HRC Trauma-Informed Care

Question 1

Which of the following best defines trauma-informed care (TIC) in the context of harm reduction?

Accepted Answer

An approach that recognizes the widespread impact of trauma and integrates knowledge about trauma into policies, procedures, and practices

Answer

Providing therapy to process past traumatic experiences

Answer

Screening clients exclusively for PTSD before delivering services

Answer

Referring all clients with trauma histories to mental health specialists

Question 2

The SAMHSA model of trauma-informed care is built on six key principles. Which of the following is NOT one of those principles?

Accepted Answer

Diagnosis and labeling

Answer

Safety

Answer

Trustworthiness and transparency

Answer

Empowerment, voice, and choice

Question 3

A harm reduction worker notices that a client becomes hostile when asked to sit in a chair facing the wall. The worker allows the client to move the chair. This is an example of which TIC principle?

Accepted Answer

Safety

Answer

Peer support

Answer

Collaboration and mutuality

Answer

Cultural responsiveness

Question 4

Adverse Childhood Experiences (ACEs) research is foundational to trauma-informed harm reduction because it demonstrates that:

Accepted Answer

Higher ACE scores are associated with increased risk of substance use disorders and chronic disease

Answer

Childhood trauma only affects mental health, not substance use

Answer

ACEs primarily affect individuals from high-income backgrounds

Answer

ACE scores above 3 require mandatory reporting to child protective services

Question 5

Which term describes the process by which staff in trauma-informed settings absorb and internalize the traumatic stress experienced by the clients they serve?

Accepted Answer

Compassion fatigue and secondary traumatic stress

Answer

Burnout

Answer

Vicarious learning

Answer

Countertransference overload

Question 6

Re-traumatization in a harm reduction setting most commonly occurs when:

Accepted Answer

Staff impose control, use coercive practices, or replicate dynamics similar to the client's original trauma

Answer

Clients are asked to complete required intake paperwork

Answer

Naloxone training is delivered in a group setting

Answer

Clients are offered peer support services

Question 7

A trauma-informed harm reduction program emphasizes 'universal precautions for trauma.' This means:

Accepted Answer

Assuming all clients may have trauma histories and delivering services in a way that is safe for everyone

Answer

Assuming all clients have infectious diseases and using PPE accordingly

Answer

Requiring all clients to complete trauma screening before receiving services

Answer

Only serving clients who have documented trauma diagnoses