The Basics
A Trauma-Informed Organization supports and facilitates trauma-informed care through..
Policies
Procedures
Practices
What are the 3 outcomes of the Recovery Phase?
1. Higher
2. No change
3. Lower
What are the foundations for intentional use of self?
1. Self-awareness
2. Self-regulation
3. Self-care
4. Relationship skills & attunement
What are the 3 elements of the Triune Brain?
S - survival
E - emotional
T - thinking
How to avoid or end a power struggle
1. Listening & validating feelings
2. Managing the environment
3. Give choices and the time to decide what to do next
4. Dropping or changing the expectation
What are the 5 points on the Stress Model of Crisis?
1. Baseline
2. Trigger
3. Escalation
4. Outburst
5. Recovery
What are the goals of crisis intervention?
SUPPORT : provide immediate emotional & environmental support to reduce stress & risk and increase child's sense of safety
TEACH: help children learn & practice ways to regulate their emotions & behaviors
What are the 5 elements of Nonverbal Messaging?
(walkers & standers)
1. Eye contact
2. Body Language
3. Personal Space
4. Height & Gender
5. Sensitivity to Cultural Issues
What are the spaces within the Therapeutic Milieu?
S - social
P - physical
I- ideological
C - cultural
E - emotional
Encouraging & Eliciting Techniques
1. Minimal encouragements
2. Door openers
3. Closed questions
4. Open questions
A Trauma-Informed Organization ensures that staff...
Understand
Recognize
Respond
Reflective & Empathetic Responses
(definition & examples)
REFLECTIVE : connect with the child's feelings
"you look upset"
"EMPATHETIC: connect with the child's experiences
"it must be awful to feel like that"What are the 4 Nonverbal Techniques?
(active listening)
1. Silence
2. Facial Expression
3. Eye Contact
4. Tone of Voice
1. Attachment
2. Reciprocity (give and take)
3. Progressive Complexity (step by step)
4. Balance of Power
Behavior Support Techniques
1. Managing the environment
2. Prompting
3. Caring gesture
4. Hurdle Help
5. Re-direction & Distraction
6. Proximity
7. Directive Statements
8. Time Away
Define: Setting Conditions
Any thing that makes challenging behavior or traumatic stress responses more or less likely to occur.
What are the 4 Questions we ask ourselves in crisis?
What do I feel?
What does the child feel, need, expect, or want?
How does the environment affect the situation?
How do I best respond?
What are the 4 elements of Verbal Strategies?
(what to say)
1. Say very little
2. Speak calmly, assertively, respectfully
3. Understanding Responses (bonus points if you can expand on this in up to 4 ways)
4. Remember tone of voice
Elements of a Potentially Violent Situation
1. The spark
2. The target
3. The weapon
4. Level of stress or motivation
Pain-Based Behaviors
1. Inability to regulate emotions
2. Overreaction to situations
3. Implusive Outbursts
4. Trauma Re-enactment
5. Defiance
6. Inflexibility
7. Running away through anger or fear
8. Self-Injury
9. Withdrawal
What are the goals of Emotional First-Aid?
*stop, identify, resolve*
1. provide immediate support to reduce emotional intensity
2. identify & resolve the underlying concerns causing distress
3. keep the child in the activity
What is the objective of crisis co-regulation?
To provide support in a way that reduces stress & risk & increases the child's sense of safety
What are the 5 Nonverbal Strategies?
(What to do)
1. Take a deep breath and slowly exhale
2. Give the child space and time
3. Use silence
4. If safe, step away from the child's sight
5. Assume a neutral stance and concerned facial expression
Strategies for Emotional First-Aid
1. Co-regulate emotions
2. Maintain the relationship
3. Plan and anticipate
Name the steps of an LSI
E - explore
S - summarize
C - connect
A - alternative response
P - plan/practice
E - enter