ACES
What does ACE stand for?
What is Adverse Childhood Experiences.
Trauma can disrupt what important relationship system?
Attachment
Complete the Sanctuary phrase:
“Instead of ‘What’s wrong with you?’ ask __________?”
“What happened to you?”
How many domains of safety are identified in the presentation?
Four
How many steps are in the Sanctuary 5-Step Safety Plan?
Five
The original ACE Study was a collaboration between what two organizations?
Kaiser Permanente and the CDC
What is it called when a child is emotionally withdrawn and does not seek comfort when distressed?
Reactive Attachment Disorder (RAD)
Is the goal to ignore problematic behavior?
No. We still address behavior, but we consider what may be behind it and respond in a trauma-informed way.
Name one domain of safety.
Physical, psychological, social, or moral
What should a Safety Plan include?
Things a person can do when feeling unsafe to maintain their safety.
The ACE Study examined the effects of adverse experiences across what period of life?
Across the lifespan
What disorder involves a child approaching unfamiliar adults with little hesitation?
Disinhibited Social Engagement Disorder (DSED)
What does a change in perspective mean?
Changing how we understand and respond to behavior.
Name all four domains of safety.
Physical, psychological, social, and moral
Should the steps be complicated or easy to remember?
Easy to remember / things that can be done without much thought.
True or False: ACEs are rare.
False
Name one sign that may be seen in a child experiencing attachment difficulties.
Possible answers: withdrawal, limited emotional response, irritability, sadness, fear, overly familiar behavior, etc.
Why should we pay attention to both past trauma AND preventing future harm?
Because healing happens through strong relationships and environments that support safety and healing.
Why are Safety Plans important?
They help keep people safe and help regulate emotions.
Name one example of something that could go on a Safety Plan.
Taking a walk, meditation, calling a friend, asking for help, breathing, counting backward, etc.
What happens when ACEs “pile up”?
They can have a cumulative impact and are associated with many health and social problems.
Why is understanding trauma important when working with children?
It helps us understand behavior in the context of past experiences and create environments that support healing.
Scenario: A youth becomes angry and refuses to participate. Give one trauma-informed response instead of immediately labeling him as “disrespectful.”
curiosity, safety, regulation, support, or asking what happened.
True or False: Safety only means making sure someone isn't physically injured.
False. Safety includes physical, psychological, social, and moral domains.
What should be included toward the end of the Safety Plan as a “fail-safe” option?
Calling 911 or contacting a therapist/appropriate support person.