Week 7 - Trauma Assessment

Question 1

What is psychological trauma?

Answer 1

• Threat to life or safety
• Emotional, cognitive, physical , social

Question 2

Why assess trauma?

Answer 2

• Understand causes
• Treatment
• Prevent re-traumatisation

Question 3

Types of trauma (3)

Answer 3

1. acute trauma (single incident)
2. chronic/complex trauma (prolonged)
3. intergenerational trauma

Question 4

Cultural framing of trauma

Answer 4

• relational + historical
• power = educational, political, legal, cultural, biological

Question 5

What is the role of clinical interviews when assessing trauma?

Answer 5

• safety
• builds trust and collaboration
• current models are deficit based (diagnosis what is wrong)

Question 6

What are three trauma-informed interview principles?

Answer 6

1. safety, trust, choice
2. collaboration and empowerment
3. cultural respect

Question 7

Building rapport in trauma assessment

Answer 7

• empathy, non-verbal communication
• cultural humility (whakawhanaungatanga, talanoa)

Question 8

What is the Powhiri process?

Answer 8

1. Mihi
2. Whakawhanaungatanga
3. Kaupapa Maori
4. Poroporoaki

Question 9

Pasifika approaches to engagement

Answer 9

• Fonofale model
• Talanoa
• va and whanau

Question 10

Signs of distress and responding

Answer 10

• body language and affect
• use grounding techniques
• prioritise safety

Question 11

What is the role of psychometric tools in trauma assessment?

Answer 11

• Use clinical judgement to identify symptoms and risk
• Not a replacement for narrative

Question 12

What are three types of measures in trauma assessment?

Answer 12

1. Screening (exploration)
2. Diagnostic tools
3. Function and impact measures

Question 13

4 Key tools for PTSD (complex trauma)

Answer 13

1. CAPS-5
2. PCL-5
3. ITQ
4. DES-II

Question 14

3 NZ key tools for trauma assessment

Answer 14

1. K10
2. NZMH survey norms
3. lacks trauma-specific Maori tools

Question 15

Cultural critique of trauma psychometrics (3)

Answer 15

1. Western
2. Language and concept mismatches
3. Need for relational interpretation

Question 16

What is included in a whole person assessment?

Answer 16

• Narrative (exploration)
• Psychometrics
• Cultural frameworks
• Formulation

Question 17

What is the Fonofale model?

Answer 17

• represents a house family/fa’avae/foundation + 4 posts/4 pou (mental, physical, spiritual + other [SES, age, gender, sexuality]) + culture/roof/falealuga + surrounding environment/cacoon (time, context and environment)