Trauma-Informed Care
What are the three core principles of trauma-informed care?
What is Safety, Trustworthiness, and Collaboration
What is secondary traumatic stress?
What is the emotional distress that professionals experience when hearing about or witnessing traumatic events affecting their clients
True or False: Trauma-informed supervision is only needed for new counselors.
What is False. All clinicians, regardless of experience, benefit from trauma-informed supervision.
True or False: Alcohol use disorders are more common in hospital trauma patients than in other hospital patients.
What is True.
True or False: Supervisors should never disclose their own emotional reactions during trauma supervision.
What is False. While supervisors should maintain professionalism, appropriate self-disclosure can help normalize emotional reactions and foster trust.
True or False: Trauma-informed care is only relevant for patients with PTSD.
What is False. Trauma-informed care is relevant for all clients, as trauma can manifest in many different ways.
True or False: Burnout and secondary trauma are the same.
What is False. Burnout is long-term exhaustion due to workplace stress, while secondary trauma comes from exposure to clients' trauma.
What is a triadic supervision session?
What is a supervision model involving one supervisor and two supervisees who engage in discussion together.
What is a dose-response relationship in substance use and trauma?
What is the more alcohol or substances a person consumes, the higher their risk of experiencing a traumatic injury.
What is one ethical challenge supervisors face when supporting clinicians working with trauma patients?
What is balancing clinician well-being with patient care, ensuring confidentiality, preventing burnout, managing emotional countertransference, etc.
Name two common emotional responses that trauma survivors may exhibit in counseling.
What is Anxiety, hypervigilance, emotional numbness, anger, withdrawal, guilt, shame, etc.
Name two symptoms of secondary traumatic stress.
What is difficulty sleeping, emotional numbness, intrusive thoughts, irritability, exhaustion, detachment, etc.
Name one way that trauma-informed supervisors help clinicians manage difficult sessions.
What is providing space for emotional processing, offering feedback on client interactions, helping clinicians set professional boundaries, etc.
Name one reason why trauma survivors with substance use disorders (SUDs) may struggle with treatment compliance.
What is Fear of withdrawal symptoms, distrust of medical professionals, trauma-related avoidance, lack of social support, etc.
A supervisee tells you they are feeling overwhelmed and emotionally numb after repeated exposure to traumatic client stories. What is a trauma-informed supervision response?
What is validate their feelings, encourage reflective practice, discuss coping strategies, suggest workload adjustments, or provide additional support resources.
Why is retraumatization a key concern in trauma-informed care?
What is Retraumatization occurs when a patient experiences distress similar to their past trauma due to how they are treated, which can hinder recovery and engagement in treatment.
What supervision strategy can help prevent secondary trauma in clinicians?
What is regular debriefing sessions, reflective supervision, peer support groups, promoting self-care, etc.
Why do trauma-informed supervision programs use audio-recorded role-plays for training?
What is to increase self-awareness, assess readiness for clinical work, and refine trauma-sensitive skills
What trauma-informed strategy can supervisors teach counselors to help them screen for substance use in trauma patients?
What is is Motivational interviewing, SBIRT (Screening, Brief Intervention, and Referral to Treatment), nonjudgmental questioning, using validated screening tools, etc.
Why is self-care considered an ethical responsibility for trauma-informed clinicians?
What is unmanaged burnout or secondary trauma can lead to impaired clinical judgment, reduced effectiveness, and ethical violations due to emotional detachment or poor decision-making.
What are two strategies a counselor can use to reduce retraumatization in hospital settings?
What is providing choices to increase patient control, using trauma-sensitive language, explaining procedures in advance, ensuring informed consent, etc.
What is vicarious resilience, and how can it help trauma-informed clinicians?
What is vicarious resilience is the positive emotional impact clinicians experience from witnessing their clients' healing and recovery, which can counteract secondary trauma.
What is an example of a brief supervision strategy that takes place during a busy hospital shift?
What is on-the-spot check-ins, quick reflection moments after a tough session, daily debriefing meetings, or providing instant feedback during live observation.
According to SAMHSA’s TIP 57 Manual, what is one key factor that supervisors should focus on when training clinicians to work with trauma and substance use?
What is recognizing trauma-relevant symptoms, addressing safety concerns, ensuring psychoeducation, helping clients understand the link between trauma and addiction, etc.)
How can trauma-informed supervision help clinicians manage compassion fatigue while maintaining ethical client care?
What is Providing regular supervision check-ins, setting realistic workload expectations, reinforcing professional boundaries, encouraging self-care practices, etc.