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Trauma Informed PocketGuide

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11 views

Trauma Informed PocketGuide

Uploaded by

Sufiriz
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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TRAUMA-INFORMED CARE (TIC) POCKET GUIDE

WHAT IS TRAUMA? WHAT IS TRAUMA?

EVENT EXPERIENCE EFFECT Trauma-informed care (TIC) is a treatment model


that provides whole-person care by avoiding
+ Single + Threatening + Social: Lack of trust, fear re-traumatization and creating a welcoming and
+ Repeated + Overwhelming + Emotional: Feeling anxious, safe environment for everyone, including those
depressed, hopeless, or who have experienced trauma. The foundation
+ Sustained + Terrifying
of TIC can be summarized by the four R’s:
disconnected from oneself
+ Unique
+ Physical: racing heart or shortness of breath, REALIZE
behaviors that put one’s immediate or long- RECOGNIZE
term health at risk RESPOND
RESIST RE-TRAUMATIZATION

REALIZE WHAT CONTRIBUTES TO TRAUMA

Many factors can contribute to stress and trauma including but not limited to:
+ Poverty + Childhood maltreatment + Sexual assault or abuse
+ Incarceration + Terrorist attack + Natural disasters (e.g. hurricanes, tornadoes)
+ Racism and discrimination + Homelessness + Disease outbreak (e.g. COVID-19)
+ Severe injury or illness + Interactions with police
+ Violence in the home aor local community + Not having enough food in the home

RECOGNIZE THE IMPACTS OF TRAUMA

Individuals who experience trauma and lack support from others may adapt in ways that negatively People who have experienced trauma are at
impact their health: higher odds of having health conditions such as:
Behaviors Thoughts & Feelings + Heart disease
+ Drug use + Mistrust + Cancer
+ Alcohol use + Guardedness + Severe obesity
+ Smoking + Easy to startle + Depression
+ Overeating + Aggression + Liver disease
+ Anorexia + Fear of expressing basic needs + Chronic bronchitis
+ Gambling + Social withdrawal and isolation + Emphysema
+ Physical inactivity + Skeletal fractures
Acknowledge these responses without judgement + Shorter life expectancy
RESPOND & RESIST RE-TRAUMATIZATION

Help patients feel safe and supported


Intake Examination Creating a Care Plan
+ Greet patients while they are fully clothed + Offer to shift an item of clothing in lieu of + Collaborate on decisions and goals
+ Emphasize the patient’s control of undressing + Assume individuals are doing
the session + Offer ways to signal distress and pause/stop their best
+ Attend to body language and exam + Acknowledge and validate feelings
follow up on signs of discomfort + Ask for consent prior to each touch + Honor behaviors that help the
+ Establish sensible and fair rules + Talk through what you are doing patient cope with trauma, acknowledge
that are clearly explained and why progress, and build
+ Focus on what patients can do on strengths
vs. what they can’t

Use grounding and de-escalation techniques


New and unknown environments like health care settings can remind people of prior traumatic experiences. You can help support all individuals by
giving them choice and freedom of action. Try the following techniques:
+ Use a calm tone of voice and give people physical space
+ State what you observe and acknowledge their feelings (e.g. “I can see that you feel angry and scared”)
+ Ask others what they need
+ Offer more than one acceptable alternative choice (e.g. “You are welcome to sit or stand”)
+ Offer alternative points of focus from what is stressful (e.g. tell a story, offer water or a book)
+ Take a few deep breaths together or ask others to imagine a relaxing place in their imagination
+ Ground patients by helping them gain awareness of their senses (e.g. running hands under cold water)

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