What is trauma?
Trauma is not rare in vulnerable populations it is the ___.
What is the norm?
A client missing appointments may be seen as non compliant, but trauma-informed care sees it as this.
What is a survival response?
Harm reduction focuses on reducing harm, not requiring this.
What is abstinence?
Culture influences trauma, healing, and this process.
What is disclosure?
Case:
An adult living with HIV avoids medical appointments and appears distrustful of providers.
What might be influencing this behavior?
Past trauma, stigma, or mistrust of systems
Trauma impacts this, influencing behavior and emotional regulation
What is the brain/nervous system?
Labeling clients as “manipulative” ignores this underlying factor.
What is trauma?
This housing model does not require sobriety first.
What is Housing First?
This population experiences major disparities in HIV care.
Who are BIPOC communities?
Trauma-informed care should be implemented at this level.
What is system-wide?
This question shifts from blame to understanding
What is "what happened to you?"
Trauma-informed care replaces judgment with this.
What is understanding/empathy?
Harm reduction meets clients at this place.
Where they are at
Providers must be aware of this to avoid bias.
What is cultural humility?
Case:
A child who experienced intrafamilial abuse becomes withdrawn and avoids eye contact during sessions.
What is a trauma-informed interpretation of this behavior?
Protective or coping response to trauma
Trauma can affect attachment, especially in this population.
Who are children?
A client avoiding care may actually be responding to this.
What is past harm or mistrust?
This approach increases engagement even if behavior doesn’t immediately change.
What is harm reduction?
Structural issues like racism and housing discrimination are examples of this level.
What is systemic/macro-level factors?
Case:
A BIPOC client expresses hesitation to engage in services, stating they “don’t trust the system.”
What TWO frameworks should guide your response?
Trauma-informed care AND cultural responsiveness (or cultural humility)
Trauma exposure is especially high in these two adult populations.
Who are individuals with HIV and unhoused individuals?
This approach helps providers reinterpret behaviors through a trauma lens.
What is trauma informed care?
Resistance to harm reduction often comes from this type of thinking.
What is abstinence-only or punitive mindset?
Effective care must be both trauma-informed and ______ responsive.
What is culturally responsive?
Case:
A client continues substance use after entering a housing program. Staff express frustration, saying “they aren’t trying.”
What approach should guide intervention here?
Harm reduction and meeting the client where they are.