framework: An Emerging Model for Philippine School Counseling

This study develops a Relational-Cultural Trauma-Informed Care (RCTIC) Framework for Philippine school counseling based on an Interpretative Phenomenological Analysis (IPA) of Filipino school counselors’ lived experiences. It reconceptualizes trauma-informed care as a relationally embedded and culturally mediated process rather than a fixed set of clinical procedures. Findings generated four interrelated dimensions: (1) relational safety, (2) cultural mediation, (3) ethical and institutional practice, and (4) empowerment and advocacy. These dimensions function as mutually reinforcing processes that collectively enable the restoration of client agency, understood as the re-establishment of voice, choice, and self-directed meaning-making in the aftermath of trauma.
The study demonstrates that trauma-informed practice in Philippine school contexts is shaped by collectivist cultural logics, particularly kapwa, hiya, and utang na loob, which influence disclosure, help-seeking, and relational engagement. Rather than positioning culture as context, the framework conceptualizes it as an active mechanism in trauma processing and counseling interaction.
Overall, the RCTIC Framework extends dominant Western trauma-informed models by foregrounding relational-cultural dynamics and institutional constraints in shaping counseling practice. It offers a contextually grounded model for understanding how trauma-informed care is enacted within Philippine educational settings.

Trauma-informed care, school counseling, Philippines, IPA, relational-cultural theory

1. Adewuyi, H. O., & Dwarika, V. (2025). Exploring trauma-informed care in Nigerian secondary schools: The school counsellor’s experiences. Journal of Pedagogical Sociology and Psychology, 7(4), 112–127. https://doi.org/10.33902/jpsp.202533444 [Google Scholar] [Crossref]

2. Alhazmi, A. A., & Kaufmann, A. (2022). Phenomenological qualitative methods applied to the analysis of cross-cultural experience in novel educational social contexts. Frontiers in Psychology, 13, Article 785134. https://doi.org/10.3389/fpsyg.2022.785134 [Google Scholar] [Crossref]

3. Alibudbud, R. (2023). Towards transforming the mental health services of the Philippines. The Lancet Regional Health – Western Pacific, 39, Article 100935. https://doi.org/10.1016/j.lanwpc.2023.100935 [Google Scholar] [Crossref]

4. Almusallam, I. (2021). Using NVivo for data analysis in qualitative research. King Saud University. https://doi.org/10.13140/RG.2.2.20913.10082 [Google Scholar] [Crossref]

5. Baker, S., & Naidoo, L. (2023). Developing trauma-informed university supports for refugee background students in Australia. The Australian Educational Researcher. https://doi.org/10.1007/s13384-023-00625-9 [Google Scholar] [Crossref]

6. Bender, A. E., et al. (2024). Developing survivor-centred approaches for college student-athletes. European Journal of Psychotraumatology, 15(1), 2334587. https://doi.org/10.1080/20008066.2024.2334587 [Google Scholar] [Crossref]

7. Benuto, L. T., et al. (2026). Race-based trauma severity and emotional avoidance. Psychological Trauma: Theory, Research, Practice, and Policy, 18(1), 194–201. https://doi.org/10.1037/tra0001943 [Google Scholar] [Crossref]

8. Berring, L. L., et al. (2024). Implementing trauma-informed care: A scoping review. Healthcare, 12(9), 908. https://doi.org/10.3390/healthcare12090908 [Google Scholar] [Crossref]

9. Bloom, S. (2007). The Sanctuary Model of trauma-informed organizational change. https://sandrabloom.com [Google Scholar] [Crossref]

10. Booth, J., & Neill, J. (2017). Coping strategies and psychological resilience. Journal of Outdoor and Environmental Education, 20, 47–54. https://doi.org/10.1007/BF03401002 [Google Scholar] [Crossref]

11. Cahill, L. F., & Phelps, E. A. (2020). Neurobiology of fear and trauma. Biological Psychiatry, 88(10), 872–883. https://doi.org/10.1016/j.biopsych.2020.05.024 [Google Scholar] [Crossref]

12. Callaway, C. C. M., & Ch’ang, J. H. (2025). Traumatic brain injury in IPV. Current Pain and Headache Reports, 29, 6. https://doi.org/10.1007/s11916-024-01324-5 [Google Scholar] [Crossref]

13. Casiño, R. M. Z., et al. (2025). Utang na loob and Filipino psychology. International Journal of Education and Humanities, 5(2), 309–324. http://i-jeh.com [Google Scholar] [Crossref]

14. Center for Substance Abuse Treatment. (2014). Trauma-informed care in behavioral health services (TIP 57). SAMHSA. https://www.ncbi.nlm.nih.gov/books/NBK207195/ [Google Scholar] [Crossref]

15. Charlick, S., et al. (2016). IPA in midwifery research. International Journal of Doctoral Studies, 11, 205–216. https://doi.org/10.28945/3486 [Google Scholar] [Crossref]

16. Chia, A. Y. Y., et al. (2025). Childhood abuse and suicidal behavior. Psychiatry Research Communications, 5(1), 100202. https://doi.org/10.1016/j.psycom.2025.100202 [Google Scholar] [Crossref]

17. Chouliara, Z., et al. (2024). Therapeutic trust in complex trauma. Person-Centered & Experiential Psychotherapies, 23(2), 177–202. https://doi.org/10.1080/14779757.2023.2207107 [Google Scholar] [Crossref]

18. Cipta, D. A., et al. (2024). Culturally sensitive patient-centered care. Frontiers in Medicine, 11, 1353037. https://doi.org/10.3389/fmed.2024.1353037 [Google Scholar] [Crossref]

19. Cleofas, J. A. (2019). Utang na loob as Filipino virtue. Kritika Kultura, 33–34, 156–179. [Google Scholar] [Crossref]

20. Cordisco Tsai, L., et al. (2025). Trauma-informed intervention in Philippines. Social Work in Mental Health. https://doi.org/10.1080/15332985.2025.2454902 [Google Scholar] [Crossref]

21. Courtois, C. A., & Ford, J. D. (2013). Treatment of complex trauma. Guilford Press. [Google Scholar] [Crossref]

22. Daganzo, M. A., et al. (2024). Online sexual exploitation trauma care. Child Care in Practice. https://doi.org/10.1080/13575279.2024.2377709 [Google Scholar] [Crossref]

23. David, A., & Pabiona, R. (2024). Trauma-informed courts. IJM. https://www.ijm.org.ph [Google Scholar] [Crossref]

24. Davis, W., et al. (2022). Trauma-informed schools. Psychology in the Schools. https://doi.org/10.1002/pits.22664 [Google Scholar] [Crossref]

25. de Guia-Samuels, R. (2023). Shared inner perception in psychotherapy. https://www.psychotherapy.net [Google Scholar] [Crossref]

26. Dizon, J. T., et al. (2025). Family obligation and mental health. Asian Journal of Psychiatry, 87, 103614. https://doi.org/10.1016/j.ajp.2024.103614 [Google Scholar] [Crossref]

27. Downey, C., & Crummy, A. (2022). Childhood trauma impact. European Journal of Trauma & Dissociation, 6(1). https://doi.org/10.1016/j.ejtd.2021.100237 [Google Scholar] [Crossref]

28. Dunson Caputo, D., et al. (2025). Power in counseling relationships. Psychotherapy Research, 35(2), 190–203. https://doi.org/10.1080/10503307.2024.2298741 [Google Scholar] [Crossref]

29. Edgar, H., et al. (2025). Shared decision-making in trauma systems. Administration and Policy in Mental Health, 52(1), 14–27. https://doi.org/10.1007/s10488-024-01312-7 [Google Scholar] [Crossref]

30. Eggleston, K., et al. (2021). Trauma-responsive discipline. Routledge. [Google Scholar] [Crossref]

31. Elangovan, N., & Sundaravel, E. (2021). Survey validation methods. MethodsX, 8, 101326. https://doi.org/10.1016/j.mex.2021.101326 [Google Scholar] [Crossref]

32. Eslit, E. (2024). Filipino cultural identity. Preprints. https://doi.org/10.20944/preprints202409.2386.v1 [Google Scholar] [Crossref]

33. Estrada, C. A., et al. (2020). Mental health services Philippines. BMC Proceedings, 14(Suppl 11), 11. https://doi.org/10.1186/s12919-020-00194-0 [Google Scholar] [Crossref]

34. Forber-Pratt, A. J., et al. (2021). Trauma-informed schools and barriers. School Psychology Review, 50(2–3), 344–359. https://doi.org/10.1080/2372966X.2020.1832863 [Google Scholar] [Crossref]

35. Frechette, J., et al. (2020). IPA methodological considerations. International Journal of Qualitative Methods, 19. https://doi.org/10.1177/1609406920907254 [Google Scholar] [Crossref]

36. Fye, H. J., et al. (2024). Trauma-informed practice scales. Measurement and Evaluation in Counseling and Development, 57(3), 211–230. https://doi.org/10.1080/07481756.2023.2243263 [Google Scholar] [Crossref]

37. Goldstein, E., et al. (2024). Trauma-informed care effectiveness. The Permanente Journal, 28(1), 135–150. https://doi.org/10.7812/TPP/23.127 [Google Scholar] [Crossref]

38. Green, A. B., & Hennefield, L. (2023). Early adversity and academics. Psi Chi Journal, 28(3), 168–179. https://doi.org/10.24839/2325-7342.JN28.3.168 [Google Scholar] [Crossref]

39. Grossman, A., et al. (2021). Trauma-informed healthcare. Trauma Surgery & Acute Care Open. https://doi.org/10.1136/tsaco-2021-000815 [Google Scholar] [Crossref]

40. Gundran, A. P., et al. (2022). Utang na loob scale. ANTORCHA, 8(1). [Google Scholar] [Crossref]

41. Harris, M., & Fallot, R. D. (2001). Trauma-informed service systems. New Directions for Mental Health Services, 89, 3–22. https://doi.org/10.1002/yd.23320018903 [Google Scholar] [Crossref]

42. Harrison, J. L., & Gordon, R. M. (2021). Relational safety in therapy. Journal of Contemporary Psychotherapy, 51(3), 215–226. https://doi.org/10.1007/s10879-021-09498-2 [Google Scholar] [Crossref]

43. Hickman, D. L., & Klassen, S. L. (2022). School counselor advocacy. IGI Global. https://doi.org/10.4018/978-1-7998-9785-9.ch002 [Google Scholar] [Crossref]

44. Hurless, N., & Kong, N. Y. (2021). Trauma-informed strategies in schools. Intervention in School and Clinic, 57(1), 56–61. https://doi.org/10.1177/1053451221994814 [Google Scholar] [Crossref]

45. Irwin, K. (2022). Trauma and identity in teens. Journal of Contemporary Ethnography, 51(1), 3–30. https://doi.org/10.1177/08912416211026725 [Google Scholar] [Crossref]

46. Isobel, S., et al. (2021). Trauma-informed services. International Journal of Mental Health Nursing, 30(2), 495–505. https://doi.org/10.1111/inm.12813 [Google Scholar] [Crossref]

47. Jumarali, S. N., et al. (2021). Survivor-centered practice. Journal of Interpersonal Violence, 36(23–24), NP12665–NP12689. https://doi.org/10.1177/0886260520903131 [Google Scholar] [Crossref]

48. Kataoka, S. H., et al. (2018). Trauma-informed school systems. Ethnicity & Disease, 28(Suppl 2), 417–426. https://doi.org/10.18865/ed.28.S2.417 [Google Scholar] [Crossref]

49. Kobayashi, V., et al. (2024). Kapwa and relational communication. [Google Scholar] [Crossref]

50. Kusmaul, N., et al. (2018). Organizational culture and TIC. Human Service Organizations, 42(4), 407–419. https://doi.org/10.1080/23303131.2018.1471867 [Google Scholar] [Crossref]

51. Lanius, R. A., et al. (2020). Trauma and self. European Journal of Psychotraumatology, 11(1). https://doi.org/10.1080/20008198.2020.1807703 [Google Scholar] [Crossref]

52. Larkin, M., et al. (2006). IPA methodology. Qualitative Research in Psychology, 3(2), 102–120. [Google Scholar] [Crossref]

53. Low, P. K. (2024). School counseling in Asia. Routledge. [Google Scholar] [Crossref]

54. Mafura, M., & Charura, D. (2021). Counselling across cultures. British Journal of Guidance & Counselling, 49(3), 410–423. https://doi.org/10.1080/03069885.2020.1793456 [Google Scholar] [Crossref]

55. Martinez, R., et al. (2020). Trauma-informed care in foster youth. Professional School Counseling, 23(1). https://doi.org/10.1177/2156759X20947747 [Google Scholar] [Crossref]

56. Mesina, O. L. (2022). Culturally responsive care. Thrive. https://www.thrivehere.com [Google Scholar] [Crossref]

57. Morton, B. M., & Berardi, A. A. (2018). Trauma-informed school programming. Journal of Child & Adolescent Trauma, 11(4), 487–493. https://doi.org/10.1007/s40653-017-0160-1 [Google Scholar] [Crossref]

58. Noon, E. J. (2018). IPA in education. Journal of Perspectives in Applied Academic Practice, 6(1). https://doi.org/10.14297/jpaap.v6i1.304 [Google Scholar] [Crossref]

59. Ochs, J., et al. (2024). Culturally responsive care. OpenStax. https://openstax.org/books/population-health/pages/23-2-what-is-culturally-responsive-care [Google Scholar] [Crossref]

60. Padden, J. V. (2021). Urban trauma dissertation. ProQuest. [Google Scholar] [Crossref]

61. Pandya, S. P., & Kapadia, S. (2021). Spirituality in trauma care. Journal of Religion & Spirituality in Social Work, 40(3), 267–284. https://doi.org/10.1080/15426432.2021.1891657 [Google Scholar] [Crossref]

62. Perry, B. D. (2014). Neurosequential model. American Psychiatric Press. [Google Scholar] [Crossref]

63. Podolan, M., & Gelo, O. C. G. (2024). Therapeutic safety. Journal of Phenomenological Psychology, 55(1), 1–25. https://doi.org/10.1163/15691624-bja10045 [Google Scholar] [Crossref]

64. Qureshi, A., et al. (2008). Cultural competency training. European Psychiatry, 23(Suppl 1), 49–58. https://doi.org/10.1016/S0924-9338(08)70062-2 [Google Scholar] [Crossref]

65. Rawson, S. (2020). Trauma-sensitive school counseling. Routledge. [Google Scholar] [Crossref]

66. Rilveria, J. R. C. (2024). Filipino therapeutic alliance model. Philippine Social Science Journal, 6(4), 19–32. https://doi.org/10.52006/main.v6i4.875 [Google Scholar] [Crossref]

67. SAMHSA. (2014). Trauma-informed care TIP 57. https://store.samhsa.gov [Google Scholar] [Crossref]

68. Smith, J. A., et al. (2009). IPA handbook. SAGE. [Google Scholar] [Crossref]

69. Smith, P., et al. (2022). Cultural responsiveness in mental health. Australian Psychologist, 57(4), 209–214. https://doi.org/10.1080/00050067.2022.2078648 [Google Scholar] [Crossref]

70. Sorrentino, A. E., et al. (2021). IPV survivor perspectives. Psychological Services, 18(4), 512–522. https://doi.org/10.1037/ser0000427 [Google Scholar] [Crossref]

71. Sukhawathanakul, P., et al. (2024). COVID-19 stress and academics. Journal of College Student Retention, 26(2), 567–580. https://doi.org/10.1177/15210251221104245 [Google Scholar] [Crossref]

72. Taylor, S. (2021). Trauma-informed schools and COVID-19. Beyond Behavior, 30. https://doi.org/10.1177/10742956211020841 [Google Scholar] [Crossref]

73. Treisman, K. (2016). Trauma in children and adolescents. Routledge. [Google Scholar] [Crossref]

74. Van der Kolk, B. A. (2014). The body keeps the score. Viking. [Google Scholar] [Crossref]

75. Vaughn, S. (2021). Trauma-informed care principles. Nova Science Publishers. [Google Scholar] [Crossref]

76. Voith, L. A., & Blakey, J. M. (2016). Trauma and Filipino youth. Journal of Child & Adolescent Trauma, 11(3), 257–268. https://doi.org/10.1007/s40653-016-0116-x [Google Scholar] [Crossref]

77. Weiss, M. P., & Rodgers, W. J. (2020). School counseling roles. Psychology in the Schools, 57, 959–972. https://doi.org/10.1002/pits.22376 [Google Scholar] [Crossref]

78. Woodward, C., & Joseph, S. (2003). Post-traumatic growth. Psychology and Psychotherapy, 76, 267–283. https://doi.org/10.1348/14760830332236249 [Google Scholar] [Crossref]

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