TIP

Question 1

trauma definitions

Answer 1

• Can include, but is not limited to, experiences of violence, sexual assault, natural disaster, neglect, and emotional abuse
• Also refers to the psychological experience that follows the event
• Represents an experience “that overwhelms an individual’s ability to cope”

Question 2

3 E’s of trauma

Answer 2

• events causing trauma
• experiences (personal response to the event)
• effects (physical, emotions, behavioural, cognitive, spiritual)

Question 3

expressions (effects) of trauma - Physical

Answer 3

eating and sleeping disruptions

Question 4

expressions (effects) of trauma - emotional

Answer 4

depression or anxiety

Question 5

expressions (effects) of trauma - behavioural

Answer 5

drug misuse and other related self-harming behaviours

Question 6

expressions (effects) of trauma - cognitive

Answer 6

from attention impairments to memory loses

Question 7

expressions (effects) of trauma - spiritual

Answer 7

guilt, shame, and/or withdrawal from community interactions

Question 8

four R’s of TIC

Answer 8

• realize
• recognize
• respond
• resist re-traumatization

Question 9

RPN role in TIC

Answer 9

• recognize that trauma is a major contributing factor to substance misuse
• assume that all service users have experienced some level of trauma
• during assessments inquire in a respectful and safe manner, about the nature of the trauma service users have experienced

Question 10

Five Key Practice Provisions When Offering Trauma-Informed Care

Answer 10

• Safety: provide protected physical and emotional environment where service user feels welcome and safe
• Trust: a feeling of trust between service provider and user; non-judgmental, empathetic, and compassionate listening
• Choice: service users feel a sense of control and autonomy
• Collaboration: belief that many service users have experienced power imbalances, both in their experience of trauma and in the types of services they have previously received; work alongside service user
• Empowerment: focus on a user’s resilience rather than deficits; understand drug use as a functional coping mechanism in response to trauma

Question 11

true or false: Staff can experience secondary trauma from users’ stories or experience trauma from violent service users

Answer 11

true

Question 12

true or false: practitioners’ reluctance to ask about potential experiences of trauma, fearing that the service user will be unable to cope with discussing the trauma will worsen the situation

Answer 12

true

Question 13

Road Map to Trauma-Informed Care

Answer 13

• trauma AWARE
• trauma SENSITIVE
• trauma RESPONSIVE
• trauma INFORMED

Question 14

what does it mean to be trauma sensitive

Answer 14

have:
- Foundational Knowledge
- Agency Readiness
- Process and Infrastructure

Question 15

what does it mean to be trauma responsive

Answer 15

Gather Information
Prioritize and Create Plan