To establish a SANE program that provides patient-centered and trauma-informed care, the program should be developed with core values that recognize every patient brings a unique set of needs that must be acknowledged throughout the episode of care. There is no universal approach to services. It is impossible to identify in this Guide every patient population that may have unique needs, feels marginalized, or is invisible in the community. It takes both time and effort to seek out the people who need SANE services and who may not be accessing them because of barriers—perceived or real. This section provides a framework for looking at issues that impact access to care for different communities and ensuring services are victim-centered and trauma-informed.