Trauma Informed Care
Peer Support and Intentional Peer Support
The Toolbox
Guest Facilitators
A Mixed Bag
100
This is a body's automatic physical and mental reaction to perceived threats or challenges that disrupt homeostasis. Known for 4 core responses, these states can automatically kick in when a thread is detected.
What are fight, flight, freeze and fawn?
100
These are the four tasks of Intentional Peer Support.
What is connection, worldview, moving towards and mutuality?
100
True or False: The statement Kai is bipolar is person centered.
What is false? The statement is not person centered because it defines Kai AS bipolar, and insinuates that is their whole identity. Kai has experiences with bipolar disorder or Kai is living with bipolar disorder are person centered ways to state that. They both put the person first and the experience [that is not their whole identity, second].
100
True or False: Sean Brennan founded the Brain Food Garden Project.
True or False: Jovanna Marc founded M.A.R.C Resource Center.
True or False: Peter Stastny partnered with Celia Brown, who is often cited as the "First NY Peer Specialist" to create the "International Network Towards Alternatives and Recovery" (or, as it’s now rendered, Rights-Based Supports).
What is true, true and true?
100
This saying refers to the concept that each note we document connects and creates a narrative of peer support.
What is the "golden thread"?
200
Steven Porge is known for this theory. He puts forth the idea that we all can operate in an "optimal" zone, or our window of tolerance and various stressors can take us out of that window into states of hypo arousal and hyperarousal.
Bonus 100 points if you can list the three states.
What is Polyvagal Theory?
The three states of this theory are as follows:
Ventral Vagal (Safe & Social)
Sympathetic (Fight or Flight)
Dorsal Vagal (Freeze or Shutdown)
200
This agreement is made in preparation for giving and receiving feedback. It invites self-responsibility and mutual decision making by creating a space for each person to outline what makes them receptive to feedback, what may make them disconnect during feedback and how to reconnect to create a co-vision on how to move forward.
What is a discomfort agreement?
200
These tools are used in active listening and support us focusing on the person in front of us. By using these tools, we can be fully present, avoid giving advice or portraying judgements.
What is setting aside distractions, being fully present, parroting, paraphrasing, summarize, reflect feeling or content, open body language, even tone, visible hands, open ended questions, nonverbal confirmation of listening?
*There is overlap with motivational interviewing.
200
The four "I's of oppression.
What is institutional oppression, interpersonal oppression, ideological oppression and internalized oppression?
200
These three details are fundamental to describing the setting and reason for your meeting.
What is the time, location and purpose of the meeting?
Example "I met Jack at Mcdonalds [2142 3rd Ave, New York, NY 10035] at 2 PM to discuss his recent job interview and time management tools."
300
Gabor Mate, Peter Leving and Bessel Van Der Kolk focus on trauma in their work and how to return to the body. They propose that being familiar with body sensations, and then emotions, can help release stored trauma and move into a different way of being. They propose that this is not only doing the activity but also taking a deep look into where our narratives come from. These tools can help folks get back in their body. List at least 3.
What are;
Slow Intentional Yoga
Accupressure
Deep Breathing
Meditation
Guided Imagery
Aromatherapy
Cranial Spatial Message
Acupuncture
Resilience Training
Qi Gong
Additional responses welcome.
300
This tool is used to negotiate reality. It includes focusing on the feeling while not validating events or thoughts we cannot confirm.
What is validating feelings not facts?
300
These five stages make up the transtheoretical stages of change. In more recent model a spiral has been added to visual forms of this model.
What is precontemplation, contemplation, preparation, action, maintenance and relapse?
300
This workbook includes the following concepts:
1. Apply key concepts that are evidence-based to improve one’s health and well-being 2. Empower individuals to take action on their own behalf and develop their self-advocacy skills 3. Develop action plans for increased whole health and wellbeing 4. Increase our sense of hope, self-esteem, motivation for change and self-determination.
What is Taking Action for Whole Health and Wellbeing?
Sara Brown hosted this facilitation, and covered crisis planning. Crisis planning is best done when we are feeling well.
300
This tool is used to capture and overview of your day. It is a personal quality assurance tool to confirm you met your responsibilities for your shift, and to reflect on which data has or needs to be entered.
What is a work log?
A work log is different than a work journal, it may be included in a journal however it contains basic information about the interaction such as the topic. Peers may keep additional notes outside the work log. Some people use a calendar as their work log. Make sure to leave out any identifiable information and keep these documents in a secure location.
400
This American psychologist explains this tool helps him "stretch the limits of [his] empathy".
For all points name the tool and name the psychologist.
Who was Carl Rogers? What is unconditional positive regard?
Accepting and supporting another person completely, without judgment or conditions, no matter what they say or do.
Acceptance and tolerance are different. Tolerance involves a permissive but often reluctant "putting up with" differences, implying a degree of discomfort or resistance, while acceptance is a deeper, open stance of recognizing and embracing the inherent value of those differences without trying to change them
400
Within the peer movement, some folks identified as consumers, and some folks identified as survivors during the process of deinstitutionalization. Describe the difference.
View of mental health system
Consumer-Generally seeks to work within and reform the existing mental health system. Advocates for improving access to better services and greater patient choice.
Survivor-Is much more critical of and often opposed to the traditional psychiatric system, especially involuntary treatments. Views it as potentially coercive and harmful.
Primary focus
Consumer-Focused on creating a stronger "consumer" voice within the system to ensure respect, empowerment in treatment, and high-quality services.
Survivor-Emphasizes civil and human rights, self-determination, and developing alternative, peer-run services outside the mainstream system.
Underlying ideology
Consumer-Rooted in the disability rights and independent living movements, and more accepting of the medical model of mental illness.
Survivor Grounded in the anti-psychiatry movement, which questions the very existence of mental illness as a distinct entity and frames it as a response to social stressors.
Language and identity
Consumer-Uses the term "consumer" to imply an active and informed choice, viewing oneself as a client purchasing services.
Surivivor-Uses the term "survivor" to denote having endured or survived harmful interventions or oppression by the psychiatric system. Some prefer "ex-patient".
400
Michael Bungay shared the three advice monsters "control it", "tell it", "fix it". He notes that the first problem, is not usually the "real problem" and pushes us to listen for the untold story. He shared this method to resist them.
What is CURIOUSITY?
How to Tame Them-
To manage the advice monster, the key is to replace the habit of giving advice with the habit of staying curious. This can be done by asking powerful questions, such as:
- "What is the real challenge here for you?"
- "And what else?"
- "What do you truly want?"
1. Tell It
- What it is: This is the loudest persona, convinced that you must have all the answers and that your role is to provide them to add value.
- Why it's a problem: It can be exhausting to feel like you're always failing if you don't have an immediate answer, and it can prevent others from finding their own solutions.
2. Save It
- What it is: This persona believes your job is to rescue people and prevent them from struggling or failing.
- Why it's a problem: It takes away the responsibility and learning opportunities from the other person, hindering their growth and self-reliance.
3. Control It
- What it is:The sneakiest persona, which believes success is achieved by always maintaining control and not ceding power to others.
- Why it's a problem:It erodes trust in others and prevents collaboration, as it assumes others are not capable of handling things on their own.
400
Describe the difference between voluntary and involuntary psychiatry.
Voluntary psychiatric services indicate the person agreed, sought out and is engaging in services of their own accord.
Involuntary psychiatric services are mandated; the person does not decide to engage and may not have a say in their treatment plan/ whether or not they take medication. This may look like ACT or AOT, being mandated by a court to attend a program rather than incarceration. Involuntary services can cause stress, and traumatization due to the lack of voice, choice an autonomy.
400
When getting to know a new member, we may connect by relating to _____________, _______________, ___________, or_____________?
What is relating to feelings, experience, culture or values?
500
1)_______ ______________is a psychological state where individuals repeatedly exposed to uncontrollable, negative situations become passive and believe they are powerless to change their circumstances, even when opportunities to do so become available.
2)________ __________the ability to cultivate a positive mindset and hopefulness about the future, rather than succumbing to [Term 1] or pessimism.
3)___________ ____________ when you take full accountability for your actions, decisions and thoughts and more.
What is learned helplessness?
What is learned optimism?
What is self-responsibility?
500
This author wrote the book "The Compassionate Path".
This author wrote " A Mind that Found Itself".
This Author Wrote "On Our Own".
Who is Sean Brennan?
Who is Clifford Beers?
Who is Judi Chamberlain?
500
Appreciative Inquiry focuses on what is going positively in life. It seeks stories of success and does not focus on stories of failure. It aims to build on what's going well and recreate it. List the 4 d's of Appreciative Inquiry.
What is discover, dream, design, the 4 D model of appreciative.
Inquiry consists of four phases: Discover (identifying strengths and successes), Dream (envisioning a positive future), Design (co-constructing an ideal vision and action plan), and Destiny/Deliver (implementing the plan to achieve the envisioned future)
500
These are the 5 stages of grief.
Bonus 100: Who is known for this model?
What is denial, anger, bargaining, depression, acceptance [DABDA].
Bonus: Swiss psychiatrist Elisabeth Kübler-Ross in her 1969 book, "On Death and Dying".
•Denial: Shock or disbelief at the loss.
•Anger: Frustration and feelings of injustice.
•Bargaining: Attempting to regain control or change the outcome.
•Depression: Deep sadness and withdrawal.
•Acceptance: Coming to terms with the reality of the loss.
500
This type of evaluation is unlikely to be conducted by a peer worker.
What is a psychiatric evaluation?
What is a psychosocial?
*Contingent upon certifications and trainings at particular orgs.