Streyffeler

Question 1

Adrenalin

Answer 1

• increases the encoding of implicit memory blocks
  
  • strengthens the synpatic connections

Question 2

Cortisol in high levels

Answer 2

• Kills existing neurons and destroys synapses in the hippocampus
  
  • esp vulnerable during developmental period
• RESULTS in impaired integration of memory

Question 3

effects of chronic cortisol release

Answer 3

• suppressed immune system
• weakened muscles
• increased BP
• hardening of arteries
• inflammation
• colitis
• loss of libido
• adult onset diabetes

Question 4

effects of chronic stress/trauma

Answer 4

1. Chronic stress
2. increase allostatic load
3. biological embedding
4. chronic behavioral problems and or medical conditions
5. implications fora cademic and vocational achievement and expanding disparity
6. leading to more chronic stress

Question 5

define trauma

Answer 5

3 “E’s”

• trauma results from an Event or series of events that is experienced by an individual as physically or emotionally harmful or threatening that has lasting adverse Effects

Question 6

Impersonal trauma

Answer 6

• disasters (natural and human related)
• accidents (can be related to human action/inactions)

Question 7

Personal trauma

Answer 7

Human initiated

• Attachment trauma (family, partner or significant person)
  
  • ABUSE, VIOLENCE and NEGLECT IN THE FAMILY are leading causes of physical and psychological injuries
• interpersonal (acquintance or stranger)
• self-directed (self-harm and suicide)
• Systemic (social, political, econommic, religious/spiritual, ethnic genocide, war)

Question 8

characteristics of the worst traumas

Answer 8

• Repetitive (chronic)
• human initiated
  
  • especially when intentional and by caretakers
• Normal fight/flight response is NOT possible
• lack of emotional support following the trauma

Question 9

what is the most significant public health issue by CDC

Answer 9

CHILDHOOD TRAUMA

Question 10

Trauma informed care defintiion

Answer 10

3 R’s

• Program/organization/system REALIZES the widespread impact of trauma and RECOGNIZES the signs and symptoms of trauma in staff, clients and others and RESPONDS by fully integrating knowledge about trauma into policies.

Question 11

Key elements of trauma informed care

Answer 11

• Three pillars of trauma informed care
  
  • SAFETY (what has happened to you rather than what is wrong with you)
  • CONNECTION
  • MANAGEMENT OF EMOTIONS
• Compassion for:
  
  • persons history of adverse experiences
  • sensitivity to culture
• encourage autonomy, agency and self-efficacy

Question 12

trauma informed care programs demonstrate:

Answer 12

• reduced:
  
  • behavior and emotional problems
  • trauma symptoms
  • substance use problems
• improved
  
  • behavioral and emtional skills
  • functioning in school and community
  • ability to build relationships