CRC CRC Trauma-Informed Care 1 — Questions and Answers
Question 1: What is the core principle of trauma-informed care (TIC) that distinguishes it from traditional approaches?
- Focusing on diagnosing trauma disorders
- Shifting from 'What's wrong with you?' to 'What happened to you?' (Correct answer)
- Requiring clients to disclose all trauma before receiving services
- Providing therapy for all traumatic events
Correct answer: Shifting from 'What's wrong with you?' to 'What happened to you?'
Trauma-informed care shifts the fundamental question from pathology to understanding a person's history and experiences.
Question 2: SAMHSA's trauma-informed approach is built on six key principles. Which of the following is one of them?
- Confrontation
- Safety (Correct answer)
- Compliance
- Diagnosis
Correct answer: Safety
Safety is one of SAMHSA's six key principles of trauma-informed care, ensuring physical and emotional safety for clients and staff.
Question 3: Adverse Childhood Experiences (ACEs) research found a strong link between childhood trauma and:
- Academic achievement only
- Adult health problems including substance use disorders (Correct answer)
- Career outcomes exclusively
- Social media usage patterns
Correct answer: Adult health problems including substance use disorders
The landmark ACE study found that higher ACE scores correlate strongly with increased risk of substance use disorders, mental illness, and chronic disease in adulthood.
Question 4: A trauma-informed recovery coach understands that a client's angry outburst during a session is MOST LIKELY:
- A sign the client is not motivated to recover
- A trauma response that deserves a calm, non-reactive response (Correct answer)
- Grounds for terminating the coaching relationship
- Evidence the client needs medication management
Correct answer: A trauma response that deserves a calm, non-reactive response
Angry outbursts are often trauma responses, and a trauma-informed approach responds with calmness and curiosity rather than punishment or dismissal.
Question 5: Which of the following BEST describes 'secondary traumatic stress' as it relates to recovery coaches?
- Trauma that occurs after a relapse
- Emotional distress resulting from exposure to clients' traumatic experiences (Correct answer)
- A physical injury sustained while working
- Burnout from administrative workload
Correct answer: Emotional distress resulting from exposure to clients' traumatic experiences
Secondary traumatic stress occurs when a helper absorbs emotional distress from repeated exposure to clients' traumatic stories and experiences.
Question 6: A recovery coach who uses trauma-informed practices will AVOID which of the following?
- Providing psychoeducation about trauma
- Retraumatizing clients by requiring detailed trauma disclosure (Correct answer)
- Creating a safe and welcoming environment
- Respecting client autonomy and choice
Correct answer: Retraumatizing clients by requiring detailed trauma disclosure
Requiring clients to disclose detailed trauma narratives before they are ready can retraumatize them and undermine the therapeutic relationship.
What is the core principle of trauma-informed care (TIC) that distinguishes it from traditional approaches?