Should a PSS screen for trauma, and how should questions be asked?

• A. No trauma screening is necessary.
• B. Yes, with trauma-informed, sensitive questions, ensuring safety and consent and avoiding retraumatization.
• C. Ask intrusive questions without warning.
• D. Screen only if the client requests it.

Answer: (B)

Screening for trauma is important because past experiences can significantly affect how someone engages with support and recovery. A PSS should approach this with a trauma-informed, sensitive mindset that prioritizes safety, consent, and minimizing harm. In practice, that means creating a safe space, explaining why the questions are being asked, and asking for permission before discussing potentially distressing topics. The client should control the pace—it's okay to pause, skip, or revisit later—and responses should be non-judgmental and offer options, not pressures, to disclose. If discussing trauma triggers distress, the PSS should pause, provide grounding or coping support, and offer referrals or additional resources as appropriate. This approach helps gather essential information while protecting the client from retraumatization and respecting their autonomy.

Choosing not to screen at all misses how trauma can shape current needs; asking intrusive questions without warning risks retraumatization and undermines trust; waiting for the client to request screening places the burden on them and is not consistent with proactive, informed care.