The MIECHV Region X Innovation in Home Visiting Workforce Development Project developed a comprehensive and integrated system of trauma supports and refective practices for home visitors. Tis efort is intended to help reduce burnout and turnover of home visiting staf and to maintain the quality and impact of home visiting services in Alaska, Idaho, Oregon, and Washington. Te supports are tailored to the intensive work that home visitors do with families that are experiencing high rates of historical trauma and co-occurring mental health difculties, substance use disorders, and domestic violence. This guide has been developed as part of this project. (author summary)