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Concept of Trauma and Guidance for a Trauma-Informed Approach


1. Trauma is an almost universal experience of people with mental and substance use disorders.

A. True

B. False

2. The public institutions and service systems that are intended to provide services and supports to individuals are often themselves trauma-inducing.

A. True

B. False

Background: Trauma - Where We Are and How We Got Here

3. Traumatic experiences complicate a child’s or an adult’s capacity to make sense of their lives and to create meaningful consistent relationships in their families and communities.

A. True

B. False

SAMHSA’s Concept of Trauma

4. The fifth version of the Diagnostic and Statistical Manual of Mental Disorders requires all conditions classified as “trauma and stressor-related disorders” to include which of the following as a diagnostic criterion?

A. Exposure to a traumatic or stressful event

B. Exposure to sexual abuse

C. Having substance abuse issues

D. Having severe paranoia about other people

5. During a traumatic event, which of the following is considered an entity that can have power over an individual?

A. An individual

B. An event

C. A force of nature

D. All of the above

6. How an event is experienced may be linked to a range of factors, including all of the following, except:

A. The individual’s cultural beliefs

B. The individual’s socioeconomic status

C. The availability of social supports

D. The developmental stage of the individual

7. All of the following are true with regards to the adverse effects of trauma, except:

A. The adverse effects may occur immediately or may have a delayed onset.

B. The duration of the effects are always long term.

C. The individual may not recognize the connection between the traumatic event and the effects.

D. Adverse effects include an individual’s inability to manage cognitive processes, such as memory, attention, and thinking.

SAMHSA’s Trauma-Informed Approach: Key Assumptions and Principles

8. Which of the following is inclusive of trauma-specific interventions, whether assessment, treatment or recovery supports, yet also incorporates key trauma principles into the organizational culture?

A. Trauma-specific services

B. Trauma systems

C. Trauma informed approach

D. All of the above

9. The term “Peers” refers to individuals in the life of those who have experienced traumatic events.  These peers may be anyone that comes into contact with the patient, including friends and coworkers.

A. True

B. False

Guidance for Implementing a Trauma-Informed Approach

10. Which of the following is a key value and aspect of a trauma-informed approach that differentiates it from the usual approaches to services and care?

A. Governance and leadership

B. Cross sector collaboration

C. Engagement and involvement of people in recovery

D. Training and workforce development

11. A referral to a trauma-insensitive program undermines the progress of the individual unless the mental health clinician is trauma-informed.

A. True

B. False

12. The organization’s human resource system incorporates trauma-informed principles in which of the following?

A. Hiring

B. Supervision

C. Staff evaluation

D. All of the above

13. Of the ten implementation domains of a trauma-informed approach, which of the following questions is an example of engagement and involvement?

A. How is transparency and trust among staff and clients promoted?

B. Is an individual’s own definition of emotional safety included in treatment plans?

C. Is there a system in place that monitors the agency’s progress in being trauma-informed?

D. Does the agency solicit feedback from both staff and individuals receiving services?

Next Steps: Trauma in the Context of Community

14. Communities as a whole can experience trauma.

A. True

B. False

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