Trauma Expert
TIC
What is Trauma-Informed Care?
CBT
What is Cognitive Behavioral Therapy?
Means an unexpected occurrence that harms or has the potential to harm a patient, while the patient is
What is an Incident?
What is the presenting issue?
Types of Risky behavior
What is DTO, DTS, Fire sets, harming animals, sexualized behaviors?
Types of traumatic experiences
What is Sexual abuse and/ or sexual assault, Severe neglect, Physical abuse/ violence, War, Accident, injury or serious medical illness, Deprivation caused by extreme poverty, School issues, Gang and drug-related violence, Imprisonment, Oppression, Witness violence, and cruelty to others, Emotional and psychological abuse, and Repeated abandonment or sudden loss?
CBT addresses these three things
What are the thoughts, emotions, and behaviors?
Significant to a client’s treatment BUT DOES NOT meet the criteria to make it reportable to health plans and AHCCCS.
What is an Event Notification?
People included in assessment and service plan
Who are Guardians, clients, case managers, any member of the support team?
What is self-injurious behavior?
Trauma impacts
What are beliefs, feelings, frames of reference, memory and perception, body and brain, judgment?
Brief- CBT reduction of sessions
What is 4 to 8 session?
Timeline of reporting
What is by 24 hours completed and sent to the manager who has 24 hours to get it to the clinical director who has 24 hours to review and add recommendations to QM/QA?
Objectives should include these
What are SMART goals?
Specific, Measureable, Attainable, Realistic, Timely
Needs to be completed with a risk assessment
Bonus 50 who should be notified
What is an incident report? Who is the director of program management, clinical director?
Trauma can lead to
What is substance abuse, risky behavior, medical issues, mental and behavioral issues, and social issues?
Used to track automatic negative thoughts.
What is a thought record?
Incidents are required by these people
Who are all health plans and AHCCCS?
•Incident Reports are legal documents and can be used for litigation purposes or to facilitate investigations.
Included in the assessment
What is, Presenting concern, Member’s History, Member’s Medical history, Member attending school, Member working, Parent’s, Guardian, care Giver included, Describe member’s strength/ future goals, Social Development and Interactions, Substance use, Traumatic History, Legal issues, Current risk concerns, Diagnostic Summary, Outreach or Referrals needed prior to services.
Complete a risk assessment during these times
What is an intake, intake update, risk concern, and release from the hospital?
Type's of ACE's
What are
Abuse of Child
• Emotional abuse
• Physical abuse
• Contact Sexual abuse
Trauma in Child’s Household
Environment
• Alcohol and/or Drug User
• Chronically depressed, emotionally
disturbed or suicidal household
member
• Mother treated violently
• Imprisoned household member
• Not raised by both biological
parents
(Loss of parent – best by death
unless suicide, - Worst by
abandonment)
Neglect of Child
• Physical neglect
• Emotional neglect
Cognitive distortions
What are control fallacies, shoulds, the fallacy in fairness, emotional reasoning, filtering, jumping to conclusions, polarized thinking (black and white), catastrophizing, personalization, blaming, overgeneralized, the fallacy change, global labeling (mislabeling), always right, heaven's reward fallacy?
Objective Incident reporting
What is •Only state the facts NOT your opinion, •Be concise-use words appropriately, •Be specific – do not use vague language, •Avoid using language that has negative connotations, •Include pertinent information for an outside reader to clearly understand what happened, •Anticipate questions (who, what, when, where, how and why)?
Discharge summary should look like this
What is To be determined by a member and support team once all goals have been met consistently for 3 months? The client will then move to a lower level of care. The client will need to demonstrate awareness of triggers and utilize coping skills 6 out of 7 times a week. Member will be referred to PCP or Psychiatrist for continued support with medication management.
Accompanies a risk assessment when there is risky behavior.
Bonus 100 Included in this is
What is a support plan that includes, warning signs, internal coping skills, people and social situations, professionals to contact, make the environment safe, and motivational factors?