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The Intersection of Trauma and Addiction

The Intersection of Trauma and Addiction. Why being ‘trauma informed’ is important. Finding your ACE Score Adverse Childhood Experience (ACE) Questionnaire. 1) Did a parent or other adult in the household often … Swear at you, insult you, put you down, or humiliate you? or

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The Intersection of Trauma and Addiction

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  1. The Intersection of Trauma and Addiction Why being ‘trauma informed’ is important

  2. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 1) Did a parent or other adult in the household often … Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid that you might be physically hurt? If “YES”, add one point.

  3. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 2) Did a parent or other adult in the household often … Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured? If “YES”, add one point.

  4. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 3) Did an adult or person at least 5 years older than you ever… Touch or fondle you or have you touch their body in a sexual way? or Try to (or actually have) oral, anal, or vaginal sex with you? If “YES”, add one point.

  5. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 4) Did you often feel that ... No one in your family loved you or thought you were important or special? or Your family didn’t look out for each other, feel close to each other, or support each other? If “YES”, add one point.

  6. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 5) Did you often feel that ...You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? or Your parents were too drunk or high to take care of you or take you to the doctor if you needed it? If “YES”, add one point.

  7. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 6) Were your parents ever separated or divorced? If “YES”, add one point.

  8. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 7) Was your parent or step-parent: Often pushed, grabbed, slapped, or had something thrown at her? or Sometimes or often kicked, bitten, hit with a fist, or hit with something hard? or Ever repeatedly hit over at least a few minutes or threatened with a gun or knife? If “YES”, add one point.

  9. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 8) Did you live with anyone who was a problem drinker or alcoholic or who used street drugs? If “YES”, add one point.

  10. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 9) Was a household member depressed or mentally ill or did a household member attempt suicide? If “YES”, add one point.

  11. Finding your ACE ScoreAdverse ChildhoodExperience (ACE) Questionnaire 10. Did a household member go to prison? If “YES”, add one point.

  12. “Unlike other forms of psychological disorders, The core issue in trauma is reality.” -Bessel van der Kolk, MD

  13. THE HISTORY Why being ‘trauma informed’ is important

  14. https://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.htmlhttps://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.html

  15. STRATEGIES TO PROMOTE SAFETY Why being ‘trauma informed’ is important

  16. Strategies to Promote Safety1) Teach GroundingExercises2) EstablishSpecific Routines, Structured Setting3) Discuss Safe and UnsafeBehaviors4) Refer to ‘SeekingSafety’ (Najavitz 2002a)5) DevelopSafety Plan

  17. “Seeking Safety embodies a compassionate tone that honors what patients have survived and respects their strengths.” -Lisa M. Najavits

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