10/14/24, 11:14 PM
CTRI Study guide
Jeremiah
Terms in this set (194)
What is the most significant public health Childhood Trauma
problem in the US according to the CDC?
1 million children suffer physical and sexual abuse each year
How many people affected by Childhood
Trauma?
1 in 10 children exposed to intrafamilial violence
Adverse Childhood Experiences ACEs
-disrupted neurodevelopment
-social, emotional, cognitive impairment
Mechanisms by Which ACES influence
-adaption of health-risk behaviors
health and wellbeing (pyramid)
-disease disability and social problems
-early death
-History of trauma increases likelihood of substance abuse; mental illness - and vice
versa
Impact of Trauma on Emotional/Behavioral
-Substance abuse and MI decrease a person's ability to mitigate the effects of trauma
Stress
and prevent future trauma
-interpersonal trauma increases likelihood of future trauma
-come in groups
-produce behaviors that if sustained, created illness and disease = as a coping
Characteristics of ACEs strategy (smoking)
-Cumulative ACEs increase clinical complexity of individual case (# of lifetime mental
health diagnoses increases)
ACEs --> complex, multiple problems
Clinical Complexity -treatment of presenting problems may not be the best path to significant change
-multiple disciplinary approaches may be most effective
-repeated or prolonged trauma
Factors that increase difficulty of trauma
-closer the perp is to the victim emotionally (capacity of victim to trust in the future)
recovery
-intentional action vs. accidents
1/9
, 10/14/24, 11:14 PM
-child cannot escape the problem (especially under 5 y/o)
Why does childhood experience matter so -don't have good affect-regulation skills yet
much? -no control over when and how often
-abused children extremely in tune to minute changes in a persons emotional state
when the abuser is a primary attachment figure
-particularly difficult for later intimate relationships ---entangles emotional closeness
Betrayal Trauma and care with fear, shame and rage [sexually abusive, nice dad and very physically
abusive mom]
-very basic sense of self as bad, disgusting and worthless
Very aware of surroundings (PTSD -like)
vs.
Feeling numb
Hyperarousal vs. Hypoarousal
It is common to flip flop
-often attempt to shut off negative feelings, which would require shutting off positive
ones too (feeling numb)
Frequent episodes of intense dysregulation in childhood lead to harsh difficulties
regulating emotions later.
-If a child is scared and a parent screams at the child - escalates these feelings. Child
Regulation of Emotions
learns that when you get emotional - things get worse.
-Example: VERY angry about being "disrespected" for being 15 minutes late to an
appointment
-Memory and emotion are both associative.
-Disrespect - reminds us of previous times when we were disrespected
Triggering
-Emotions associated with previous incidents may greatly magnified the current
incident
Emotions associated with previous incidents may greatly magnified the current
90/10 Reaction
incident
Child Abuse & Emotion Parents unable to regulate their own emotions
various things can reenact abuse
Triggering in medical settings
-lack of predictability, feeling disrespected, etc
From What's wrong with you?
Change of Attitude in Trauma Informed
to
Care
What's happened to you?
-REALIZES the widespread impact of trauma and understands potential paths for
healing
Three R's of Trauma Informed Care
-RECOGNIZES the signs/symptoms of trauma
-RESPONDS by fully integrating knowledge about trauma into polices, procedures
-SAFETY: What happened to you?
Three Pillars of Trauma Informed Care CONNECTION: forming healing relationships
-MANAGEMENT OF EMOTIONS-affect regulation and coping skills
-Encourages autonomy, agency and self-efficacy
-Emphasize that trauma responses are a NORMAL response to an ABNORMAL
Key Elements of Trauma Care
situation
-once you understand a person's history, their behavior may make sense.
Reduced: behavior/emotional problems, trauma symptoms and substance abuse
problems
Children & Youth Involved in "Trauma
informed Care" programs demonstrate improved: behavioral/emotional skills, functioning in school & community, ability to
CTRI Study guide build relationships
2/9
CTRI Study guide
Jeremiah
Terms in this set (194)
What is the most significant public health Childhood Trauma
problem in the US according to the CDC?
1 million children suffer physical and sexual abuse each year
How many people affected by Childhood
Trauma?
1 in 10 children exposed to intrafamilial violence
Adverse Childhood Experiences ACEs
-disrupted neurodevelopment
-social, emotional, cognitive impairment
Mechanisms by Which ACES influence
-adaption of health-risk behaviors
health and wellbeing (pyramid)
-disease disability and social problems
-early death
-History of trauma increases likelihood of substance abuse; mental illness - and vice
versa
Impact of Trauma on Emotional/Behavioral
-Substance abuse and MI decrease a person's ability to mitigate the effects of trauma
Stress
and prevent future trauma
-interpersonal trauma increases likelihood of future trauma
-come in groups
-produce behaviors that if sustained, created illness and disease = as a coping
Characteristics of ACEs strategy (smoking)
-Cumulative ACEs increase clinical complexity of individual case (# of lifetime mental
health diagnoses increases)
ACEs --> complex, multiple problems
Clinical Complexity -treatment of presenting problems may not be the best path to significant change
-multiple disciplinary approaches may be most effective
-repeated or prolonged trauma
Factors that increase difficulty of trauma
-closer the perp is to the victim emotionally (capacity of victim to trust in the future)
recovery
-intentional action vs. accidents
1/9
, 10/14/24, 11:14 PM
-child cannot escape the problem (especially under 5 y/o)
Why does childhood experience matter so -don't have good affect-regulation skills yet
much? -no control over when and how often
-abused children extremely in tune to minute changes in a persons emotional state
when the abuser is a primary attachment figure
-particularly difficult for later intimate relationships ---entangles emotional closeness
Betrayal Trauma and care with fear, shame and rage [sexually abusive, nice dad and very physically
abusive mom]
-very basic sense of self as bad, disgusting and worthless
Very aware of surroundings (PTSD -like)
vs.
Feeling numb
Hyperarousal vs. Hypoarousal
It is common to flip flop
-often attempt to shut off negative feelings, which would require shutting off positive
ones too (feeling numb)
Frequent episodes of intense dysregulation in childhood lead to harsh difficulties
regulating emotions later.
-If a child is scared and a parent screams at the child - escalates these feelings. Child
Regulation of Emotions
learns that when you get emotional - things get worse.
-Example: VERY angry about being "disrespected" for being 15 minutes late to an
appointment
-Memory and emotion are both associative.
-Disrespect - reminds us of previous times when we were disrespected
Triggering
-Emotions associated with previous incidents may greatly magnified the current
incident
Emotions associated with previous incidents may greatly magnified the current
90/10 Reaction
incident
Child Abuse & Emotion Parents unable to regulate their own emotions
various things can reenact abuse
Triggering in medical settings
-lack of predictability, feeling disrespected, etc
From What's wrong with you?
Change of Attitude in Trauma Informed
to
Care
What's happened to you?
-REALIZES the widespread impact of trauma and understands potential paths for
healing
Three R's of Trauma Informed Care
-RECOGNIZES the signs/symptoms of trauma
-RESPONDS by fully integrating knowledge about trauma into polices, procedures
-SAFETY: What happened to you?
Three Pillars of Trauma Informed Care CONNECTION: forming healing relationships
-MANAGEMENT OF EMOTIONS-affect regulation and coping skills
-Encourages autonomy, agency and self-efficacy
-Emphasize that trauma responses are a NORMAL response to an ABNORMAL
Key Elements of Trauma Care
situation
-once you understand a person's history, their behavior may make sense.
Reduced: behavior/emotional problems, trauma symptoms and substance abuse
problems
Children & Youth Involved in "Trauma
informed Care" programs demonstrate improved: behavioral/emotional skills, functioning in school & community, ability to
CTRI Study guide build relationships
2/9
