Trauma Informed Care Webinar 2 – Being a Detective LINKS Training and Support Goals for today Explore the four stages of trauma based behaviour Learn the importance of being a detective when working with children who have experienced trauma Introduce behaviour assessments to help identify triggers and support carer responses LINKS Training and Support Fight, Flight or Freeze? Fight Flight Freeze • Hitting • Restless legs and feet • Holding breath • Kicking, stomping • Shallow breathing • Heart pounding • Throwing • Darting eyes • Shutting down • Spitting • Fidgeting • Feeling unable to • Screaming • Running move • Crying • Pacing • Daydreaming • Clenched fists • Grinding teeth • Glaring LINKS Training and Support 1
Meet Jayden, Taneisha and Henry LINKS Training and Support Jayden Is always looking for trouble Has problems with rules and limits Has had four placements in 2 years Is often the subject of calls from his school His current carers are supportive but are losing patience and hope Diagnosis - Oppositional Defiant Disorder (ODD) LINKS Training and Support Taneisha Fears women, including teachers Won’t go to school near home Hides Leaves class without permission Diagnosis – Anxiety Disorder with school refusal LINKS Training and Support 2
Henry Is the quiet kid in class Has no behavioural problems but is often spacey and silent Gets bullied at school Has difficulty concentrating in class and is often unable to complete his work Diagnosis – adjustment disorder, anxiety and depression LINKS Training and Support Behaviour is a powerful communicator Trauma responses are powerful drivers of behaviour Not all behaviours are trauma reactions Understanding the reasons for a child’s behaviour is important LINKS Training and Support The Four Stages of Trauma-Based Behaviour LINKS Training and Support 3
Heating Up Boiling Cooling Down Child s ’ Restfu l V g ant i il Re Exper enc ng: F ght - i i i , Ca m ng down l i Behaviour F ght Freeze li , Ch d s ca m and il i l Ch d has been r ggered il t i Ch d s beg nn ng o il i i i t se ed n he r ttl i t i and s ry ng o manage i t i t Ch d s cop ng sk s are il ’ i ill manage he r emo ons t i ti env ronmen i t t he r emo ons i ti overwhe med l , t hey are and s rugg ng t li se e back n o he r ttl i t t i env ronmen i t Your Priority M n m se r ggers o i i i t i t He p he ch d o regu a e l t il t l t Make sure your e or s o ff t t He p he ch d con nue l t il ti to preven esca a on or t l ti t he r emo ons and ca m i ti l con a n he ch d do no re t i t il t - manage emo ons and ti hea ng up ‘ ti ’ t rauma se hem keep he ti t , t se e back n o he r ttl i t t i ch d and o hers sa e il t f env ronmen i t Identifying trauma behaviours Shifts in the four stages affect the 3As The 3 As include: Affect How children display their feelings, especially on their faces or in their body language Awareness A child’s sense of themselves, what is going on in the environment and what they seem focused on Action How a child behaves LINKS Training and Support 4
Being a detective Be part of the solution Reach out, share your knowledge and advocate! Think about a child who has Boiling/re-experiencing behaviours, and complete the Being A Detective homework sheet LINKS Training and Support Knowing a child’s trauma history helps identify triggers What specific experiences has a child had that were especially frightening or dangerous? LINKS Training and Support Safe, consistent and predictable environments help kids stay regulated … but we also know that children struggle LINKS Training and Support 5
Moment-by-moment assessment Try to connect the trauma trigger and the survival response Refer to your moment-by- moment assessment handout LINKS Training and Support Seeing patterns Tylor – 4 completed moment-by- moment assessments What do you think triggered Tylor’s responses? How might you have supported his carer to respond differently? LINKS Training and Support Now that we know the problem… How can we identify patterns? What are some things we could do to help? Use a creative thinking process. LINKS Training and Support 6
Additional thoughts about a child’s trauma history LINKS Training and Support Priority Challenge worksheet Helps you to identify: triggers that lead to boiling responses in your child ways to reduce these triggers ways to develop coping strategies LINKS Training and Support Reviewing the Priority Challenge worksheet What things could we do to help Tylor: Reduce triggers? Help build his skills? LINKS Training and Support
Thank you LINKS Training and Support 8
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