TERPA™

Trauma–Endocrine Risk Assessment Framework & Screening System

TERPA™ is a structured, trauma-informed clinical screening and risk-stratification framework designed to support licensed professionals in identifying trauma-related behavioral and endocrine risk patterns that may contribute to complex health presentations.

TERPA is built for integration into existing clinical, hospital, and behavioral health workflows through licensing and continuing education (CE) programs.

Clinical Purpose

Why TERPA Exists

Across healthcare systems, individuals with unresolved trauma exposure often present with overlapping mental, behavioral, and physiological symptoms. When these patterns are not identified early, patients may experience:

repeated or ineffective treatment cycles
fragmented care between medical and behavioral disciplines
escalation into chronic health conditions
delayed referral to appropriate specialty services

TERPA provides a standardized, evidence-informed framework to support earlier recognition of trauma-linked risk patterns and improve clinical decision-making and care coordination.

Clinical Benefits of TERPA™

TERPA supports licensed professionals and institutions by:

Supporting earlier identification of elevated risk patterns that may otherwise go unrecognized
Improving timing and accuracy of referrals across medical and behavioral health services
Enhancing treatment planning by providing structured risk stratification
Reducing fragmented or trial-and-error care approaches
Strengthening trauma-informed mental health assessment and follow-up
Supporting earlier intervention pathways for individuals with complex or chronic presentations
Improving interdisciplinary communication through standardized screening outputs
Enhancing documentation, reporting, and care coordination
Supporting population-level risk awareness without diagnostic overreach

What TERPA Is

A Clinical Screening & Risk-Stratification Framework

TERPA is a non-diagnostic, non-treatment framework that supports licensed professionals by:

organizing trauma-informed screening inputs
identifying elevated behavioral and endocrine-stress risk indicators
supporting referral pathways and care escalation decisions
enhancing documentation, reporting, and clinical communication

TERPA does not replace clinical judgment.
It strengthens it by providing structure, consistency, and risk visibility.

Who TERPA Is For

Institutional & Licensed Professional Use

Medical & Healthcare Systems

Hospitals & health systems
Primary care & family medicine practices
Internal medicine clinics
Women’s health & integrative medicine clinics
Endocrinology-adjacent care teams
Federally Qualified Health Centers (FQHCs)

Behavioral & Mental Health

Licensed therapists (LPC, LMFT, LCSW, Psychologists)
Behavioral health clinics
Community mental health centers
Trauma-informed care programs
Substance use & recovery programs
Inpatient & outpatient behavioral facilities

Public, Corporate & Institutional Programs

Healthcare networks
Rehabilitation facilities
Government-funded programs
Employer wellness & EAP providers
Universities and training institutions

Clinical Application

How TERPA Is Used

1. Screen
Clinicians administer TERPA screening tools within their existing workflow.

2. Stratify Risk
The framework identifies risk levels and pattern indicators associated with trauma load and endocrine-stress burden.

3. Route & Support Care
Clinicians use TERPA outputs to support:

referrals
interdisciplinary coordination
documentation and treatment planning
monitoring over time

TERPA integrates into not disrupts standard care models.

About TERPA

Framework Development

TERPA was developed in response to observed gaps between trauma exposure, behavioral health symptoms, and downstream physiological burden. Particularly when patients cycle through care without integrated risk recognition.

The framework reflects trauma-informed principles, interdisciplinary awareness, and practical clinical application across healthcare settings.

Compliance & Data
Considerations

HIPAA-Conscious Implementation

TERPA is designed to be implemented in a manner consistent with HIPAA and institutional privacy standards. Data collection and storage remain under the control of the licensed organization using the framework.

Legal & Clinical Disclaimer

TERPA™ is an educational and clinical screening framework. It does not diagnose, treat, cure, or prevent disease and is not a medical device. TERPA is intended for use by licensed professionals within their authorized scope of practice. All clinical decisions remain the responsibility of the treating provider.

Licensing & Continuing Education

Professional Licensing Programs

TERPA is offered through institutional licensing and professional CE-based training, enabling organizations to implement the framework with consistency and fidelity.

Licensing includes:

rights to use TERPA screening tools and framework
clinical implementation guidelines
documentation and reporting structures
institutional usage standards

Continuing Education Programs include:

trauma-endocrine risk education
clinical application training
ethical and scope-appropriate use
documentation and referral best practices

Professional Standards & Scope

Important Clinical Clarifications

TERPA is not a diagnostic instrument
TERPA does not provide medical treatment
TERPA does not replace licensed evaluation
TERPA supports risk identification and clinical decision support
All medical and behavioral decisions remain the responsibility of the licensed provider

Institutional Inquiry

Licensing & CE Programs

Organizations and institutions may inquire about:

clinical licensing agreements
continuing education programs
system-wide implementation
training for multidisciplinary teams