This chapter highlights key aspects of trauma program development. It summarizes basic program development theory, using examples to illustrate the process. The chapter also seeks to explain the unique challenges of developing programs for survivors and the key role of survivor safety in service delivery. The "Sanctuary Model" was developed to take trauma informed care to another level, addressing this issue and providing organizational healing. There are specific program development issues to address when working with trauma survivors such as the need to involve stakeholder groups. Multidisciplinary partnerships and one-stop shopping models require work in order to maintain effective inter-agency relationships, but in the end survivors' needs are met more comprehensively and this creates needed safety. Access to funding improves with a comprehensive program development process because funders are more likely to allocate resources to well-thought-out programs. Funding creates additional issues where survivors are concerned.