Trauma-Informed Care Concepts

Questions and Answers

What supports and facilitates trauma-informed care in a trauma-informed organization?

Policies

Procedures

Practices

All of the above (correct)

Which of the following are foundations for intentional use of self? (Select all that apply)

Financial literacy

Relationship skills and attunement (correct)

Self-regulation (correct)

Self-awareness (correct)

What does a trauma-informed organization ensure that staff understands?

What trauma is and how it impacts everyone within the system.

What are the components of the triune brain?

The Thinking Brain Signup and view all the answers

Developmental relationships are characterized by which of the following? (Select all that apply)

Progressive Complexity Signup and view all the answers

What are Pain-Based Behaviors?

Behaviors due to emotional pain Signup and view all the answers

What does the TCI system assist organizations with? (Select all that apply)

De-escalate potential crisis Signup and view all the answers

What occurs when a child's fight, flight, or freeze response is activated?

A crisis occurs. Signup and view all the answers

Define Therapeutic Milieu.

The combination of people, emotions, attitudes, and objects that create a sense of safety, respect, belonging, care, and accountability. Signup and view all the answers

What are the goals of Crisis Intervention? (Select all that apply)

Support Signup and view all the answers

What are the elements of the stress model of crisis?

All of the above Signup and view all the answers

What are setting conditions?

Anything that makes challenging behavior or traumatic stress responses more or less likely to occur. Signup and view all the answers

Match the following statements to their corresponding questions:

What am I feeling right now? = Self-reflection What does this child need, feel, expect, or want? = Understanding the child's perspective How is the environment affecting the situation? = Environmental awareness How do I best respond? = Best response strategy Signup and view all the answers

What are active listening techniques?

All of the above Signup and view all the answers

Which of the following are nonverbal techniques? (Select all that apply)

Tone of Voice Signup and view all the answers

What are behavior support techniques?

Managing the environment, prompting, caring gestures, redirection, proximity, directive statements, time away. Signup and view all the answers

What are encouraging and eliciting techniques?

All of the above Signup and view all the answers

What criteria must be met when using directive statements?

Trusting relationship exists Signup and view all the answers

What does an empathetic response involve?

Connect with the child's experience. Signup and view all the answers

What is summarization?

Summing up the feelings and content. Signup and view all the answers

When should time away be used?

Child is capable of relaxation Signup and view all the answers

How can adults support children?

Both A and C Signup and view all the answers

What should be done as part of nonverbal strategies? (Select all that apply)

Use silence Signup and view all the answers

What are the goals of emotional first aid? (Select all that apply)

Provide immediate support Signup and view all the answers

What should be done with verbal strategies? (Select all that apply)

Ask clarifying questions Signup and view all the answers

What happens during an amygdala hijack?

Anger or fear triggers fight, flight, or freeze response. Signup and view all the answers

What should be done when the crisis is over?

Prepare to discuss the situation in a Life Space Interview (LSI). Signup and view all the answers

What are the goals of the Life Space Interview (LSI)?

Provide sense of emotional safety Signup and view all the answers

What are the elements of a potentially violent situation? (Select all that apply)

The Weapon Signup and view all the answers

What are options to handle physical violence?

Maintain safe distance Signup and view all the answers

What is the goal of physical intervention?

Reduce risk. Signup and view all the answers

Define physical restraint.

The use of trained and competent staff members to hold a child to contain acute physical behavior. Signup and view all the answers

What is acute physical behavior?

Behavior likely to result in injury to the child or others. Signup and view all the answers

When should physical restraints be used?

If indicated in child's ICSP Signup and view all the answers

What are physical restraints not meant for?

To punish or discipline Signup and view all the answers

What is the duty of care?

Act in the best interest of individuals Signup and view all the answers

What does the duty of candor involve?

Both A and C Signup and view all the answers

High consequence decisions require which of the following?

Training and competence Signup and view all the answers

What should be done during the letting go process?

State what is expected Signup and view all the answers

When should restraints be avoided or discontinued?

When child has a weapon Signup and view all the answers

What is asphyxia?

The deprivation of oxygen to living cells. Signup and view all the answers

Study Notes

Trauma-Informed Organizations

Support trauma-informed care through established policies, procedures, and practices.
Staff must understand the nature of trauma, its systemic impact, recognize trauma-related behaviors, and avoid re-traumatization.

Foundations for Intentional Use of Self

Key elements include self-awareness, self-regulation, relationship skills, and self-care.

Triune Brain Model

Comprised of three parts: the thinking brain, emotional brain, and survival brain.

Developmental Relationships

Characterized by attachment, reciprocity, progressive complexity, and a balance of power.

Pain-Based Behaviors

Include emotional and psychological pain manifestations, such as impulsivity, defiance, inflexibility, withdrawal, and self-injury.

TCI System Goals

Aims to prevent crises, manage physical behaviors, reduce harm, teach emotional regulation, and foster a learning organization.

Crisis Definition

Activated by a child's inability to regulate emotions during a fight, flight, or freeze response.

Therapeutic Milieu

Comprises people, emotions, attitudes, and objects creating a safe environment of respect, belonging, and accountability.

Goals of Crisis Intervention

Provide immediate support, help children learn emotional regulation, and create a sense of safety.

Spaces within the Therapeutic Milieu

Involve ideological, physical, cultural, social, and emotional dimensions.

Stress Model of Crisis

Consists of baseline, triggering event, escalation, outburst crisis, and recovery phases.

Setting Conditions

Factors influencing the likelihood of challenging behavior or traumatic responses.

Crisis Response Questions

Assess personal feelings, understand the child's needs, consider environmental impacts, and determine the best response.

Active Listening

Encourages children to express themselves, reduces defensiveness, promotes change through understanding and co-regulation.

Nonverbal Techniques

Utilizes silence, facial expressions, eye contact, and tone of voice to communicate effectively.

Behavior Support Techniques

Include managing the environment, prompting, using caring gestures, redirection, and time away.

Encouraging and Eliciting Techniques

Employ minimal encouragements, open and closed questions to facilitate deeper conversation.

Criteria for Directive Statements

Conditions for use include trust, importance of expectation, past ability to comply, and respectful communication.

Empathetic Responses

Connect with the child's experience to validate their feelings and demonstrate understanding.

Summarization

Involves summarizing child feelings and content for clarity and reassurance.

Criteria for Time Away

Use when children can self-regulate, aren’t highly escalated, can relax, and when intent is to help, not punish.

Sources of Strength for Children

Adults should view situations from the child's perspective, offer support, and celebrate their efforts.

Nonverbal Strategies

Taking deep breaths, providing space, and using neutral stances aid in calming interactions.

Goals of Emotional First Aid

Immediate emotional support, resolving underlying concerns, and keeping the child engaged in activities.

Verbal Strategies

Use calming tones, validating responses, and understanding statements to foster dialogue.

Amygdala Hijack

Refers to the brain's fight, flight, or freeze response triggered by fear or anger.

Post-Crisis Action

Prepare for a Life Space Interview (LSI) to discuss the situation constructively.

Goals of LSI

Establish emotional safety, clarify events, repair relationships, help regulate emotions, and reintegrate the child into routine.

Elements of Violent Situations

Include the spark, target, weapon, and stress level involved.

Handling Physical Violence

Remove elements causing violence, maintain safe distance, and, if necessary, employ restraint techniques.

Goal of Physical Intervention

Aim to reduce risks associated with acute behaviors.

Definition of Physical Restraint

Holding a child by trained staff to contain acute behaviors without intent to harm.

Acute Physical Behavior

Behaviors posing imminent risk of harm to the child or others.

Guidelines for Physical Restraint Use

Must align with agency regulations, be advised on the child's plan, and based on dynamic risk assessments.

Misuse of Physical Restraint

Should not be used for demonstrating authority, inflicting punishment, or causing harm.

Duty of Care

Obligation to act in individuals' best interests, ensure safety, and remain within professional competence.

Duty of Candor

Requirement to communicate incidents honestly with children and families, including apologies and remediation.

High Consequence Decisions

Demands training, dynamic risk assessment, knowledge of child’s condition, and effective planning.

Letting Go Process

Involves clear expectations from the child, supported by the team leader, to set a recovery tone.

Criteria to Discontinue Restraints

When control is lost, factors like anger, safety, or medical concerns arise.

Asphyxia

Defined as oxygen deprivation to living cells, a critical safety concern in physical restraint scenarios.

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Description

This quiz explores essential concepts of trauma-informed organizations, focusing on policies, procedures, and the holistic understanding of trauma. It emphasizes relationship-building, emotional regulation, and the Triune Brain Model in fostering supportive environments. Engage with key principles that aim to prevent crises and promote healing.