Core Principles of Trauma & Resilience
Realization, Recognition, Response, Resisting re-traumatization are known as the four R's of what type of care?
What is trauma-informed care?
What does ACEs stand for?
What are Adverse Childhood Experiences.
The Think-Feel Do Triangle tool helps explain how thoughts, feelings, and __ interact.
What are Behaviors?
Name two fo the seven senses we can use to regulate
Sight, touch, sound, taste, smell, vestibular, proprioception
What is one trauma-informed way to respond to someone in distress?
Offer calm tone, validate feelings, provide choice.
This ocean metaphor was used to highlight that we only see a very small portion of a person's story and most of what they are going through is hidden, or "beneath the surface".
What is Iceberg Metaphor?
This principle supports giving individuals a choice & voice in their care and decisions.
What is Empowerment and Choice?
Name one common ACE
Abuse, Neglect, Caregiver Mental Illness, Parental Separations, Substance Use at Home
Hyperarousal, Zone of Optimal Arousal, and Hypoarousal are used to describe what concept related to stress tolerance?
What is the 'Window of Tolerance'?
What is one activity you could do in under a minute to soothe the nervous system?
Examples: hum, touch collarbone, deep breath, stretch, mindfulness
During the de-escalation training, 'Silence' was described as this color.
What is Golden?
The concept 'Same Event Different Experience' teaches us to not focus so much on the event itself but to focus on what? (hint there were 3 "e" words to describe trauma)
What is the experience?
Nate at least 3 of the 6 trauma-informed core principles.
Safety & Nurturing, Trust & Stability, Collaboration & Support, Empowerment & Choice, Cultural Responsiveness, Strength Based.
The stress response includes positive, tolerable, and __ stress, which occurs with frequent, extreme, or prolonged activation of the body's stress response, often without supportive relationships.
What is toxic?
The fight-flight-freeze response is activated when we perceive danger and are experiencing this type of stress. Positive, Tolerable, Toxic?
What is Toxic?
Engaging your body in movement to relieve stress by swinging, rocking, or swaying are examples of using the vestibular system to relieve what?
Stress, anxiety, less comfortable feelings?
Name one communication skill to use during a brief encounter
Examples: Active listening, nodding, paraphrasing, eye contact, open-ended questions, reflection
Trauma is often experienced as a lack of __? Name 2 of these experiences often missing during a traumatic event?
Safety, choice, power, voice, connection, control.
How might you incorporate 'Safety' into a brief patient interaction?
Examples: clear explanation of procedures, offering choices, calming tone.
Name one buffer that helps reduce the impact of ACEs
Examples: A Supportive Relationship, Trauma-Informed Care, Community Engagement, Access to Nature, Stress Busters
What kind of stress is mild, short-term, and supports healthy development?
What is Positive Stress?
Name one self-care practice that engages two or more of the seven senses
Taking a walk in nature, sipping on a favorite drink, playing with your kids, going to the beach, lighting a candle, or baking.
What is one goal in de-escalating through trauma-informed care?
What is to reduce risk reduce stress and restore safety for everyone invovled?
How can providers reduce re-traumatization during care?
Ensure emotional safety, acknowledge histories, empower through choices.
This principle supports recognizing each person's culture, racial, and gender identity in care delivery.
What is Cultural, Historical, and Social Responsiveness/Issues?
Name one way a person in healthcare can reduce the effects of toxic stress in patients?
Offer emotional/physical safety, provide regulation skills, and refer to mental health specialist.
You can review the Stress Buster Wheel and Overview of handouts for strategies
Use the 7 Senses
Name two signs someone may be outside their window of tolerance.
Hyperarousal: restlessness, anger (gas)
Hypoarousal: shut down, withdrawal (break)
Why are sensory strategies important in trauma-informed care?
They support nervous system regulation and reduce reactivity to stress.
What's one small action that can build trust in less than 30 seconds?
Use the patient's name/how they want to be addressed, validate experiences, explain the 'Why', and use a calm tone
What is one way to practice culturally response care?
Ask respectful, open questions, avoid assumptions, use affirming language