Trauma- and violence-informed care (TVIC) is a response to both interpersonal and structural violence.

Structural violence and trauma challenges past thinking and the label of addiction as a social disease.

A result of this kind of oppression is trauma and trauma-like experiences.

This often-subtle form of oppression is multigenerational and normalized by those who experience and exert it, including health and social service providers and educators.The arrangements are structural because they are embedded in the political and economic organization of our social world they are violent because they cause injury to people (typically, not those responsible for perpetuating such inequalities).These connections are referred to as structural violence, a term that refers to the existence of unequal power, restricted access to resources, and systematic oppression resulting in the denial of basic needs, including health care or treatment of addictions.There are intuitive causal connections between addiction, substance use, and societal factors such as poverty, lack of opportunity, substandard living, working conditions, colonialism and neocolonialism, assimilation, and social, structural, and other determinants of health.

Intergenerational trauma and drug use