
TERPA™
Trauma–Endocrine Risk Pituitary Assessment Framework
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:
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repeated or ineffective treatment cycles
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fragmented care between medical and behavioral disciplines
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escalation into chronic health conditions
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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:
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Supporting earlier identification of elevated risk patterns that may otherwise go unrecognized
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Improving timing and accuracy of referrals across medical and behavioral health services
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Enhancing treatment planning by providing structured risk stratification
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Reducing fragmented or trial-and-error care approaches
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Strengthening trauma-informed mental health assessment and follow-up
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Supporting earlier intervention pathways for individuals with complex or chronic presentations
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Improving interdisciplinary communication through standardized screening outputs
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Enhancing documentation, reporting, and care coordination
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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:
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organizing trauma-informed screening inputs
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identifying elevated behavioral and endocrine-stress risk indicators
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supporting referral pathways and care escalation decisions
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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
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Hospitals & health systems
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Primary care & family medicine practices
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Internal medicine clinics
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Women’s health & integrative medicine clinics
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Endocrinology-adjacent care teams
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Federally Qualified Health Centers (FQHCs)
Behavioral & Mental Health
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Licensed therapists (LPC, LMFT, LCSW, Psychologists)
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Behavioral health clinics
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Community mental health centers
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Trauma-informed care programs
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Substance use & recovery programs
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Inpatient & outpatient behavioral facilities
Public, Corporate & Institutional Programs
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Healthcare networks
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Rehabilitation facilities
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Government-funded programs
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Employer wellness & EAP providers
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Universities and training institutions
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. NO PII IS STORED BY TERPA™
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
Professional Licensing Programs
TERPA™ is offered through institutional licensing enabling organizations to implement the framework with consistency and fidelity.
Licensing includes:
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rights to use TERPA screening tools and framework
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clinical implementation guidelines
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documentation and reporting structures
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institutional usage standards
Professional Standards & Scope
Important Clinical Clarifications
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TERPA is not a diagnostic instrument
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TERPA does not provide medical treatment
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TERPA does not replace licensed evaluation
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TERPA supports risk identification and clinical decision support
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All medical and behavioral decisions remain the responsibility of the licensed provider
Institutional Inquiry
Licensing
Organizations and institutions may inquire about:
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clinical licensing agreements
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system-wide implementation
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training for multidisciplinary teams