Week Two: Trauma-Informed Care

Understanding Trauma:

Involves harmful or threatening experiences with lasting effects on physical, social, emotional, or spiritual well-being

Levels of Trauma: Individual

Experiences can affect body function, thinking, emotions, behavior, and participation

Levels of Trauma: Family & Community

Shared environments, relationships, adversity, and resources can contribute to healing or harm

Levels of Trauma: Collective

Systemic oppression, disaster, disease, and other shared experiences can affect entire populations.

Trauma Through a PEO Lens: Person

Trauma can affect regulation, interception, cognition, health, and performance skills

Trauma Through a PEO Lens: Environment

Physical, social, cultural, institutional, and socioeconomic contexts can heal or harm

Trauma Through a PEO Lens: Occupation

Trauma can disrupt participation across areas of meaningful daily occupations

SAMHSAs Four R’s of Trauma Informed Care: Realize

Understand trauma’s widespread impact and possible recovery pathways

SAMHSAs Four R’s of Trauma Informed Care: Recognize

Identify possible trauma signs within people, families, staff, and systems

SAMHSAs Four R’s of Trauma Informed Care: Respond

Integrate trauma knowledge into policies, procedures, and practices

SAMHSAs Four R’s of Trauma Informed Care: Resist

Actively reduce conditions that may contribute to retraumatization

Trauma Informed OT

Reflected in how practitioners communicate, position themselves, explain procedures, establish safety, invite collaboration, obtain consent, offer choices, and interpret behavior.

Evaluation Through Safety

• Establish safety before demanding performance

• Build rapport through the occupational profile

• Avoid unnecessary trauma-history disclosure