What could it be?
Our program is named after this peer advocate.
Who was Howie the Harp (Howard Geld)?
Dan Siegal is known for this model of understanding how our nervous system responds to stressors and trauma.
Bonus 100 points to name the trauma-informed, strengths-based alternative to the "____ ___ ____" created by Carlie Atkinson. This model is shifting focus from simply "coping" with stress to actively exercising agency, intentionality, and relational connection. It emphasizes moving beyond mere survival (hyper/hypoarousal) to empower individuals to consciously choose their responses to challenging situations
What is the Window of Tolerance?
What is the Window of Choice?
True or False: The peer role is to give advice and tell people what they should do because "we've been there".
True or False: The peer role is to tell people they should/should not take medication.
True or False: The peer role is to explore possibilities alongside someone with a focus on shared responsibility, informed consent, mutuality, voice and choice?
What is false?
What is false?
What is true?
_______________ is a state of passivity resulting from repeated, uncontrollable failure, where one believes actions cannot influence outcomes.
Conversely, ____________ is the cultivated, resilient belief that actions matter, focusing on skill-building and proactive control to improve future circumstances
What is learned helplessness?
What is learned hopefulness?
These two models are designed to support us before, during and post crisis. Each of these models prioritizes identifying what you look like when you are well, when things are breaking down, signs you are in crisis and what post crisis looks like. Both models emphasize the importance of making these plans while we are well, for when we are not and the value of sharing the plan with supporters.
Bonus 100 if you can state which model came first.
What is WRAP, Wellness Recovery Action Plan?
What is Taking Action for Whole Health and Wellbeing?
This scientist and professor is well known for his theory represents the idea that our nervous system has an innate knowing, nueroception, that keeps us safe. It automatically scans for danger and safety. He highlights that we naturally shift through these states to keep us alive, however when we experience trauma, a lack of safety or a significant life event, our nervous system may get "stuck in survival" and alternate between two states instead of all four. This means we may have a stress response that does not match the stimuli (misreads a threat is present) and have impacts on our physiological, mental and relational wellness.
What is Steven Porges polyvagal theory?
These 4 Fs are a combination of work by Steven Porges, and Pete Walker. They aim to represent the stress response states our nervous system naturally shifts through when we have high vagal tone. Vagal tone can by improved with fostering nueroplasticity, engaging in therapy or medication, accessing safety and connection plus getting new experiences to show our nervous system different is possible.
What is fight, flight, freeze and fawn?
As peers, we turn ___________ into ______________ and share those insights BUT it is not the only tool we use.
We do not always have to ______ _______ to offer peer support. We can utilize other alternatives to advice. Our position is unique in that it often ____ _____ for us with in our job title.
Three terms in total.
What is experience and expertise?
What is self-disclose?
______________is the shared values, beliefs, traditions, behaviors, and ways of living that connect a group of people.
What is culture?
These 10 dimensions highlight areas of wellness peers may work with folks on expanding or maintaining.
Physical, Emotional, Intellectual, Social/Cultural, Spiritual, Occupational, Financial, Environmental, Creative, and Digital are the ten key components of this comprehensive holistic framework.
This approach to care planning puts the individual firmly in the driver's seat, prioritizing personal recovery, self-determination, and active advocacy over traditional treatment options where goals were set by the institution, and framed the doctor as the only expert.
What is person centered planning?
A peer arrives at thier support meeting stating that they "just need a break" and feel like they are "facing an impending crisis". They share that their roommate is dating a dj that keeps them up at night, their hours are getting cut at work and that their doctor had them start a new sleep medication to help but its "not working". They report they "just need rest" or they'll "go off the deep end.
Share peer support possibilities using any tool we covered in class.
What is....
A respite center
Open ended questions and curiosity
Engaging in advocacy around medication change
Validate feelings
Explore wellness toolbox options to counteract stressors
Hold space to vent and express frustration then brainstorm options
Explore accommodations at work, alternative employment options or supports.
Role play discussing nighttime noise with roommates.
These three interrelated concepts form the foundation of healthy interpersonal dynamics: ______define what you accept for yourself, _____________ outline what you anticipate from others' behaviors, and __________ establish the limits of how you will be treated.
What are standards, expectations and boundaries?
__________________ involves attitudes or beliefs we are aware of and may openly express. These beliefs can directly shape how we speak, act, and make decisions about others.
__________________refers to automatic thoughts or reactions we have without realizing it. These unconscious associations are shaped by social messages and experiences and can influence our behavior even when we believe we are being fair.
____________________ is an error in thinking. We hold a belief and our brain accumulates all the data it can to prove that belief is true while ignoring or dismissing data to the contrary.
What is explicit bias?
What is implicit bias?
What is confirmation bias?
This term describes the delicate practice peer support workers use to navigate and validate a client's unique worldview or alternative beliefs without necessarily endorsing them as objective truth.
What is negotiating reality?
This mneumonic device highlights key strategies of motivational interviewing. Motivational interviewing invites curiousity, engagement and aims to truly listen to the person.
Name the mnemonic device and the approach each letter stands for.
What are OARS? OARS stands for Open-ended questions, Affirmations, Reflective listening, and Summaries, which are the core communication skills used in Motivational Interviewing.
Name the foundational study showing that childhood trauma—such as abuse, neglect, and household dysfunction—is common and directly linked to severe, long-term physical, mental, and social health issues, including chronic diseases, reduced lifespan, and increased risk-taking behaviors.
For full points name both studies and the reason for the second study.
What was Filetti's ACES study?
What was the Philadelphia study? The Philadelphia study included extended ACES that integrated community factors such as violence, over policing, and had a more racially/socioeconomically diverse sampling size.
Both studies highlighted the subjective nature of trauma.
_________ ___________ is a part of crisis prevention models like WRAP or Taking Action for Whole Health and Wellbeing. It consists of a variety of actions one can take when encountering stressors. The idea is we can be self-responsible when triggers happen to take care of ourselves and keep options/choices open.
What is a wellness toolbox?
Professional Boundaries have certain elements that are 1)____________ and some that are 2)_________.
1._________________
•Scope/Focus of the particular job role
•Ethics
2.______________
•The worker’s personal limits and preferences
•The program participant’s personal limits and preferences
•Other special considerations (e.g. clinical)
What is consistent and what is flexible?
Dr. Daniel Amen shared a tool to rewrite automatic negative thoughts we may have through his A.N.T.S and Anteater process. List the questions he asks us to answer and to reframe our perception.
Is it true?
Is it always true?
What do I feel when I have these thoughts? Who would I be, or how would I feel without these thoughts?
How do I turn this to its realistic opposite?
Example: All my coworkers hate me.
Rewrite: It is unlikely all my coworkers hate me. I have been invited to lunches and to hang out on break. I am building relationships to feel more connected, it's okay to feel lonely and it is going to take time.
Explain peer possibilities for the following scenario, you are offering peer support to Perry, who recently got out of a stay at a psychiatric unit. He reports he has returned to work and is "feeling better". Towards the end of your meeting, he shares "I have decided to stop taking my medication, I feel funky and I think it'll help me". Provide a hope inspired response that includes sharing your concerns.
What are: OARS/ Motivational Interviewing and Active Listening, responding from hope instead of fear, strengths-based language, exploring options, Naming concerns, Center choice and voice, Using See, Feel, Need, Intentional self-disclosure., referring to outside supports.
Example-
"In the past when I have readjusted back to life after the hospital, medication was one of the tools that helped me. When I stopped taking my medication, it made it harder for me to stay focused and manage my stress. I think that's where my concern is coming from, I want to make sure you have helpful tools for your recovery and managing stress. It sounds like you have a different experience with medication, can you tell me more about that? Have you stopped taking them in the past? What was that like for you?".
These two complementary acronyms represent the opposing forces of early-life trauma and resilience-building support in psychology.
Name the acronyms, what they stand for and give two examples for each. Highlight how peers use this insight.
What are ACES, Adverse Childhood Experiences and PACES, Protective and Compensatory Experiences?
ACES: Physical abuse, Emotional abuse, Sexual abuse, Physical neglect Emotional neglect, Alcohol or drug abuse by a parent, Mentally ill parent, Divorce, Incarceration of a parent, Childhood Domestic Violence.
PACES: parent/caregiver unconditional love, spending time with a best friend, volunteering or helping others, being active in a social group, having a mentor outside of the family, living in a clean, safe home with enough food, having opportunities to learn, having a hobby, being active or playing sports, having routines and fair rules at home.
You are working with a participant who speaks a different language from you. List the following options 1-5 in order you would try them.
___Ask for them to be transferred to another person's workload who speaks the same language (if available).
_____Download translation applications on my phone to utilize in our meetings
_____Call an interpreter service and put them on speaker phone
_____Make sure all documents are provided in their native language and research additional supports
____ Express concerns my supervisor about providing meaningful peer support and the impact of language barriers on that connection.
_5__Ask for them to be transferred to another person's workload who speaks the same language (if available).
__4___Download translation applications on my phone to utilize in our meetings
__3___Call an interpreter service and put them on speaker phone
__2___Make sure all documents are provided in their native language and research additional supports
__1__ Express concerns my supervisor about providing meaningful peer support and the impact of language barriers on that connection.
_______ __________ is a lifelong self-reflection, addressing power inequities, institutional accountability and not ethnocentrism are key components to this practice.
What is cultural humility?
In Vernon E. Johnson’s seminal 1980 work I’ll Quit Tomorrow, the progressive advancement of chemical dependency is mapped across these four key phases.
List the phases.
What is learning the mood swing, seeking the mood swing, harmful dependency, and using to feel normal?