Trauma Informed Care: Principles and Practices

This document provides information on trauma informed care, including the principles and practices involved. It discusses the impact of trauma on a person's sense of safety and provides strategies for providing care and support. The document also covers the laws and issues related to privacy in mandatory reporting of child abuse, gender responsiveness in trauma informed care, and creating a safe environment for individuals who have experienced trauma. It concludes with examples of appropriate and inappropriate responses in discussing traumatic experiences.

Section 1 – Personal
Details
Full Name: Phone:
Workplace:
Section 2 –
Qualification Details
Qualificatio
n Code:
CHC43315 Qualification
Title:
Certificate IV in Mental Health
Units Being Assessed:
Unit Code Unit Title
CHCMHS007 Work effectively in trauma informed care
Learner Declaration
I, ________________________________ (Learner Name), state that the attached assessment is my own work. I have
kept a copy of this assessment for future records.
Learner Signature Date
Section 3 – Feedback
Learner Feedback
Time Spent
Reading/Researching:
Time Spent Completing
Assessment:
Additional
Comments:
Assessor Feedback
Student to resubmit
assessment Yes:
 No:
Additional
Comments:
, the majority of these answers will need
to be resubmitted. It is critical to for this
unit that you understand what trauma
informed practice is and that you are able
to demonstrate your understanding.
Please see my comments, I would
suggest organizing a time with me to do a
zoom session and go over some of the
content so you are clear in your
understanding.
Assessor Signature Date 6 / 10 / 2020

General Information
Resources to complete these units of competency may include
To establish overall competency for this unit you may utilise workplace resources such as the ones listed below.
You are not limited to, the following resources:
 Legislation
 Care Manual
 Aged Care Act
 Disability Act
 Mental Health Act
 Industry and organisation service standards
 Industry and organisation codes of practice/ethics
 Accreditation standards
 International and national charters
 Organisation policy and procedure
 Consumers/consumer/consumers/consumers
 Workplace documents
 Workplace
 Industry - web
Hints and Tips
 Attend all training sessions as this will assist with your knowledge and understanding of the unit
requirements.
 If you need assistance please contact your trainer/assessor and ask for it
Assessment Instructions
Assessment Process for the Learner
Recognition of Prior Skills (RPL)
If you feel you can demonstrate or have prior skills for this unit, it is recommended that you inform your assessor
and apply for Recognition of Prior Learning (RPL) for this.
Overall Assessment
As a learner you are required to demonstrate competency for each unit within your chosen qualification.
To achieve competency follow the steps below:
1. Knowledge Assessment – Written questions and Case Studies.
Additional Assessment
1. WHS and workplace practices will continue to be assessed throughout the course.
2. This assessment is completed holistically.
Conditions of Assessment
All work submitted must be your own work. Should you add content from other sources, please make sure this is
referenced in your assessment.
Assessment Process for the Assessor
Overall Assessment
Your learners are required to demonstrate competency for each unit within their chosen qualification.
Competency will need to be demonstrated through the following methods:
1. Knowledge Assessment – Written questions and Case Studies.
2. Completed assessor confirmation
Note: should the learner be required to re-submit or repeat the assessment, a new assessment (full or
partial) is to be provided to the learner with a new assessment cover sheet.
Wherever these boxes are located, the ATS assessor is to complete. S NS

Part A – WrittenQuestions
1. Write a paragraph to define the term “Trauma”. S

NS
It is considered as traumatic event which involves a particular experience or multiple experience which
completely devastate or beat the person’s ability to cope and integrate the emotion and ideas related to the that
experience.
2. Outline your understanding of complex trauma? S

NS
It evaluates the both children’s exposure to several traumatic events, interpersonal nature and wide ranging for
the long term. This generally severe as well as pervasive such as profound neglect, abuse, harassment and so
on. Moreover it is also considered as cumulative, inter personally and repetitive generated as well as include
regular abuse that take place in respect of family as well as intimate relationship. The respective trauma take a
person to the risk of mental illness as well as complex post traumatic stress disorder which also impact on
physical health and development of psycho biological.
3. Explain how a person's sense of safety is affected as a result of the trauma that they
have experienced.
S NS

When a person experience any trauma related to an accident then they always have fear for that due to which
when they realize any similar situation they get trauma attack because they not feel safe at specific situation.
Moreover there are several other aspects which show case that person's sense of safety is impacted as a result
of trauma which they experienced such as if a nice person experience trauma then it is considered that all bad
things happen to the good people. In addition to this, it is also determined that when people a person experience
trauma then it may leads to depression which impact on person's senses. For example a person who experience
trauma related to domestic violence then their person's sense get impacted such as they feel fear, anxiety,
depression, nightmares or sleep disturbances and so on. In addition to this, there are several factors which show
how a person sense of safety is impacted when they experienced trauma such as these person not feel safe at
any place, their sense of safety has get threatened, overwhelming emotional distress as well as it also related to
fight, freeze submit and flight in the respond to threat to safety.

4. Referring to the principles below provide two (2) examples to explain how you would
provide care and supports to meet the principles of trauma informed care.
S NS

Principles Examples of care and supports
Trustworthiness 1. Properly interact with people for gaining their trust.
2. Provide respect and professional boundaries must be maintain. 
Choice and Control 1. In this a person get clear message related to their role, responsibilities and
rights.
2. According to this, it is essential that person to provide training and
guidance to team members so that they understand their role properly and
conduct work accordingly.
Empowerment 1. Involve individual in the decision making process as well as appraise them.
2. They must also provided atmosphere where a person fell validate and
affirmed along with the every contract with the firm.

Language 1. Use common as well as easy language for interacting with one another at
the workplace.
2. Develop rule that every person use communion language which is
understand by everyone.

Safety 1. Ensure the common areas are safe and proper which welcome people.
2. Individual must provide privacy so that they conduct their work properly.

Collaboration 1. In this a person must respect, develop connection, hope and provide
information.
2. There must be proper involvement of individual in evaluating services.
Inclusiveness 1. Involve person in the decision making as well as update with all the recent
news and information.
2. Involve person in workshops and seminars.

Diversity 1. Firm moves past cultural stereotypes as well as biases.
2. It also evaluated on the basis of trauma information approach related to
experience of trauma.
5. Describe four (4) things you could do to promote an environment of trust when you
are meeting a consumer for the first time.
S NS

1 It is important to respond in the way which show that customer a person is heard to is revealing something
very important about their trauma experience.
2 In this it is also essential that a person must validate their experienced as well as any reaction which they have
in order to disclose demonstrates understand as well as non judgmental stance.
3 It is also essential that a person must ensure that customer is telling incident was a good thing as well as that
person can help customer.
4. the last practice is related is that it is essential to take care of a person who is experiencing trauma.

6. Outline the laws and issues relating to privacy for making a report under mandatory
reporting laws after a child discloses they are being abused by a parent.
S NS

There are several laws and issues related to the privacy for report under mandatory reporting laws after a child
disclosed that they get abused by parent such as they parents must ensure child is feeling safe as well as cared.
In this it is also essential that parent must talk and listen to child about trauma situation as well as it is also
essential to give children special attention for the younger children and priorities attention at bedtime. In this it is
also necessary for parent to encourage children to express their emotion with them so that they can console and
help in overcome from it successfully.
You are working with a consumer Rita who has disclosed that they were sexually abused as a child. As a result of
this abuse Ritahas used alcohol and drugs to cope with and block out the abuse that has occurred. Rita admits that
she is now an addict and has resorted to prostitution as a means to support her drug habit.
7. Identify three (3) trauma informed care practices that could be introduced in this
situation to support Rita.
S NS

1 In respect of this, it is principle of informed practice that a children or a person must understand trauma as well
as its impact so that they know to react in specific situation or time.
2 It is also principle of trauma informed is to ensure that a person is physically as well as emotionally safe.
3 In this principle of trauma informed care it is essential to enhance trustworthiness by conducting task clarity,
consistency as well as interpersonal boundaries so that person or child feel safe.
8. Explain gender responsiveness in relation to trauma informed care. S NS

Gender responsive is considered as majority of people who victims are of abuse trauma as well as they can be
women, both sexes children, vulnerable men and so on. These types of crimes are frequently gendered crimes.
It is essential that trauma informed care needed to be necessitating creation of environment by site choice,
gender responsive, similar sex amenities as well as accommodation, program development, program content,
worker selection and so on. The respective practices include several aspects such as building relationship that
is based on trust, respect and safety by using strengths based approach as well as it also include demonstrating
empathy which being gender responsive. This wills also necessary in it is that taking care must not be based on
the judgmental aspects. Gender responsiveness is important for the trauma informed care because men as
well as women experienced different types of trauma and they react differently to it. This is so it is essential to
have gender responsiveness at the trauma care centre.

You are working with a consumer Sally who has experienced domestic violence on a regular basis from her
husband. Sally has confided that her husband has been beating her for years and especially after he has been
drinking.Sally has also said that she feels uncomfortable around males. Sally has acknowledged that she wants
some help but does not want a lot of people to hear what she has to say. She is afraid that her husband may find
out what she is doing.
9. Discuss three (3) strategies to ensure a safe environment and privacy for Sally. S NS

1. In respect of this it is essential to acknowledge the devastating affect of trauma on the development of human
as well as capacity related to coping things.
2. Next is to ask customer about the information related to their experience of trauma so that strategies can be
develop accordingly.
3. The next practice is to respond properly in order to disclose about the trauma so sentiments of a person
cannot get harm.
You are working with Tommy a young youth who was abused as a child by his stepfather. You are meeting Tommy
for the first time this morning. Some of the questions you will need to ask Tommy are; Ask him he can tell you
about the details of the abuse (for example when it happened, who the abuser was and how he was abused).
10. Describe four (4) behaviours that would indicate that Tommy was not interested in
discussing the details of hisabuse experience?
S

NS
1 Not interested in communication or improve communication
2 there will be huge silence even after asking question.
3 Feeling shy as well as embracement
4 Not making eye contact as he is not comfortable
11. Outline three (3) things you could do if it was evident that Tommy was not interested
in talking about the abuse?
S NS

1 I will try to encourage Tommy that he interacts with me as well as he is in safe environment and I am there for
his help.
2 I will also aware him about the rules and regulation developed by government that can be taken against or
protect him from bad people who try to abuse him.
3 I will also show his past cases who get justice from filing complain against culprit, so that he get encouraged
and feel motivated to file a complaint.

12. Provide one (1) example of an appropriate and inappropriate response for the
following situations.
S NS

a) A person describes the traumatic and violent physical abuse they suffered as a child at the hands of their
mother.
Why is your response
appropriate/inappropriate?
Appropriate
Response
In this situation my appropriate response
will be based on several aspects such as I
suggest child that he/ she not provoke her
mother when she is in bad mood. Along
with this I also tell her/ him to contact to
different resource like father or child help
line number who safe her/ him from
mother traumatic and violent physical
abuse. I also advice her/ him to go to safe
place when her/ his mother is doing
traumatic and violent physical abuse.
Moreover I also advice to a person to fit
camera at home so that he/ she can show
other and file a complain against her/ his
mother.
According to me my respond is appropriate
because I try to counsel that person so that I can
understand her/ his situation. Moreover I also try to
suggest that person that how can he/ she escape
from themselves at the time of traumatic and
violent physical abuse done by her mother.
Inappropria
te Response
In respective situation my inappropriate
respond will be when I try to tell a person
that he/ she must done something wrong
due to which her mother do traumatic and
violent physical abuse. In addition to this it
will also inappropriate when I fully support
a person's mother traumatic and violent
physical abuse practices without
concerning to the child.
My respective respond is in appropriate because I
am only favoring to person's mother without
considering her/ his situation. It is also wrong
because I am only supporting a person's mother
traumatic and violent physical abuse practices.
b) A person describes the emotional abuse inflicted upon them by their ex-wife.
Why is your response
appropriate/inappropriate?
Appropriate
Response
In this situation I will conduct counseling of
that person and try to understand what
happened to them that she become her ex
wife. Moreover I also try to find find out
what types of emotional abuse his ex wife
is done so that I can suggest him the legal
action aspect he might take against her. In
addition to this I also suggest him to to
avoid her by not picking her calls, replaying
on messages as well as I also suggest that
he must block her so that she can not make
contact with her.
The respective respond of mine is appropriate
because through that I can understand reason why
a person's ex wife is doing emotional abuse to
him. Moreover, I also suggested him to avoid his
ex wife calls as well as messages so that she not
able to impact on her life negatively.
Inappropria
te Response
In this situation inappropriate respond will
be when I make fun of that person that he
is getting abuse from her ex wife. In
addition to this it will also inappropriate
when I ignore the situation as well as it is
also wrong when I totally blame that person
that it is his mistake due to which his ex
wife is emotional abusing him.
Through this response of mine that person feel
demotivated and discouraged due to which he
may get into depression or take some wrong step
like harming himself. In addition to this, my this
respond leads to encouragement of ex wife
intentions which may be wrong.
c) A person describes an incident when they were recently sexually assaulted and asks for advice but you
feel they need counselling from a more qualified and knowledgeable mental health professional.
Why is your response
appropriate/inappropriate?

Appropriate
Response
In respect of this situation I will encourage
that person to go to counselor so that they
will that person properly who recently
experience sexual assaulted. In addition to
this in respective aspect or situation I will
also go with that person to the counselor so
that I get to know how can I take care of
that person in best manner. I also suggest
that person to take legal action against
individual who do physical assault with
them.
According to me this respond is appropriate
because I try to convince that person so that they
will visit to counselor as that will help him in
overcoming from trauma effectively. Along with
this, I also advice that person to take legal action
against that individual who do sexual assault to
them. This is so because that will help in ensuring
that criminal get punishment that what they do.
Inappropria
te Response
In respect of respective situation of report I
my inappropriate respond will be I suggest
that person to not take any action or go to
counselor because that will be insulting
because everyone get to know about that
person and their case. I may also say
wrong information related to the counselor.
In respect of respective respond which is
inappropriate because this will demotivated that
person as well as it also leads to situation in which
that individual go to depression due to trauma
related to sexually assault. Along with this,
through this types of respond I am encouraging
situation of sexually assault as I am stopping that
person to not take any action against the situation.
d) You are speaking with a man in his 50s who says his childhood was really hard, and that he lived in fear of his
father for most of it. He also says, 'Yeah, he was really mean and he'd let you know with his fists when he was
angry. He also knew how to take it to the next level of humiliation in my room at night.' The worker thinks he is
alluding to sexual abuse.
Why is your response
appropriate/inappropriate?
Appropriate
Response
In this situation, my appropriate respond
will be I suggest that person to find safe
place where he can get escape from father
when he is doing assault. But I suggest that
person that now they can not do any thing
because he is in his 50s and may be now
his father is no more. So in this respect he
can ensure that no other child can
experienced same situation as well as he
may also provide shelter to who whose
father assault to his child. In addition to this
he can also train children that how they can
do their own safety. Along with this, I also
want to suggest workers that not spread
rumors that he is experienced sexual abuse
by his father as he may only physically
assault him.
According to me my response is appropriate
because through that I will able to ensure that not
other child will experience the same situation
which is experienced by that person from his
father. In addition to this, I also able to ensure that
children also able to know as well as understand
their rights so that they can be safe in as well as
outside the home.
Inappropria
te Response
In respect of this my inappropriate respond
will be that I will make fun of that person
that he is get assaulted by his father as
well as also experienced sexual abused. In
addition to this, my respond may also
include that I totally blame that person that
may be due to his mistake father beat him.
Moreover, in respect of this I also tell to
him that now his father is no more so why
he is talking about him and making
negative rumors.
The respective respond is inappropriate because in
this I am suggesting that person to not do any
action against his father as he is no more which is
wrongs because due to telling people about
situation help in aware them. In addition to this I
also making fund of that person which is wrong
because that decrease the moral as well as
motivation of that person which leads to mental
illness or depression.
e) A worker is speaking to an Indigenous Australian who has been mugged and is having trouble feeling safe in
public. They will not look the worker in the eye and will not say very much about their feelings. They seem
uncomfortable even though they have sought help.
Why is your response
appropriate/inappropriate?
Appropriate
Response
In this the appropriate response is that I
will aware Indigenous Australian about their
rights so that they get empowered and
The respective respond is appropriate because
through this I able to support as well as motivate
indigenous Australian. Through this they able to

fight for it. In addition to this, I also
motivate as well as train respective people
so that they know how to react or deal with
different types of situation in which people
mugged with them to make their life
troubled.
encourage to leave in the society normally like
others people. In addition to this, through
respective respond I also able to motivate these
people by aware them about their rights to leave
in the society like others.
Inappropria
te Response
In this the inappropriate response is that I
will make fun of these people. In addition to
this I may also realize these people that
they are not similar to the society as they
are belong to indigenous group. Moreover I
can also fight with these people which
impact on their feeling.
The respective response is inappropriate because
through that these Indigenous Australian feel
demotivated as well as discouraged. In addition to
this it also leads to situation in which other people
laugh to them which impact them mentally as well
as this may also leads to situation in which these
people feel depressed.

13. Provide ten (10) coping strategies that can be used by a person who has experienced
trauma.
S NS

1 In respect of this a person must do hard exercise like aerobics, bicycling, jogging, stretching, massage
language along with friends and so on.
2 Always conduct interaction with a person whom they trust.
3 Console themselves that they will be fine in some time.
4 Try to spend time in doing nice things such as relaxing, visiting beauty full place, go for walk and so on. 
5 Encourage spending more time with the friends and family. 
6 Listen to the a person who is going from the trauma situation.
7 Allow a person to express how they are felling.
8 Give patient special attention according to situation especially at bedtime.
9 Conduct regular counseling.
10 Encourage involving with others.
14. List five (5) symptomatic expressions of trauma and outline how they can affect an
individual.
S NS

1. Having altered worldwide – there are some people who experienced trauma lose faith in belied that how wold
works. It is common for an individual who experienced trauma to verbalize or express these feeling without any
essential generally referring to its own experience of trauma.
2 Troubling experiential questions – Due to trauma a person may ask big life questions relating to the suffering,
forgiveness, hope, evil, fairness, just ice, purpose, divine order and many others.
3 A sense related to loss of life – there are some individual who have faced trauma may express their thoughts
like there is no real aspect of life as well as they also think that life hold very little value and its better to finish
own life. They mainly considered their life as the struggle where there is no enjoyment or hope.
4 Get a sense of discouragement and loss of hope – it may express itself through state of painful questioning,
depression as well as cynicism.
5. Substance abuse – there are several people who have traumatized and due to which they develop habit of
drugs or alcohol for being independent. In addition to this they mainly use these types of substances in order to
numb distress as well as aid coping.
15. Do cultures express trauma differently? Explain and provide one (1) example to
support your response.
S NS

It is considered that person who is from different cultural background will expressed trauma situation differently.
In respect of this they mainly describe situation or experience of trauma by using different words. In respect of
research it is determined that a symptom of the trauma is more prevalent in several culture than the others. For
example dissociation which is feeling separated or detached from self with them who are around them and
memories related to event. Moreover somatisation is determined as experiencing physical symptoms related to
distress and pain which do not have any physical cause as well as it appear to be connected primarily difficulties
that are common in non western culture than western culture.

16. Provide eight (8) examples of referral options and resources available to support
self-advocacy for a person experiencing trauma.
S NS

Provide them regular counseling session, advise to meet more friends, conduct interaction with other people to
whom they trust, attain motivation session, engage themselves in good work, try to avoid trauma situation,
consult before giving medicine and conduct regular checkups. Along with this, there are several self advocacy
aspects which are based on different referral options from which some are mentioned below:-
1. in respect of situation related to domestic violence a person get advocacy service like take legal action
against culprit as well as she must also get medication services.
2. in context of interpersonal violence a person may file complain against the their family members who does
violence as well as that person also get medication and counseling services.
3. in physical injury the main advocacy service is to provide medication as well as they also take counseling
services in order to get proper direction for taking action.
4. in context of sexual abuse advocacy service are providing proper nursing services as well as taking legal
action against the culprit.
5. the advocacy services provided in case of psychological as well as emotional abuse are medication services
and counseling services.
6. in context of verbal abuse the advocacy service is to conduct counseling services as well as providing
medication accordingly if required.
7. the advocacy services related to the domestic violence are providing proper medication and nursing services,
counseling as well as taking legal action on the culprit.
8. in respect of staking the advocacy service will be taking legal action against the culprit.
You are talking to a person who has sought out the organisation's support because they 'have been feeling really
down’. They also tell you that they do not think they deserve to have people in their life that love and care about
them. In the discussion, the person tells you that they like to paint pictures. They show you a piece of their work
that depicts someone being held down by a larger person who has their hands around the smaller person's neck.
You think the person's picture may be an expression of physical abuse they themselves have experienced but the
person has not said that this is the case.
17. What would you do? Give an example of an appropriate and inappropriate response. S NS

In this situation I will organize counseling session for that person in order to encourage them to leave their life as
well as while counseling I also try to understand situation whether that person experienced physical abuse or not.
If they experienced then I will provide medication, counseling as well as I also support them in taking legal action
against culprit. Along with this, the inappropriate respond is that everyone laugh on that person as well as there
is also chance that when patient sought to a person then they may also respond in anger way. In respect of this I
will not do so because this will affect patient felling negatively.
18. Identify five (5) things workers can do to encourage individuals to adopt a
strengths-based perspective with trauma informed care.
S NS

1 According to the perspective of trauma informed care patient will be taken to expert counselor so that they
provide treatment effectively.
2 They also ensure that same situation will not happen to any other staff or person at workplace.
3 Trauma informed care will also do regular supervision and develop rules related to it.
4 They also organize session through which staffs will know how to face respective types of situation.
5 Always be strict with boundaries among the consumers, students and co - worker.

19. Re-traumatisation S NS

a) What is re-traumatisation?
It is considered as failure of survival self which is help in holding the boundary as well as protect the healthy self
from organism overwhelmed through un metabolized trauma experience. In addition to this it is also considered
as situation when nurse might retraumatize its patient by care they are providing. On the other hand it may also
take place when patient will traumatize its nurse by showing their reaction toward the care. There are several
practices related to the re-traumatisation such as discounting or minimizing accounts of an individual which
experienced or report to abuse and it also include labeling behavior by using languages like manipulative or other
otherwise pathological terminology. In addition to this it also include other practices like sexualised comments as
well as discriminatory use of humors by a worker.
b) Identify four (4) triggers of re re-traumatisation.
1 Minimizing or discounting accounts of an individual’s experience that include report of abuse.
2 Labeling the behavior by using language like manipulative as well as other pathological terminology.
3 Doing physical or mental health evaluation under the presence of others or without conducting enough thought
to problem of privacy or consents.
4 Conducting sexualized comments as well as discriminatory use of the humor by the workers.
20. Provide five (5) examples of harmful interventions a consumer could implement to
manage re-traumatisation?
S NS

1 Physical assault – this is related to situation which take place again while conducting the trauma session. In this
a patient is mainly assaulted in physical manner.
2 Sexual assault – It is considered as situation when a patient is assaulted sexually while providing session
related to the re-traumatisation.
3 Being restrained – It is determined as situation when a person or patient will not experience any emotion
related to the any situation which impact in conducting session.
4 being secluded – According to this intervention a patient get secluded in inappropriate time due to which they
experience issues in attaining session for treatment.
5 inadequate privacy – In respect of this intervention a patient experience that their personal as well as private
information are not safe or kept in the inadequate manner which may impact on their privacy.
21. Identify ten (10) self-care strategies to manage or prevent vicarious trauma. S

NS
1 Person must make sure that there is one person with them.
2 Talk about the incident with others
3 Remember that event is over
4 Try to eat even when you are not feeling to eat
5 Restrict stimulants
6 Do something that is enjoyable and relaxing
7 Continuously talk with family
8 Try to get back normal life
9 Ensure educate sleep, eat and regular exercise
10 Allow yourself to deal with memory
22. Critical Incident Stress Debriefing (CISD) S NS

a) Write a paragraph to discuss your understanding of a critical incident"
It is determine as sudden death situation while conducting the day to day activities. Moreover it is also
considered as situation which develops significant risk of serious harm to the mental as well as physical health

and it may also related to safety or well being of a person. In respect of nursing it is considered as snap short of
anything which happens to a particular patient or their family or nurse. This may include situation where a
person suffered some situation. There are several examples of critical incident related to nursing such as
medication error, dignified death and many others. In addition to this it is also considered as sudden death which
is in the line of carrying out his or her daily duties, a psychological or physical threat in order to safety or
wellbeing of a person, serious injury due to shooting and so on. It also include situation or event that is
experienced by public safety personnel, emergency respondents, staff who causes a distressing or profound
change in the psychological or physical functioning.
b) Describe five (5) reactions to traumatic events.
1 Replaying of memory - According to this there are several people who find that their mind return over and
over in order to upset memory at its loop. This will feel like an individual brain is trying to develop sense of
experiences or they trying out to find a person responded differently.
2 Emotional breakdown – In respective situation a person feel sad and want to cry. This will mainly come from
the feeling terribly threatening to a person. This is also considered as situation which is common when an
individual experience trauma.
3 Anxiety – It is one of the most common emotional reactions related to trauma. This will make proper sense that
a person well be afraid after some point of time when something scary happen to them. In this a person will will
feel like fear is subsiding when anything trigger a reminder of trauma situation.
4 Sexual relationship – According to this, there are several people who feel difficult to feel intimate or to get into
sexual relationship again. This will mainly take place when a person experience trauma due to the sexual
relationship in past.
5 Nightmares – In respect of this it is also one of the common reactions of trauma in which a person get
nightmare related to situation due to which trauma take place.
c) Outline the benefits of Critical Incident Stress Debriefing (CISD) for a person exposed to a traumatic event.
It is considered as special technique which is designed in order to assist others in respect to deal with the
psychological or physical symptoms which are mainly associated with the trauma exposure. This will also allow a
person to involve in the incident in order to process event properly as well as then reflect on their impact. There
are several benefits of critical incident stress debriefing from which some main benefits of Critical Incident Stress
Debriefing (CISD) for an individual are through it they exposed to a traumatic event are it minimize the impact of
trauma as well as it also help in getting recovery for the respective mental issues. This will also aid in identifying
a person who need to have extra help for getting cure from the trauma.

23. Self-Reflection S

NS
a) List eight (8) questions you could ask to identify and assess the organisations trauma informed practices.
1 Does company include trauma informed care in its mission declaration?
2 Doest an organization determine trauma informed care as an aspect of its objective and aim?
3 Did it include worker’s key performance indicators?
4 Does feedback provided to workers who are giving duty at trauma informed care?
5 Are employees of workplace are trained?
6 Does company employ trauma survivors?
7 Does company is taking action to minimize re traumatisation action?
8 Does company has mandatory supervision for workers at trauma survivors?
24. Identify five (5) barriers to implementing trauma informed care. S

NS
1 Lack of training
2 Organization culture
3 Believing it is already being delivered
4 Get fail to identify trauma
5 Misunderstanding behaviour
Your organisation provides mental health services and has a number of general mental health policies. It has been
identified in an audit that the organisation does not have a specific policy to deal with trauma. Your team believes
that the organisation needs to develop policies that directly relate to trauma informed care. The team has
organised a time to meet with your supervisor and managers of your organisation to make a presentation relating
to this matter.
25. Outline the key points you would include in the presentation to promote the
inclusion of a trauma-informed policy.
S NS

The main points are related to reason of trauma at workplace, different level of trauma according to which
person get treatment and it is essential for every person to follow the policy in effective manner. In respect of
presentation there are several points which need to be include in it in order to promote the inclusion of trauma
informed policy such as provide clear description about the trauma as well as it also include symptoms and cure.
In this presentation will also include how a person can create safe physical as well as emotional environment so
that they will not experience trauma or get over come from it successfully. along with this, presentation will also
include affects of trauma on the worker’s personal life and on relationships such as it leads feeling of unsafe in
the world, feeling that world is bad place and every people is bad. So in respect of this it is essential to manage
vicarious trauma which required several aspects such as connecting with others, maintaining proper balance
among the play, rest, especially works and other activities and many more.
26. Provide five (5) suggestions to collect information as part of continuous
improvement with service delivery.
S

NS
1 Take feedback
2 conduct open meeting
3 Do personal interview
4 Develop questionnaire

5 Observation
27. Discuss five (5) consequences for an organisation if they did not take steps to
enhance the service delivery of trauma informed care?
S NS

1 Firm not able to provide quality services to customer or trauma patient
2 Customer will not feel happy as well as satisfied with the services.
3 Goodwill decreased of an organization decrease which also impact on their profit ratio negatively.
4 Motivation level get decreased
5 increase in employees turnover
28. Questioning Techniques S NS

a) Create five (5) open questions that could be asked to gather feedback from consumers who use
an organisation's service about their satisfaction with trauma informed care.
1 According to you does an organization include informed care in its mission, vision, aim and objective?
2 Does organization have proper policies, rules, regulations and strategies for providing proper services to
person who experienced trauma?
3 According to your experience does employees are trained properly to understand about the trauma, ways of
supporting survivors and its impact?
4 According to you does organization tale proper action in order to minimize vicarious traumatisation?
5 Does organization taken appropriate steps in order to ensure present policies as well as procedure are not
hurtful or impact or harm to any trauma survivors?
b) Create five (5) closed questions that could be asked to gather feedback from consumers who
use an organisation's service about their satisfaction with trauma informed care.
1 Did you like behaviour of our employees?
2 Did staff are friendly and provide proper care?
3 Did you face same situation again?
4 Any suggestion for person who take care of you?
5 Any suggestion for workplace?

29. Outline five (5) strategies to enhance service delivery with trauma care. S NS

1 Provide training to all staffs or team members – this is so because through that team members able to treat
patients in effective manner. In this training is mainly provided by the coordination council of mental health.
Moreover, it will also help in delivering quality mental health practices for treating trauma patient successfully as
well as effectively.
2 Ensure employees determine and develop support – According to this it is essential to develop better internal
support like peer supervision as well as buddy systems. It is so because that will help in supporting self care as
well as vicarious management of trauma. Moreover, it will also leads to treating and supporting trauma patient in
effective manner so that they get recover fast as well as effectively.
3 Develop and maintain aware working environment – In respect of this it is essential to write bullet point
reminders of the main principles of trauma informed care as well as it also related to placing these information at
the obvious location such as office, common room and so on. It is so because that will motivate trauma patient so
that they can improve their mental condition as well as it also help other to understand symptom and get
treatment accordingly.
4 Evaluate employees understanding - According to this it is essential for management to organize formal
appraisal review in order to ensure that staffs are always on track to meet the information care principles related
to trauma. It is help in aware staffs that how can they get overcome from trauma as well as how they can get to
know that they are experiencing it.
5 Consider feedback while developing decision – in respect of this it is essential to obtain continual or regular
feedback from employees, patients or others related to trauma informed care. It is so because that will help in
developing effective decision as well as plan for understand and curing trauma in effective as well as appropriate
manner.
30. Seclusion? S

NS
a) What is seclusion?
In few mental health institutions patients are considered as seclusion or restraints.
b) At what times is seclusion and restraint used?
It is confinement of a person at any time of day or night where there is nobody or alone room.
c) List three (3) types of restraint used? Provide an example of how this form of restraint is used.
Type of restraint How this restraint is used
Physical restraint Involve restriction of person’s freedom
Chemical restraint Include use of medication which has sedative impact
Emotional restraint It is situation when a person is not able to express their
feeling.