Trauma-informed Assessment & Interventions with Mental Illness

When diagnosing mental illness, a key factor is looking at if it actually ___________ __________

Ex. Impacts schools, everyday life, sleep, how you eat

When diagnosing mental illness, a key factor is looking at if it actually IMPAIRS FUNCTIONING

The DSM-5-TR has _________ _________, _________ diseases, & different __________ of diagnostic criteria & codes, which all are used for ________ ________ _________

The DSM-5-TR has TEXT REVISION, CLASSIFIES diseases, & different SECTIONS of diagnostic criteria & codes, which all are used for MENTAL ILLNESS ASSESSMENT

Misconceptions about schizophrenia is that it’s not a ________ ________, not ______________, __________ against others is not __________, they’re not more likely to self-harm, & they’re not more likely to be __________

Misconceptions about schizophrenia is that it’s not a SPLIT PERSONALITY, not PSYCHOPATHY, VIOLENCE against others is not COMMON, they’re not more likely to self-harm, & they’re not more likely to be VICTIMIZED

Schizophrenia is a brain disease that is not ___________ due to an _________ of _________ in the brain & the cause is unknown

Schizophrenia is a brain disease that is not CURABLE due to an IMBALANCE of CHEMICALS in the brain & the cause is unknown

Anosognosia in schizophrenia is about _________ _________ connections in the brain not working, so when hallucinations happen, the person is processing it as if it’s ____________

Anosognosia in schizophrenia is about NEURAL PATHWAY connections in the brain not working, so when hallucinations happen, the person is processing it as if it’s REAL

Psychosis includes __________ from reality & having __________, delusions, & _________

Psychosis includes DETACHING from reality & having HALLUCINATIONS, delusions, & PARANOIA

Being diagnosed for schizophrenia can only happen if your symptoms last at least ________ months and includes at least _______ month of _______ or ________ positive/active-phase symptoms

Being diagnosed for schizophrenia can only happen if your symptoms last at least 6 months and includes at least 1 month of TWO or MORE positive/active-phase symptoms

There’s lots of schizophrenia ____________, 1 in 100 people world-wide have it, it is a ___________ brain disorder, and you’d be 2-3 more times likely to ________ ________ than the general population

There’s lots of schizophrenia SUBTYPES, 1 in 100 people world-wide have it, it is a TREATABLE brain disorder, and you’d be 2-3 more times likely to DIE EARLY than the general population

Active (positive) symptoms of schizophrenia means symptoms _________, such as _____________ through the _______ ________, delusions, paranoia, & movement problems

Ex. Auditory, sight, touch, taste, smell hallucinations

Active (positive) symptoms of schizophrenia means symptoms ADDED, such as HALLUCINATIONS through the 5 SENSES, delusions, paranoia, & movement problems

Passive (negative) symptoms of schizophrenia means symptoms _______ ______, such as ___________ of not _______ anything, low __________, & apathy of not caring

Passive (negative) symptoms of schizophrenia means symptoms TAKEN AWAY, such as ANHEDONIA of not ENJOYING anything, low AFFECT, & apathy of not caring

Cognitive symptoms of schizophrenia include _____________ of neural pathway connections not working so you see hallucinations as real, missing social cues, ________ problems, and poor executive _________

Ex. Problems using info from environment to make decisions is thermostat says it’s hot but brain tells them it’s cold so they turn the temperature up 

Cognitive symptoms of schizophrenia include ANOSOGNOSIA of neural pathway connections not working so you see hallucinations as real, missing social cues, MEMORY problems, and poor executive FUNCTIONING

Interventions for persons with schizophrenia include having a ________ _______ & ________, decrease _________, only _______ ______ talks at a time, speak _______ & _______, express understanding, repeat if needed, ________ their words & phrasing, & use reality as a measurement

Interventions for persons with schizophrenia include having a CALM TONE & VOLUME, decrease DISTRACTIONS, only ONE PERSON talks at a time, speak SLOWLY & FIRMLY, express understanding, repeat if needed, MIRROR their words & phrasing, & use reality as a measurement

When intervening a person with schizophrenia, do not ________ with the hallucinations/delusions, don’t respond in a ________/__________ tone, don’t ________/________ about their delusions or hallucinations, don’t tell them to _______ _______, don’t negate/minimize their senses, & avoid raising your voice or talking too fast

When intervening a person with schizophrenia, do not AGREE with the hallucinations/delusions, don’t respond in a HOSTILE/CHALLENGING tone, don’t THREATEN/ARGUE about their delusions or hallucinations, don’t tell them to CALM DOWN, don’t negate/minimize their senses, & avoid raising your voice or talking too fast

An acronym for schizophrenic intervention is ALERT, which stands for __________ ________ or the ________, ________ _____-_________, _________ with _________, _________ for _________ _________, & ________ with ________

An acronym for schizophrenic intervention is ALERT, which stands for ACKNOWLEDGE RISKS or the PSYCHOSIS, LISTEN NON-JUDGEMENTALLY, ENGAGE with EMPATHY, REFER for PROFESSIONAL SUPPORT, & TALK with OTHERS

Depressive disorders include _________ _______ and ________ _________ to the point of interrupting daily __________ & there’s symptoms of _________, ________, or _________

Ex. Substance or medication-induced, postpartum, major depressive disorder, & bipolar disorder I or II

Depressive disorders include DISRUPTIVE MOOD and EMOTIONAL DYSREGULATION to the point of interrupting daily FUNCTIONING & there’s symptoms of DURATION, TIMING, or ETIOLOGY

Common personality disorders in the CRJS are _________, antisocial, ________, narcissistic, & _________-__________ & APD is most common with _______ offenders and concurrent with ________ ________ disorders

Common personality disorders in the CRJS are PARANOID, antisocial, BORDERLINE, narcissistic, & OBSESSIVE-COMPULSIVE & APD is most common with MALE offenders and concurrent with SUBSTANCE USE disorders

Antisocial personality disorder is a _______ ________ of disregard for and violation of the _________ of _________, occurring since age _______, as indicated by ________ or more symptoms, such as not _________ ________, __________ _________ for _________ of self or others, and lack of ________/_________

Ex. Not the same as psychopathy

Antisocial personality disorder is a PERVASIVE PATTERN of disregard for and violation of the RIGHTS of OTHERS, occurring since age 15, as indicated by 3 or more symptoms, such as not FOLLOWING LAWS, RECKLESS DISREGARD for SAFETY of self or others, and lack of REMORSE/EMPATHY

The 3 suicide terms are ________ ________, ______-______ __________, & ________ ______

The 3 suicide terms are SUICIDAL INTENT, SELF-HARMING BEHAVIOUR, & SUICIDAL BEHAVIOUR

Suicidal intent is _________, _________, & ________ of suicide & self-harming behaviour can be __________, & suicidal behaviour is behaviour geared towards __________ _______ _______ such as drinking a lot

Suicidal intent is THOUGHTS, FEELINGS, & MOTIVATIONS of suicide & self-harming behaviour can be CUTTING, & suicidal behaviour is behaviour geared towards ENDING ONE’S LIFE such as drinking a lot

Suicide is the ______ leading cause of death for 15-24 year olds, _______ complete more than ________, the Northwest Territories have the _______ rates due to isolation, minorities are at higher risk, & the national average is 11 people per 100,000 people

Suicide is the 2nd leading cause of death for 15-24 year olds, MEN complete more than WOMEN, the Northwest Territories have the HIGHEST rates due to isolation, minorities are at higher risk, & the national average is 11 people per 100,000 people

First responders are _______ times more likely to experience PTSD than other Canadians

First responders are TWO times more likely to experience PTSD than other Canadians

Suicide protective factors are things that ________ a person from the risk of suicide, such as hobbies, pro-social relationships, access to resources, work, sleep, & access to resources

Suicide protective factors are things that PROTECT a person from the risk of suicide, such as hobbies, pro-social relationships, access to resources, work, sleep, & access to resources

Suicide risk factors are things that put a person at _________ for suicide, such as being a man, Indigenous, 2SLGBTQI+, isolated, newly incarcerated, boredom, and coming out of prison with no one

Suicide risk factors are things that put a person at RISK for suicide, such as being a man, Indigenous, 2SLGBTQI+, isolated, newly incarcerated, boredom, and coming out of prison with no one

Interventions for suicide include removing access to ______ ________, remove ____________, give _______ ________, express __________ & concern, provide _________ physical health care, never leave the person _________, ensure your own __________, engage the person about their _________ & ________, & do not make promises you cannot keep

Interventions for suicide include removing access to LETHAL MEANS, remove ONLOOKERS, give PHYSICAL SPACE, express ACCEPTANCE & concern, provide IMMEDIATE physical health care, never leave the person ALONE, ensure your own SAFETY, engage the person about their SENSES & SUPPORTS, & do not make promises you cannot keep