Professional Documents
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8229079
8229079
LESSON PLAN
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5. Given a Mind mapping activity and 5. Mind mapping and facilitated
facilitated discussion, students will be discussion
able to define different types of
trauma to the satisfaction of the
facilitator.
INSTRUCTOR MATERIALS
BHA training packet
EQUIPMENT/SUPPLIED NEEDED
METHODS/TECHNIQUES
REFERENCES
The following books and other materials are used as a basis for this lesson plan.
The instructor should be familiar with the material in these reference documents
to effectively teach this module.
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Vera.org video of interview with Captain Love-Craighead
Braive video on YouTube: The Fight, Flight, Freeze response
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621904/
SAMHSA.gov
https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201500312
GENERAL COMMENTS
In preparing to teach this material, the instructor should take into consideration the following
comments or suggestions.
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LESSON PLAN
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Review the objectives with the students: Slide 4
PERFORMANCE OBJECTIVES
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behavior has a criminal intent behind it.
Ask: Why do we have these? Why don’t we want body Desired Response:
fluids to mix? So that in case one of the
people has a blood-borne
illness, it won’t get
transmitted.
Ask: Do we KNOW for sure if people have blood-borne (give response if it does not arise)
illnesses?
Desired Response: NO
Ask: Does it hurt the people that do NOT have blood-
borne illnesses to use these precautions?
Desired Response: NO
Ask: Are there any questions about this model? Instructor Notes: answers
questions that are asked
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Let’s back up for a bit and talk about how we categorize
trauma.
ACUTE TRAUMA refers to a single traumatic
event.
CHRONIC TRAUMA describes an ongoing
trauma, or multiple traumatic events.
COMPLEX TRAUMA exposure to
multiple traumatic events—often of an
invasive, interpersonal nature—and the wide-
ranging, long-term effects of this exposure.
These events are severe and pervasive, such as
abuse or profound neglect.
SYSTEM-INDUCED TRAUMA are traumas
created by organized systems,
including those designed to mitigate trauma.
Examples can include foster care, removal of
child from home, incarceration, and immigration
enforcement.
VICARIOUS TRAUMA is the indirect trauma
that can occur when we are exposed to difficult
or disturbing images and stories second-hand.
Exercise:
Using the chart paper and markers in front of you, I’d Desired Responses:
for you each group to brainstorm examples of each of Acute Trauma: shooting, accident,
these types of trauma and create a MindMap that loss of job, loss of loved one,
illustrates your understanding of these types of trauma: natural disaster, physical/sexual
Group 1: acute trauma assault
Group 2: chronic trauma Chronic Trauma: ongoing abuse
Group 3: complex trauma (physical, sexual, emotional),
Group 4: systemic trauma ongoing neglect, combat
Group 5: vicarious trauma Complex Trauma: uprooting,
homelessness, human trafficking,
(when finished) being a refugee
I’m going to ask each group to share what they came up Systemic Trauma: foster care,
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with, one at a time. Then we will give the rest of the sibling separation, having to testify
class an opportunity to add to what the group shared. against family, extreme poverty
Vicarious Trauma: witnessing
trauma/its aftermath (ex:
homicide), receiving raw trauma
ASK: Does anyone have anything they want to add to responses of victims
the list?
Instructor Notes: Answer questions
ASK: Are there any questions or thoughts about the as able; facilitate discussion. Ask
different categories of trauma? each group one by one what they
came up with. The instructor can
write them on the board/flip chart.
ASK: Who can identify issues you encounter on patrol Desired Responses:
that relate to these categories of trauma? sharing experiences and
relating them back to the
categories:
ACUTE: a shooting
CHRONIC: report of abuse
COMPLEX: interacting
with persons experiencing
homelessness
SYSTEMIC: the high level
of poverty in the city that
leads to street crime
VICARIOUS: officer
experiencing distress
having witnessed or
received the afteraffects of
a trauma on a call
The Brain Science of Trauma Slide 9
We are going to look at another video titled, The Brain
science of Fight, Flight, or Freeze. As you view this
video, think about a time that you experienced the fight,
flight or freeze response and compare the similarities
and differences. Be ready to share your thoughts
afterwards.
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ASK: What was similar or different about your own Instructor Notes: Call on
experiences with trauma based on what you saw in the volunteers to share their personal
case study. experiences
ASK: Are there questions, comments, thoughts about Instructor Notes: Answer questions
the video? as able; facilitate discussion
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ACES about it; if not, explanation follows
ACE stands for Adverse Childhood Experience. A study Slide 11
was created in the late 1990’s to study the impact of
ACEs on people through their lifespan.
Slide 12
Early Adversity has Lasting Impacts
The study is still going on. There have been many
problems in adulthood correlated with a high ACE
score. Things like you see on this slide: unintended
pregnancy, health issues like cancer and diabetes, and
mental health issues such as depression and PTSD.
1. Abuse
- emotional abuse
- physical abuse
- sexual abuse
2. Neglect Desired Responses:
- emotional neglect
Lingering trauma
- physical neglect Substance use disorder
3. Household Dysfunction medical problems
- violence
- mental illness
- substance abuse
- separation/divorce
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- caregiver incarcerated
ASK: What do you think might be potential effects on Desired Responses:
people who experience ACEs? chronic stress on the system
becomes toxic and leads to
illness
unchecked and untreated
trauma can lead to physical,
mental, and substance use
illnesses
victimization in early life
makes continued
victimization far more
likely
chronic stress and untreated
trauma can make people
more vulnerable to and less
able to cope with stressors
that many experience (i.e.,
loss, financial stress,
interpersonal stress)
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Prevalence of ACES Slide 16
Let’s take a look at the data there is on how prevalent
ACEs are.
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justice systems that suspended, expelled, blamed,
shamed, misdiagnosed, drugged, or further punished
them to try to change their behavior.
So with the high rate of poverty in Baltimore City, we
can expect that a significant proportion of the
population will have experienced trauma in childhood.
And it is a vicious cycle; we can attribute many ACEs
to living in poor socioeconomic conditions.
Slide 18
CASE STUDY: Children in Poverty
Here is a case study of some kids who share their
experience of living in poverty. There are two
questions I want you to think about and take notes on as
you view it.
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ASK: What about question two? (call on volunteers and Desired Response to Question 2:
facilitate a discussion) kids living without one of
their parents
lack of food/hunger
not having a sense of
security (moving from
house to house)
ASK: What has been your experience on patrol, in the Instructor Notes: Call on
more poverty-stricken areas of the city-and how might volunteers to share their personal
you see their behavior differently through this lens? experiences
Signs of Trauma
Slide 19
Let’s take a look at some of the signs that someone has
experienced trauma and may be re-experiencing it:
They can be shaking, have nausea, have gaps in their
memory, or be fearful, or angry. Or any combination of
the above.
ASK: So, what does that mean, in the brain? Which part Desired Response:
is running things? The AMYGDALA
EXPLAIN: Yes, the amygdala. That means that the
person perceives threat, but also that they are not able to
calm down, think rationally. This may appear as the
person acting aggressively, because-they are in fight-or-
flight.
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The person themselves will not be aware of it, because
they have disengaged and shut down.
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Remember…Maslow’s Hierarchy of Needs Instructor Notes: Answer questions
In ICAT, you were taught that the higher someone’s as able
emotions are, the less rational thinking they can do-and
now you know why. Psychological and safety needs Slide 20
must be met, otherwise a person will not be able to
reach self-fulfillment.
Slide 21
SCENARIO
Now we will do a brief scenario of encountering
someone with symptoms of trauma.
ASK: Can I have a volunteer?
(instructor should have someone read the scenario
(Appendix A), assign a role player for the role of officer
and then assign the role of the young person.
The instructor playing the young
person should de-escalate if they
feel the officer is calm, listening,
asking what is going on, telling
them they are there to help.
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If the officer is able to make a
connection with the young person,
the young person should calm
down and begin to tell the officer
that they just witnessed a violent
crime against a loved one.
ASK: How did you know the person was having a Desired Responses:
trauma response? unable to communicate,
crying, pacing, screaming
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Even a Moment Makes All the Difference Slide 22
As we talked about in The Four Plays, a moment or two
of listening and reflecting back has the potential to help
the person get from high emotions closer to rational
thinking.
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Vicarious Trauma Slide 25
Effects of vicarious traumatization on an individual
resemble those of traumatic experiences:
significant disruptions in one’s affect tolerance
psychological needs
beliefs about self and others
interpersonal relationships, and sensory memory
including imagery
I’d like for you to discuss this question with your table
group for a minute or two, and jot down your thoughts.
Be ready to share out your responses to the rest of the
group.
ASK: How did your groups answer the question? Desired Response:
What did you come up with? witnessing crimes, violence,
accidents
receiving the emotions of
someone just traumatized
responding to particularly
vulnerable victims
witnessing other LE
experience trauma
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threats to LE in general
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PTSD, and to determine if treatment would be services (like counseling)
beneficial. Whatever is shared, accept without
judgment or correction.
Good news: There is much that can be done to build up
inner resources and outer supports that are necessary to
have resilience in the face of vicarious trauma.
The main tactic for this is the broad term “self care”.
Self-Care Slide 29
I know-it sounds hokey. But it works!
And it is defined by YOU. Whatever it is that reduces
your stress that restores your energy.
Slide 30
Your Self-Care Call on volunteers to share their
ASK: What are some of your self-care activities? answers; after answers and
discussions take place
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review the hidden answers) easier, as a trauma response can
be misinterpreted as non-
If people with BH disorders have had previous cooperation. using trauma-
encounters with law enforcement, and they were informed tactics respects the
traumatic, that becomes a part of their trauma history. civil rights of people with any
In addition, police encounters with folks in crisis can disability stemming from having
reinforce stigma, as often people are witnessed in public experienced trauma. It is also
being taken into custody, and also seen entering more effective in crisis
facilities in handcuffs. intervention and is better for
both community and officer
safety.
So, it is important to remember that you may be part of Assuming there MAY be trauma
a larger, ongoing experience that people with BH present can prevent triggering or
conditions have with the police. And that how you are re-traumatizing a victim
perceived by the person can be from previous
Simple tools help to gain
experiences with other officers, AND how you handle
cooperation and prevent
the call, can contribute positively or negatively to that
escalation
ongoing experience.
Trauma effects everyone, even
law enforcement (in fact, LE
can be more susceptible, due to
To Summarize… high exposure to trauma)
• Trauma-Informed Policing can make an Self-care is vital
officer’s job much easier.
• Assuming there MAY be trauma present can Slide 31
prevent triggering or re-traumatizing a victim.
• Simple tools help to gain cooperation and
prevent escalation.
• Trauma effects everyone, even law enforcement
(in fact, LE can be more susceptible, due to high
exposure to trauma).
• Self-care is vital!
Questions?
Slide 32
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APPENDIX A
Scenario
A call goes out for a young person who is in a drug store and they will not leave
the store. They are in the back. It is reported that they are pacing one aisle and
crying intermittently. Occasionally, they let out a scream. They will not respond to
any of the staff of the store, no eye contact, won’t respond to questions.
When you arrive, the manager has gathered all of the customers in the front of the
store and is trying to get them checked out as quickly as possible. The security
guard is at the front door, stopping new customers from coming in, simply saying
there is something going on in the store, that it’s being resolved, and that they
cannot go in right now.
The young person is are sitting on the floor of the aisle. They are looking at the
floor and quiet, providing the officer with the opportunity to determine what is
happening.