Trauma- Informed Care

Question 1

What is the definition of Trauma?

Answer 1

Refers to experiences that cause intense psychological and physical stress reactions. An event or multiple events is experienced by an individual as physically or emotionally harmful or threatening and has lasting adverse effects to an individuals health and well-being.

Question 2

What 2 concepts makes up the therapeutic Alliance?

Answer 2

• Biopsychosocial + person centered care

Question 3

How prevalent is trauma amongs adults in Canada?
For woman? For men? For indigenous?

Answer 3

3/4 for Canada
Women: 1/4
Men: 1/6
50% of indigenous

Question 4

How does having four or more Adverse Childhood Experiences (ACEs) affect the odds of developing chronic pain in adulthood?

Answer 4

It nearly doubes it

Question 5

How much do the odds of developing chronic pain increase with just one direct Adverse Childhood Experience (ACE) exposure, particularly a physical ACE?

Answer 5

By 45-50%

Question 6

What are the 4 systems involved in the stress response Fight or Flight system?

Answer 6

1. Cardiovascular system
2. Endocrine system
3. Autonomic Nervous System
4. HPA (hypothalamic, pituritary, adrenal)

Question 7

What are the steps involved when the fight or flight is activated? ( HPA)

Answer 7

Hypothalamus releases CRF (corticotropin releasing factor) –> Actives Pituritary Gland and it releases ACTH (adrenocorticotropic hormone) –> Activates Adrenal Gland and it releases Cortisol and then it goes to bloodstream

Question 8

What is the negative feedback loop with a flight or flight response?

Answer 8

The cortisol released by the adrenal gland will inhibit the production of CRF and ACTH from anterior pituitary glands which esentially serves to auto-shut down this whole physiological cascade.

Question 9

What can cause as a result of toxic stress from trauma?

Answer 9

Hypervigilance

Question 10

What is the difference between trauma informed care and trauma specific care?

Answer 10

Trauma specific care –> Done by a practitioners with specialized training that does specific specialized interventions that directly target psychological trauma.

Trauma informed care –> Can be done with anyone, it is a way of interacting with people based on principles for minimizing the risk of triggering any possible underlying psychological trauma.

Question 11

What are the 6 principles for Trauma-informed Care?

Answer 11

1- Safety
2- Transparency & Trustworthiness
3- Peer Support
4- Collaboration and M -
5- Empowerment
6- Race, Diversity, Gender