Explore a comprehensive grand rounds lecture on the evolving landscape of trauma and trauma care in mental health, presented by Dr. Stanislav Spivak at Johns Hopkins Psychiatry and Behavioral Sciences. Delve into the history of trauma, adverse childhood experiences (ACEs), and their statistical impact. Examine individual and family factors contributing to trauma, as well as major risk factors and complex trauma. Learn about adult trauma, the DSM-5 trauma list, and identify gaps in current understanding. Discover treatment philosophies, trauma-specific services, and trauma-informed care approaches. Investigate residential services, case management, and integrated service needs. Analyze national assessments, local trends, and evidence-based practices in trauma care. Gain insights into training requirements and perspectives on trauma treatment. Conclude with a practical scenario and engage in a thought-provoking discussion on the future of trauma care in mental health.