Course curriculum

  • 1

    Welcome and Objectives

    • Training and Learning Objectives
    • Welcome from the Training Team
    • Acknowledgements
    • Participation Guidelines
  • 2

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

    • The Concept Emerges
    • The American Psychiatric Association Plays a Role
    • The Trauma Survivors' Movement
    • Growing Number of Clinical Interventions for Trauma Responses
    • Federal, State & Local Activities
    • Federal Responses
    • SAMHSA Trauma-Informed Approach Quiz
  • 3

    SAMHSA's Concept of Trauma

    • A Concept Develops
    • The Three 'Es' of Trauma: #1 Events
    • The Three 'Es' of Trauma: #2 The Experience of the Event(s)
    • The Three 'Es' of Trauma: #3 Effects
    • Quiz
    • A Resource Document: SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach
  • 4

    Introduction to Being Trauma Informed

    • What Does it Mean to Be Trauma-Informed?
    • SAMHSA's Definition of Trauma Informed Care
    • The 4 Rs of Being Trauma Informed
    • The 4 Rs: Realization
    • The 4 R's: Recognize
    • The 4 Rs: Respond
    • The 4 Rs: Resist Retraumatization
    • Preparing Counselors
    • Common Trauma Reactions
    • Sequence of Trauma Reactions
    • Handout and Exhibit: Immediate and Delayed Reactions to Trauma
    • What We Need to Share with Clients
    • Wrap Up
    • Quiz
  • 5

    Realization – Trauma is Pervasive and Starts Early

    • What ACEs Scores are Showing Us
    • Significance and Informed Clinical Practice
    • TEDMED How Childhood Trauma Affects Health Across a LIfetime
    • ACEs Pyramid
    • In a State Hit Hard by the Opioid Epidemic
    • Types of ACEs in a Population in WV
    • Substance Use Disorders, PTSD, and ACEs
    • What Does This Mean for the Counselor?
    • ACEs Screening Tools
    • ACEs Questionnaire
    • ACEs Toolkit
    • Quiz
  • 6

    Recognition – Learning the Signs and Symptoms

    • Fight, Flight, or Freeze
    • Window of Tolerance
    • Operating Outside the Window
    • Initial Shaping
    • Expanding the Window
    • References
    • Polyvagal Theory and the Autonomic Ladder
    • Analogy of Dorsal versus Ventral Pathways
    • Polyvagal Ladder
    • Illustration
    • Quiz
  • 7

    Respond - Treatment Approaches

    • Integrated Treatment
    • HANDOUT: TREATMENT IMPROVEMENT PROTOCOL Trauma-Informed Care in Behavioral Health Services
    • Quiz
    • Enhancing Recovery Through Integrated Trauma Treatment.
    • Considerations for Clinicians
    • The Key to Treating Trauma
    • Treatment of Early Trauma
    • Example
    • EMDR Therapy
    • How Does EMDR Work?
    • The Research on EMDR
    • EMDR Quiz
    • Clinician's Perspective
    • Clinician's Story
    • Accelerated Resolution Therapy (ART)
    • Clinician’s Examples of the Effectiveness of ART
    • Accelerated Response Therapy in Practice
    • Trauma Informed Substance Use Disorder Treatment
    • ART Quiz
  • 8

    Treatment Programming and Interventions

    • Treatment for Both
    • Seeking Safety
    • Seeking Safety Clinical Guidelines
    • ATRIUM
    • ATRIUM & the Text
    • Helping Women Recover
    • Re-Activate the Trauma Impacted Brain
    • In Summary
    • Quiz
  • 9

    Healing the Ethical Trauma of Active Addiction

    • Introduction
    • Moral Injury
    • Addressing Moral Injury in Recovery
    • A Story of Moral Injury and Substance Abuse
    • A Story of Moral Injury and Substance Abuse
    • Disrupting the Future & Relationships
    • Healing Moral Injury and Ethical Trauma – Moral Repair
    • Therapy and Moral Repair
    • The Role of Self-Compassion
    • Using Group Process
    • References
    • Quiz
  • 10

    Remembering the Role of Self Care

    • Renowned Expert
    • TEDMED: Fulfilling Trauma's Hidden Promise
    • Quiz
    • We Leave You with this Suggestion
  • 11

    References and Resources

    • Research Article Abstracts: ACES
    • Research Article Abstracts: Trauma Informed and Integrated Treatment
    • Research Article Abstracts: Counselors and Trauma
    • Research Article Abstracts: Trauma Informed Care for Women
    • Resource Material
  • 12

    Evaluation

    • Evaluation