Bob is a 65-year-old man who grew up in out of home care due to being orphaned at a young age. Bob experienced physical abuse and neglect growing up in the boy's home. Bob has been remembering more things from the group home as he gets older, and he finds this very distressing and at times leads to thoughts of suicide. Bob has been hospitalised several times over the years due to major depression, schizophrenia, and periods of suicidal ideation.

During Bob's most recent involuntary admission to an inpatient unit he felt disrespected; that he didn't get to have much input into the treatment he received.

Bob has been engaged with your service for a few months as part of Bobs most recent clinical mental health care plan. Bob wants to make an advance directive for future hospital admissions as he is worried that no one knows his preferences for care and treatment. Bob is also keen to make a wellness plan to support him to get back to painting, as that is his passion.

Case Scenario Short Answer Questions:

1. Identify ways to apply the values and core principles and features of trauma informed care and practice to working with Bob, including:
2. Understanding trauma and its impact
3. Promoting safety in environments and relationships
4. Ensuring cultural competence
5. Supporting control, choice and autonomy
6. Fostering healthy supportive relationships
7. Promoting the belief that recovery is possible
8. Promoting strengths based, collaborative practices

1. What are three strengths and resilience's you saw or might see in Bob as a person experiencing trauma and list three strategiesBobcould use to cope with and manage the impact of trauma.

1. How could you ensure that communication about the impact of trauma is culturally and age sensitive? What factors must you consider in communication about trauma withBob?

1. What types of information should you provide or make available to aBobabout possible services and supports and how would you foster choice and control?

1. How would you facilitate and support the referral of services forBobandfollow-up the referral to ensure Bob's needs are being met?

1. How would you incorporate recognition of the impact of trauma in the development of Bob's support plans?

1. Imagine Bob became distressed during one of your sessions. You are aware thatBobhas experienced crisis in the past.
2. What actions could you take to ensure safety? Consider professional boundaries and the limits of your own abilities.
3. Describe ways you could defuse or de-escalate a potential incident, for example Bob disclosing suicidal ideation, using individual plans or service procedures.
4. How you will know if it has become an emergency situation and how will you seek assistance for all involved.