Which option is NOT listed as a core value in SAMHSA's framework?

• A. Safety
• B. Trustworthiness & transparency
• C. Peer support
• D. Efficiency

Answer: (D)

SAMHSA’s trauma-informed care framework centers on values that guide how services are delivered and how providers interact with individuals. Core values include creating safety (both physical and psychological), being trustworthy and transparent in communication and processes, and incorporating peer support—drawing on lived experience to foster connection and recovery. Along with these, the framework emphasizes collaboration and mutuality, empowerment and voice and choice, and attention to cultural, historical, and gender issues. These values shape care to minimize retraumatization and promote autonomy, dignity, and inclusion.

Efficiency, while important for operations, is not listed as a core value in this framework. It focuses on how care is provided and how people are treated rather than on throughput or performance metrics. Therefore, the option that does not belong as a core value is Efficiency.