This chapter begins with the introduction of an organizational continuum tool leaders in the early childhood field will find helpful as they strive to become trauma-sensitive organizations. Characteristics of stress and trauma-inducing organizational environments, trauma-informed environments and trauma-responsive healing engaged (Ginwright, 2018) environments are described. Authentic vignettes from the field provide windows into different places along the continuum. Then the authors provide a brief overview of the key steps in the process of becoming trauma-informed and trauma-responsive. They describe common barriers that arise for leaders and groups working to create trauma-responsive organizations and systems and the importance of using guiding principles to inspire and inform ongoing work.