that staff and patients are exposed to and obtain input from patients through a focus group or other means to make progress toward changes to make services more trauma-informed. this procedure will be repeated until there is no tie. there’s a reason the rocky mountains are the stuff of songs and poems. in recent years we haven't had much snow so when it is cold, we tend to have ice all around. we say that we need to treat people with respect but actually what we are really saying is that we need to treat some people better than others. 