ACE's
What does ACE stand for?
Adverse Childhood Experience
All children learn and develop the same, true or false?
False
All stress is bad, true or false?
What is false?
What is Trauma-Informed Care
What is an approach that assumes an individual is more likely than not to have a history of trauma?
The primary goal of implementing a Trauma-Informed Care approach in a service setting is to?
Prevent re-traumatization and promote healing
More than half of adults report having experienced at least one ACE? True or False
What is True?
61% of Adults have reported experienced at least one ACE
Children in early childhood development like to be competitive, true or false?
What is False?
A supportive environment with healthy relationships can help establish healthy stress responses, true or false?
What is True?
The first "R" in Trauma-Informed Care is what?
What is Realize?
Children who develop their own mechanisms and behaviors for coping with stress should be encouraged to change if mechanism is strange, true or false?
What is false?
Not all mechanisms are maladaptive and some may even seem strange but are beneficial for the child
A foundational shift in perspective for a service provider adopting Trauma-Informed Care is moving from the question "What is wrong with you?" to what question?
A- "What happened to you?"
B."What are your immediate goals for the week?"
C."Who else is responsible for your problems?"
D."How can we make you feel better right now?"
A- "What happened to you?
Name at least to ways to prevent retraumatization when providing medical care/assessment
Clearly explaining the process of services and client rights
Ask open ended questions
Recognizing and addressing cultural differences
Offering clients choices about their treatment plan
ACEs have neurological, psychological, biological, and ________ effects?
What are social effects?
Every child who has been traumatized has easily identifiable emotional or behavioral difficulties, true or false?
What is false?
Empathy and understanding is key to dealing with these situations
Name the 4 Rs of TIC?
1- Realizes
2- Recognizes
3- Responds
4- Prevents retraumatization
The life expectancy of individuals with 6+ ACEs is how many years shorter than individuals with none?
What is 19 years shorter?
In SAMHSA's six key principles of TIC, **Cultural, Historical, and Gender Issues** is emphasized to ensure-
Services are delivered in a way that is sensitive and responsive to diverse cultural backgrounds and identities
Excessive activation of the fight-or-flight stress-response system is called what?
What is toxic stress?
All ACEs can manifest as internalizing and externalizing behaviors, true or false?
What is True?
The following are all called what?
Individuals discussing past trauma or abuse
Violent media
Sensations - Heat, flashing lights, smells
What are triggers?
Avoid triggers in order to avoid Re-traumatization
The name at least 2 of the causes of of ACE's
What is neglect, abuse, or household dysfunction, Chronic disease, injuries, mental health, substance abuse
In a Trauma-Informed system, addressing **secondary traumatic stress** or **vicarious trauma** in staff is crucial because:
To support and care for staff- which maintains staff capacity and compassion and staff retention and also directly impacts patient care
Over activation of the stress-response system can disrupt brain and organ development leading to what?
What is a weakened immune system?
Over activation of stress can disrupt development and cause a decrease in the defense system against diseases
These are all internalizing or externalizing behavior?
Nightmares
Feels dizzy
Overtired
Aches, pains
Headaches
Nausea
Stomachaches
vomiting
What is Internalizing?
Name at least 2 of the Principles of Trauma-Informed Care?
Safety
Trustworthiness and transparency
Peer Support
Collaboration and mutuality
Empowerment, voice, and choice
Cultural, historical, and gender issues