Core Training Components for Trauma Informed Care

Home/Trauma Informed Care Resources/Core Training Components for Trauma Informed Care

Trauma Informed Care is a broad and complex arena, encompassing everything from concrete details of the physical environment to mental constructions, cognition and attributions on the part of staff – from policies and procedures to programming and individual interactions among staff/providers and with service participants. Core training that provides a foundation for trauma informed care to develop and be sustained addresses the key components listed below.

The Basics of Trauma & Trauma Informed Care

    • What is trauma?
    • What is complex trauma?
    • How prevalent is complex trauma in the populations we serve?
    • How does it affect individuals, families?
      • Thinking
      • Behavior
      • Relationship
    • How does the impact of trauma show up in our service systems?
    • What is the effect on staff, services, outcomes?
    • How do trauma specific, trauma sensitive, and trauma informed practice differ?
    • What are the principles of trauma informed care and how are they operationalized?
    • What is parallel process and why is it important?
    • How can programs, agencies, systems move to become more trauma informed in how they operate?

Collective Trauma* and Systemic Oppression

  • How are equity and inclusion fostered?
  • What is historical trauma?
  • How is trauma transmitted across generations and in communities?
  • How have public institutions contributed to toxic stress in communities and populations?
  • What is micro-aggression and its role in activating a trauma response?
  • What is the impact of ongoing oppression and micro-aggression on the individual and community?

*Otherwise referred to as historical trauma, ancestral trauma, and/or cultural trauma.

The Adverse Childhood Experiences (ACE) Study

      • What was the study and who was the sample?
      • What’s the ACE theoretical model for the impact of adversity on adult health outcomes?
      • What was found in the community sample?
      • What was the prevalence of adversity across this sample?
      • What are the key findings with respect to ACEs and the risk for negative health outcomes?
      • How are communities, organizations, schools, healthcare providers, etc. making use of the results to improve practice and achieve better long-term outcomes for children, youth, adults, and families?
      • What is the current use of the ACE screening tool and status of research in this area?

The Neurobiology of Trauma

    • Brain Image_Walker SandsWhat are the important brain structures involved in a stress response?
      • Amygdala
      • Hippocampus
      • Dentate Gyrus
      • Cingulate Gyrus
      • Frontal Lobe
      • Hypothalamus
      • Pituitary Gland
    • What are the two primary pathways for a stress response?
      • HPA axis (Hypothalamus – pituitary gland – adrenal gland)
      • SAM System (sympathetic-adrenal-medullary)
    • What brain chemicals are triggered due to threat?
    • Why will sensory stimuli often trigger a stress reaction even in the absence of threat?
    • What behaviors are associated with a stress reaction?
    • How are implicit and explicit memory affected by trauma and stress?
    • What can be done to calm the nervous system?