Embed Size (px)
Citation preview
Trauma Informed Care Training2/22/21
Recording link: https://contracosta.webex.com/contracosta/ldr.php?RCID=3fd16d769287441e89a99a65a2df335aPassword: sYShaFV8
0
Trauma Informed CareFebruary 22, 2021
Be mindful. Take a deep breath. Take care of yourself
Grounding Intentions
2
Big Picture - What is Trauma?
In the chat box, finish this sentence...
When I think about trauma,
I think of...
3
Big Picture - What is Trauma?
“Trauma is when experiences
overwhelm the ordinary responses
that give people a sense of
control, connection, and meaning.”
4
Some Frameworks of Trauma
Ongoing
CollectiveIndividual
Historical
Systemic
Single event or lived experience that has lasting
effects.
Discrimination and oppression (isms)
in our social arrangements and
systems that promote inequity.
Emotional and psychological
physical wounding over the lifespan and across generations.
When a traumatic event/series of events affects many people.
Ongoing or continuous lived experiences that
are traumatic.
Each breakout group will focus on one type of trauma.
Brainstorm ways people might experience this type of trauma.
5
Community
Violence
Intimate
Partner
Violence
Childhood
Trauma
Gender Based
Abuse
POVERTY
RACISM
Mass Incarceration
Traumatic Grief
and Loss
Natural Disasters
SEXUAL VIOLENCERefugee Trauma
Historical/Cultural Trauma
Car Accidents & Personal injuries
VICARIOUS
COVID
Homophobia &Transphobia
WAR 6
Common Responses to Carrying Trauma
• Avoidance/numbing/isolating
• Distracted, difficulty concentrating,hypervigilance
• Physical symptoms
• Anxiety/hostility/blaming/attacking
7
Strategies for Trauma Awareness and Resilience and Chamberlain, L., Amazing Brain Series 8
Thinking/
Rational Brain
Cerebral Cortex
How Our Brain Responds & Impacts our Body and
Behavior
Emotional
Brain
Limbic System
Instinctual
Brain
Brain Stem
1. What was the experience like for you?
2. How is it like trauma lodged in our bodies?
Rock in Your Shoe
9
Niroga mood shifting exercises
Twist Your Torso and Release Tension
10
Shift Our Perspective
What is wrong?
What is wrong with you?
Instead of asking...
11
Foster Safety and Well-Being
Consider asking...
What is working well?
What are your strengths?
What is going on?
What have you experienced?
How can I support you?
What would be helpful?
12
13
Vicarious Trauma or Compassion Fatigue Vicarious trauma is the emotional residue of exposure that service providers have from working with people as they are hearing their trauma stories and become witnesses to the pain, fear, and terror that trauma survivors have endured.
14
Common Responses/Feelings to Vicarious Trauma:
15
- Change in worldview- Frustration- Hopelessness- Guilt- Stress
- Disconnection- Cynicism- Blaming/Judgmental- Fear- Chronic exhaustion- Physical ailments- Impact on self-
perception
Calming and Connected Responses
Mirror Neurons
Physiologically we can mirror each other's responses to trauma and toxic stress.
We can also offer calming and connecting responses.
16
17
Before
Check in with Yourself
● How am I feeling? ● Physically? ● Emotionally?● Mentally
QUICK TIPS
For Trauma Informed Conversations
17
18
QUICK TIPS
For Trauma Informed Conversations
Establish a Relationship
-Open with a greeting and introduce yourself. “Good morning, my name is _.”
-Be transparent. “As part of my role I need to ask some personal questions. These are important because _____”
Be Sensitive and Slow Down
-Pay attention to how other person is responding and shift. “Would you like some water?”
-Check in. “Do you need a moment?”
-Pause. Don’t rush through topics.
Be Flexible and Responsive
-Ask what would make the conversation more comfortable.
Maybe,: Go to a more private space? Take a walk during conversation ?Write down a difficult response ?
Be Empathetic and Encouraging
-Acknowledge questions may be difficult.
-Acknowledge their experiences have been difficult and try to see goodness in them.
-Thank them for their time. 18
19
family ritual
cultural practicesexercisefriends
spiritual resourcesagency support
work/life balance connection
safety
S.T.O.P Practice
20
How Might We Shift…
● How do we tune into our experiences?
● How do we care for ourselves and each other?
● What is one small step that we can take tomorrow?
Staci Haines (2020) - How to Nourish Your Resilience in a Time of Trauma
We are in a historic moment in our world of more recognition of the impacts of many people’s experiences that may be traumatic.
21
QUICK TIPS For Trauma Informed Conversations
Before and After • Check in with Yourself
⇒ How am I feeling? Physically? Emotionally? Mentally? ⇒ What are my hopes for this conversation? ⇒ How did this conversation go? Do I need to debrief with someone? Use the self-care wheel
• Ground Yourself ⇒ Take a few deep breaths ⇒ Touch your feet to the ground
In Conversation • Focus on the Relationship
⇒ Open with a greeting ⇒ Introduce yourself ⇒ Share your intentions, let them know what to expect ⇒ E.g., “Hello, my name is ____.” “What is your name?” “Nice to meet you.” “I work with
____. I was hoping to check in with you (and/or) ask you a few questions about ____.” • Slow Down
⇒ An elevated heart rate can speed up interactions – focus on slowing down your speech and taking pauses while talking
⇒ This can invite calmness into the conversation for both parties ⇒ Don’t rush through topics, take time to engage with this person on a human level
• Be Sensitive ⇒ Pay attention to how the other person is responding - notice when they are becoming upset
or uncomfortable ⇒ If they are becoming upset or agitated, slow down and shift the conversation (e.g., “Would
you like some water?”) ⇒ Check in (e.g., “How is this conversation going for you? Do you need a moment?”) ⇒ Be transparent and mindful about the questions you ask. (e.g., “As part of my role I need to
ask some sensitive and personal questions. These are important because _____”) • Be Empathetic
⇒ Acknowledge when questions might be difficult to answer ⇒ Acknowledge when their experiences have been challenging
• Be Flexible and Responsive ⇒ Ask what would make the conversation more comfortable for this person.
Perhaps they want to go to a more private space? Perhaps a walk along conversation without direct eye contact? Perhaps they would like to write down a difficult response rather than saying it aloud? Sometimes “objectifying” challenging topics can make them easier to discuss (e.g., “The event/situation/emotion”)
• Be Encouraging ⇒ Thank the individual for their responses and time
INFORMATION UNDERSTANDING HOW WOULD I DO IT? Slide # Confusing because: In the same way because: Applicable
Not Applicable Clear because: In my work by:
Would like to know more about: In my life by:
Sharing it by:
INFORMATION UNDERSTANDING HOW WOULD I DO IT? Slide # Confusing because: In the same way because: Applicable
Not Applicable Clear because: In my work by:
Would like to know more about: In my life by:
Sharing it by:
INFORMATION UNDERSTANDING HOW WOULD I DO IT? Slide # Confusing because: In the same way because: Applicable
Not Applicable Clear because: In my work by:
Would like to know more about: In my life by:
Sharing it by:
