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?
- 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
- What are the important brain structures involved in a stress response?
- Dentate Gyrus
- Cingulate Gyrus
- Frontal Lobe
- 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?