Company Overview

Trauma Services Associates

 Trauma Services Associates (TSA) Treatment and Training Institute© Is an Innovative Behavioral Health Institute, offering an integrated network of Mental Health Treatment and Training.

Trauma Services Associates consist of a multidisciplinary staff of psychologist, massage therapist, nutritionist, social workers, and other behavioral health professionals working together to provide high-quality care.  The vast majority of the staff is board-certified and one-third have specialty certifications.  Many are recognized by their peers as among the best in their fields.  Created in part to anticipate and meet the needs of the underserved community, TSA represents an integrated continuum of care as well as a network of satellite providers throughout the nation. 

 By weaving all programs under a single clinical treatment structure,TSA can offer all
 levels of care for patients of all levels of diagnosis.
Our diversity also makes TSA
 flexible enough to respond to the 
rapidly growing minority population in mental health.

TSA targets the treatment and litigation of psychological trauma, personal injury,
intergenerational affects, and post traumatic stress disorder (PTSD). 
Under the direction of Dr. Hicks. 


Trauma Service Associates is the premier service provider for:


•     Treatment of Emotional Trauma and Post Traumatic Stress Disorders (PTSD)

•     Institute for Trauma Research, Training, and Educational Awareness

•     Trauma Screening and Assessment of Psychological Injury

•     Surviving Workplace Trauma

•     Spiritual and Faith-Based Training for Religious Leaders and Congregations

•     Trauma Treatment Program for Chronically Traumatized Offenders

•     Self-Healing Essential Circles™ (Includes Spiritual and Faith-Based Healing Circles)

•     Trauma in Youth and Children

•     Crossroads, Changes and Challenges - a program which offers you assistance

In reviewing your lifestyle, values, beliefs, and habits

•     Telehealth and Other Technologies

•     Trauma-Related Education

•     Individual, Family, & Group Treatment

•     Corporate Consultation

•     Alternative Treatment

•     Case Review

•     Professional Lectures

•     Attorney Consultation

•     Seminars and Symposiums

•     Culturally and linguistically relevant training and treatment


President/CEO of Trauma Services Associates: Dr, Denyse Hicks Ray, Ph.D., B.C.E.T.S., FAAETS  Dr. Denyse Hicks Ray’s professional career has been dedicated to improving the mental health of women and their children, especially minority and underserved families. As a clinical psychologist with a specialty in psychological trauma, she has devoted her career to providing mental health education, to involvement in clinical research, and to the campaigning for local and federal programs directed to services for the underprivileged.


Dr. Hicks Ray has received numerous prestigious professional and community awards, including the Extraordinary Woman Award of 2001. Most recently, the DENRAH Foundation created a scholarship in her honor. Two recipients each year will be selected from underprivileged and minority applicants to receive full fellow’s scholarships. The first “Hicks-Ray’ Scholars” will begin doctoral studies in fall 2002. Dr. Hicks Ray is co-author of the Surgeon General’s Report on Mental Health: Culture, Race, and Ethnicity.

The institutional arm of TSA 

Trauma Service Associates Institute (TSAI)-  
through its four programs  - Targets Mental Health Professionals and Gate-Keepers. Gatekeepers – such as high school counselors, pastors, primary care physicians, and substance abuse counselors, older adults, minority populations – help to identify people with trauma and make referrals.  They are critical elements of Trauma Services Associates Institute.  TSAI is comprised of Four Programs:


•     The National Worksite Program (Surviving Workplace Trauma) educates corporate executives, managers, health professionals, other employees, and families about psychological trauma.  This component of TSAI’s program is implemented in partnership with government and private employers.


•     The Education Campaign uses media activities, printed materials, telehealth technologies, and joint activities with other organizations to educate the public about psychological trauma and improved help seeking behaviors.


•     The Professional Training Program provides mental health providers and other professionals with up-to-date information on the diagnosis and treatment of psychological trauma. 


•     Community Involvement Campaign ensures that community assets are utilized whenever possible.  To carry out this mission TSAI will:


•     Define and determine mental health care for Trauma survivors for optimum quality of care by acting as their partner/advocate.


•     Act as change agents in reconstructing existing institutions and or help to establish institutions to suit African American needs


•     Serve as the national advocacy body to influence legislation and policies that affect mental health concerns and work cooperatively and collaboratively with those bodies for other health needs of trauma survivors.


•     Set standards and guidelines for quality educational materials for African Americans with mental health disorders and monitor the proper utilization of the materials.


•     Recruit, counsel, train and employment placement of PhD candidates interested in mental health to insure a constant procession of innovated professionals into the field.


•                 Design mental health educational materials and programming that are linguistically and culturally relevant.


•     Collaborate with other mental health professional groups to compile archives relevant to historical, current and future activities of  specific populations with mental health concerns.


•     Provide the impetus and means for new mental health professionals to write and publish on an individual or collaborative basis.

Our Approach to Trauma Treatment


An Educational Approach


In recent years the long term effects of sexual abuse, incest, gang warfare, and the dissemination of the family unit have been found to compound difficulties already experienced by people living in inner cities throughout the United States.  There is often increased interference in cognitive functioning, increased stigmatization and shame, and increased social isolation among people in this population.  Despite these findings people in these communities are often not accessed for the effects of sexual abuse, incest, gang warfare, and the dissemination of the family unit.  Even if a person is known to have a history of these abuses, the trauma is not often treated because the people are not known to have a history of these abuses; the trauma is not often treated because the people are not aware that these disorders have been exacerbated. 


Not addressing traumatic history at all however, may place the individual at continuing risk for repeated cycles of violence, substance abuse, decompensation, self-mutilation, and other symptomatology. 


Trauma Services Associates Treatment and Training Institute© is designed to coordinate resources and direct services to strengthen and empower African Americans adults and children who are survivors of trauma.  The programs primary focus is to increase the level of awareness on the effects of trauma within the African American communities, thereby identifying coping mechanisms that are culturally and linguistically relevant.


Despite extensive efforts to improve mental health outcomes over the past decade, ethnic, racial, and geographic disparities continue to define issues in African American communities across America.  During the early 90’s while providing treatment services for correctional facilities, Denyse Hicks, Ph.D. conducted a research study in which African American outpatients were interviewed about sexual abuse, physical abuse, and neglect histories.  The participants interviewed had diagnosis or schizophrenia, affective disorders, usually with psychotic features, and/or schizoaffective disorder, as well as various Axis II Disorders.


Dr. Hicks Ray found that 85% of the sample of participants interviewed had a history of childhood abuse or neglect, with 65% having been sexually abused, 71% physically abused, and 52% neglected.  Only 12% of the sexually abused and 10% of the physically abused participants however were identified as such by the health systems.


Finding little published research and limited protocols for treatment Dr. Hicks subsequently developed and implemented culturally and educationally oriented, sexual abuse information and groups for African Americans’ who had been misdiagnosed or not diagnosed with behavioral or severe mental illnesses.  The treatment strategy was developed over the course of five years.  The current team of experts have worked for many years with people diagnosed with mental health disorders in both inpatient and outpatient settings.


The team prepared this program in order to make available to other minority groups the group treatment protocols they will use in addressing the specific needs of African American adults and children who have been abused and not diagnosed with a mental health disorder.  The program is conceived as an educational and problem-solving tool.  Its educational format is designed to help limit stimulation and anxiety and to provide a safe, contained environment in which individuals diagnosed with a mental illness - or not - can begin working on trauma issues.


These programs outline the structure and content designed to help participants gain an understanding of what trauma is, what symptoms they may experience as a result of the trauma, how they have managed their symptoms heretofore, and how they might manage them differently in the future.  The overarching intent of the approach is to teach the key principles of trauma and trauma recovery, including personal empowerment, safety, and reconnection with others.


A guiding principle of the approach presented in these programs are that psychologically traumatized adults and children can be empowered through education about the effects and affect of adult and childhood trauma.  By gaining knowledge and building skills, they can develop both inner strength and greater independence.  All programs offer culturally and linguistically relevant training and treatment


Trauma Services Associates views people who have experienced the double impact of life stressors and trauma as survivors.  They do not view them as pathological and/or passive victims.  Rather, survivors are people who have been able to cope with the negative effects of life, abuse, and often neglect.  In addition they have sustained the ability to maintain hope for better lives.  The organization focuses on resiliency and ability to survive, not on deficiencies.  Survivors are people in need of healing not fixing.



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