Trauma-informed

Question 1

Lets get real model

Answer 1

Values: respect, manaaki, hope, partnership, and wellbeing
+
Attitudes: compassionate, genuine, honest
=
Real skills: working with ppl experiencing MH, maori, whānau, within communities, challenging discrimination, maintaining professional dn personal dev.

Question 2

Trauma informed care

Answer 2

personal experience of interpersonal violence including sexual abuse, physical abuse, severe neglect, loss and/or the witnessing of violence, terrorism and/or disasters

Question 3

what are ACEs that impacts in brain, body and behavior

Answer 3

people are more likely to have diabetes and CV disease when having expirencted ACEs

Question 4

what are ACEs and what kinds can there be

Answer 4

Adverse childhood experiences
1.Abuse-physical, sexual, emotional
2.Neglect- emotional, physical
3.Witnessing abuse of mother
4.Substance abuse in household
5.Mental illness in household
6.Parental separation or divorce
7.Family member in prison
36% of ppl have not had not experiences 
51% had experienced 1-4
13% more than 4

Question 5

NZ stats AUT that have ACEs

Answer 5

Study done one 5500 ppl growing in NZ
- Half the children experienced at least 1 ACEs by 4,5 yrs .Emotional abuse and physical abuse were the most common

hildren who experienced no ACEs performed better in cognitive test

Question 6

NZ stats based on # of ACEs they have

Answer 6

0 ACES 1 in 96 will attempt suicide, 1 in 14 heart disease
1-3 ACES 1 in 10 will attempt suicide, 1 in 7 heart disease
4-8 ACES 1 in 5 will attempt suicide, 1 in 6 heart disease

Question 7

Indigenous people (Le Va)

Answer 7

High levels of trauma
From colonisation, loss of land, dislocation, racism, poverty, high levels of community violence
5/10 general population; 7/10 Māori

Question 8

Challenges to culturally safe care

Answer 8

1. poor recognition of how our culture influences our everyday attitude and activities
2. Specific attitudes, processes, and routines are embedded in the health system that creates barriers to other cultures, such as building design that doesn’t allow whanau to support, codes of conduct that forbid the sharing of personal histories, and a lack of appropriate translators.

Question 9

Other groups of ppl with hig prev. to trauma

Answer 9

• ppl with disabilities
• LBGTQ+
• Veterans

Question 10

What is PTSD

Answer 10

Disturbing behaviour due to exposure to traumatic event (natural disaster, combat, assault) at least 3 months after trauma occurred
Three clusters of symptoms: (normal before 3 month mark but should decrease after 3 months)
1.Re-living event
2.Avoiding reminders of event
3.Being on guard or experiencing hyper-arousal

Question 11

Resilience and resources

Answer 11

safe consistent carer
-home
-whanau & friends
No matter how old the brain can adapt and change= neuroplasticity

Question 12

Calm behaviour is associated with what area of brain

Answer 12

Cortex (ready to react)

Question 13

Vigilant behaviour with area of brain

Answer 13

Cortex

Question 14

Detached,reactive, or crying behaviour with area of brain

Answer 14

Limbic (alarmed)

Question 15

withdrawn or defiant behaviour with area of brain

Answer 15

Midbrain and brainstem ( reacting afraid)

Question 16

Aggressive behaviour with area of brain

Answer 16

Brainstem (terrififed)

Question 17

Fainting behaviour with area of brain

Answer 17

Brainstem (freeze/terrified)