Module 4 Unit 4 Activity 2: Responding to Traumatic Stress

Eating Disorders (Heather and Matt)

Traumatic Brain Injury (Heather)

Signs/Symptoms (Heather)

Displaying symptoms of acute anxiety when the subject of food comes up

Actively avoiding the cafeteria during lunch

Stashing food in their desk or backpack

Sudden change in clothing styles (particularly adopting much baggier clothing than previously)

More frequent trips to the bathroom after lunch

Frequent negative comments about their bodies or those of others

New interest in excessive exercise

Mood changes (usually withdrawing from peer group)

A very ridged diet "plan" (ie, eliminating whole food groups, strict schedules for eating, etc)

Newfound interest in cooking for and feeding others

Response Strategies

Resource Suggestion: National Eating Disorder Association's Educator's Toolkit (PDF via https://www.nationaleatingdisorders.org/)

Incessant talk about food, exercise, weight, etc.

Emotional detachment, seems "flat"

Target of weight-related bullying (present or past)

Dehydration

Feeling faint, cold, bloated, tired often

Often shows some type of obsessive behavior (ie, hand-washing, hoarding, leg jiggling, picking at skin, etc)

Consult your school's SAP resources. Many schools have materials available to help you navigate this situation.

In the Classroom (General advice)

Model a healthy relationship with food and exercise.

Be knowledgable about school's procedures, resources, and regulations

Make early contact with the school's nurse and psychologist

Create a classroom culture that is healthy and has a zero-tolerance policy when it comes to bullying, weight shaming, etc

If the student is in recovery, there will be several things that a teacher needs to do to ensure they continue to get better. The student should have a recovery plan much like a IEP, which includes any special accommodations. Make sure to follow that.

Many schools, including ones in my area, report student BMI scores to parents under the banner of "promoting student heath." If this is happening at your school, do everything you can to make it STOP! Research suggests it 1) doesn't help students become healthier and 2) it can facilitate eating disorders among students.

Signs/Symptoms

Physical Effects

Weakness in extremities or, sometimes, full body

Change in vision or hearing

Dizziness

Headaches

Emotional Effects

Cognitive Effects

Balance issues

Tiredness or fatigue

Irritable and quick to anger or violence

Low motivation

Feeling disconnected and/or depressed

Withdrawing from social groups

Fails to understand social interactions, doesn't "get" them

Others would call their behavior or conversation "random" and just not normal

Decreased motivation

Anxiety where there was none before

Consistently feeling like they are in a fog

Disoriented and/or confused

Feeling like they are stuck in slow motion, especially when processing information

Difficulty concentrating

Difficulty learning and retaining new information

Lapses in memory

Communicating in socially inappropriate ways

Response Strategies

Understanding that TBI can take a long time to recover from is the most important thing. I have a friend who was in a minor car accident last year, but she still is not anywhere near "back to normal." it is important to be as empathetic and understanding as possible.

The student will most likely have an IEP, since this is a serious medical issue. Refer to it when designing your course. And they will probably be in contact with the school's special education team. Keeping communication open with them is key, since they will have an updated understanding of the student's issues and strategies for the classroom.

Specifically Related to Post-TBI Stress

Help the student identify their individual stress triggers and brainstorm possible methods for addressing them.

Ensure that the student is in some sort of counseling

Frequent verbal positive feedback—it is easy to get frustrated when doing something that used to come easy.

Empower student to know their limits and provide space/time for rest and allow/encourage them to take frequent breaks. It would be nice to even make sure there is an area of your classroom with minimal distractions that the student could go to when necessary.

Do your best to maximize the student's involvement in the course, check in with them frequently for their thoughts and feedback. This could be as easy as changing the order of a lesson plan or the timing of a task's completion

Know their social/peer group and make sure that they keep in contact via group assignments or seating arrangements. Breaking from old friends and social isolation are common side effects of TBI, so keeping them close to those they know would relieve some stress

There are a lot of accommodations suggested for students with TBI, which are dependent on the specifics of their injury. I have decided to focus specifically on stress reducing strategies, since we have covered the rest in our last Coodle.

Break down big tasks into smaller units: This is a key skill for academic performance in students with TBI, but it is also a good tool for stress reduction. This can be applied to in class work, but also to other aspects of their life—a truly transferable skill.

Domestic violence (Liz Parkinson)

Symptoms

showing signs of fear

clinging to parent (typically mother) or other caregiver (ages 2-5)

hiding or cowering with loud noises or sudden movement

crying or screaming spontaneously (ages 2-5)

sucking thumb for comfort when feeling stress (ages 2-5)

losing interest in favourite activities (ages 6-11)

mood swings - generally angry or grumpy

Stomach aches, headaches, physical manifestations

lack of bladder control (toddlers to age 5)

decline in grades, not caring about school

aimlessly moving around or freezing

violent outbursts resulting in physical injury or damaging of property

low self-esteem

verbally expressing concern for parent at home

anxiety, withdrawn

bullying

Strategies (in the classroom)

substance abuse (teenagers)

creating a safe environment in the classroom

providing structure and routines so children know what to expect

creating a model of a non-violent classroom is terms of play an dealing with conflicts

model kind and nurturing interactions between teacher and students

using encouraging words

validate feelings and create an environment where feelings can be openly shared

create a calm space in the classroom where children take de-stress, regroup or even nap if needed so they feel safe

suggest school counselling if it is an option

adjust expectations for school work/homework to ease stress or pressure

create opportunities for the student to get extra support from you

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Adjustment (migration, asylum, moving) (Kody Messner)

Signs/Symptoms

Strategies (in the classroom)

Resources

Classroom Issues

Trouble paying attention during class

Not conforming to teacher instructions, talking back

Unwillingness to complete school work

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Social Issues

Integration: New students need support to integrate successfully into their new classroom linguistically, socially, and culturally

Grouping: Place new students with students who will support and guide them

Routines: Check your routines and procedures to make sure they are understandable and help guide new students

Don't Wait: If new students need other resources (therapists, social workers, ESL support), help them find those resources as soon as possible

Celebrate students unique and new insights, show them that their background is valuable

Structure: Keep your classes as structured as possible, students with traumatic experiences can require schedules to help them feel in control

Obvious: Keep a schedule visible for students to see at all time and follow it

Introduce: Have other students model and introduce procedures to new students

Patience: Students may have linguistic issues and need extra support with language. Take your time, use ELL instruction support techniques, and write down longer, more difficult instructions for student review

Trouble talking to other classmates

Lack of friends or social network

Sitting by themselves at lunch/recess, head down during break time

Sharing: Have other students who are immigrants or have moved to the school share their experiences with the new student and give them the opportunity to share their own experiences

Understand: Take the time to understand where your student is coming from to best know what support they may need

Language: How does their native language compare to English? Are there cognates? What sounds are different? What problems should you anticipate?

Cultural: What is your immigrant students home culture like? What differences are there with your classroom culture? What do they celebrate? What are some taboos?

child from divorce family(Shang Wang)

Strategies (in the classroom)

signs/symtoms

Resources

Sleep problems

Poor concentration

Trouble at school

Drug or alcohol abuse

Self-injury, cutting, or eating disorders

Frequent angry or violent outbursts

Withdrawal from loved ones

Disinterest in loved activities

Anger

Anxiety.

Mild depression

Emotional Neglect/Abuse (Claire)

Signs/Symptoms

Strategies

developing an understanding of children’s reactions to their parents and divorce by reflecting on their observations and conversations with children

developing an understanding of the type and effect of parents’ stress

having private conversations with children, asking if they are OK, being a good listener, letting children talk, and providing reassurance

arranging one-on-one time with a teacher aide to provide emotional support or to help them settle into the day

being available for children and parents to speak to

creating a safe, friendly environment where children feel free to talk

developing friendships with children and families so they can feel safe and secure to talk to them

communicating with parents about how their child is going emotionally, socially and academically at school

referring children to the student welfare coordinator when necessary for additional support

talking about catastrophic scales to help children put their problems into perspective on a scale from zero to ten where zero is no problem and ten is the worst problem ever

being consistent with school routines, rules and expectations

making sure the child is included in supportive friendship groups, both in the classroom and playground

making activities and communication inclusive – for example, not always saying “tell mum” but instead saying “tell the person who packs your lunch” or “does your homework with you”

having flexible expectations with the child’s school work

arranging tutoring for the child with the teacher, other parents, peers, and teacher aides

getting financial support through the school welfare budget or community organisations for resources, food and to help pay for school excursions and camps

providing encouragement for children to make good decisions and to manage their own behaviour.

Helping Children Adjust to Divorce: A Guide for Teachers
https://extension.missouri.edu/publications/gh6611

Low self confidence/poor self image

Hard time trusting/often fearful

Anxiety/depression

Feelings of shame/guilt

Difficulty forming relationships

Over compliant

Lack of empathy

Unusual fears

Compulsions, obsessions, phobia, outbursts

Low self esteem/negative statements about self

Sleep or speech disorders

Alcohol or drug abuse

"Fear Ladder" to manage anxiety caused by abuse: Students rank levels of fear caused by certain situations and teachers and counselors can conduct exercises to teach students strategies to overcome each fear and anxiety

Benson's "Relaxation Response" methods: helping students concentrate and overcome anxiety through mindfulness and meditation exercises and mental devices to focus on, and altering patterns of thinking. These exercises can be assigned as homework to help student practice reducing stress

Parent Intervention: Parent involvement must be considered, but with pros and cons weighed before based on situation - family counseling through school or outside agency and working with the parents to come up with strategies for the student to use at home and at school (*note: cultural context must be taken into consideration as parent/child relationships and the role of govt. and outside intervention with this differs between countries and cultures)

Creating a safe classroom environment - children who are victims of abuse and neglect often have lacked an environment where they feel safe and have basic emotional and physiological needs met. Working to create a safe environment in the classroom can help them achieve basic needs to let them begin to heal, grow, and succeed. Some examples can be "cool down corners" and areas where they can be alone in their personal space, cubbies or areas to keep belongings where other people are not allowed to touch them, and simply teaching and allowing students to set boundaries for themselves that others are not allowed to cross without permission.

RESOURCES:

Helping students with emotional abuse:
https://files.eric.ed.gov/fulltext/EJ1012312.pdf

Supporting Victims of Child Abuse
https://files.eric.ed.gov/fulltext/EJ1012312.pdf

Sudden Death of a Loved One (Ryan K)

Strategies

Symptoms

Communication

Listen and comfort.

Encourage kids to say what they're thinking and feeling in the days, weeks, and months following the loss.

Help your student adjust to new expectations on how their lives have changed to due a loss of a loved one. If that means a student will be picked up from school by someone else, help prep them for that reality throughout the day.

Give your student responsibilities. Students that deal with death early on are forced to mature. Channel that into something productive.

Encourage the student to take free time to create memorabilia of their loved one (drawings, collages of pictures, show and tell with the class).

Continue having conversations for the next several months, even if the side effects of experiencing death dissipate.

Respectfully, ask the parents which days might be especially hard for the student at school (memorial, funeral, birthday of the loved one, etc.) so you can be attentive of any additional support the student will need

When talking about death, use simple, clear words.

Classroom Modifications

Be aware of your discipline. During a time of grief for a student, the manner in which discipline is given should be done privately and with compassion. First, come from a place of understanding and listen to the student about why they feel the need to act out. Punishment or corrective discipline may be unproductive or dangerous to a grieving child. Instead, think of giving responsibilities or something more purposeful.

Think about classroom activities that may trigger grief. If a parent was lost, giving a parent letter, permission form to be signed by a parent, or asking students to use their parents as references on class projects may spark the feelings of loss again. Have an appropriate assignment as a substitute for the student if needed.

Children are concrete in their thinking, therefore, describe death concretely, avoid adding a large number of details, answer their questions simply and honestly and try to avoid euphemisms.

Poor school performance

Anxiety

Depression

High risk behavior and substance abuse

Emotional Numbing

Suicidal thoughts

Somatic complaints

Irritability

Reduced concentration

Community Violence (eg. Gang violence, bullying, oppression, gun violence, muggings etc.) (Matthew Hughes)

Signs/Symptoms

Emotional

Response Strategies

Depression

Anxiety

PTSD

Fear

Guilt

Isolation

Shame

Low self-esteem

Over-compensation/bravado

Difficulty managing emotions

School-wide

Take care of ourselves

Create group sessions for talking/communicating

Share student well-being information with faculty members/guidance officer or other support services

Provide consistent structure to the schools day

Communicate with students (allow them to express feelings/concerns, correct any inaccurate information)

Consistently remind students of the safety procedures

Class

Modify Lessons (Content consideration, more enjoyable activities, slower pace)

Assist in emotional management (SEL techniques to prevent outbursts)

Minimise reminders of the offending incident(s)

Identify sleep problems and communicate with parents/key workers to assist

Promote community building (team activities/involvement in events etc)

Behavioural

Bullying

Agression/violence

Clingy

Truancy

Rebellious

Lethargy

Increased risk taking

Isolation/depression

Distracted

Neglecting personal health

Development of Eating disorder/Self-harm

Poor relationship management/Breakdown of relationships

Resources

Sudden Death of a Classmate
(Accidental or Suicide)
Dario Villalobos

Classroom Modifications

Resources for Teachers, Parents & Students

Resources

Anxiety/Panic Disorders

Not wanting to go to School

Depression

PTSD or PTSD-like Reaction

Coping With Grief in the Classroom. (n.d.). Retrieved December 06, 2020, from https://www.scholastic.com/teachers/articles/teaching-content/coping-grief-classroom/

Problems focusing on projects, school work, and conversation

Obsessive or pervasive worry or difficulty separating from parents.

Loss of appetite or overeatin

Unexplained irritability and anger

Too much or too little sleep

Lyness, D. (Ed.). (2016, September). Helping Your Child Deal With Death (for Parents) - Nemours KidsHealth. Retrieved December 06, 2020, from https://kidshealth.org/en/parents/death.html

Sapienza Kahn, G. (2013). BEREAVEMENT IN THE CLASSROOM: HOW TEACHERS RESPOND TO GRIEF AT SCHOOL. College of Professional Studies Northeastern University Boston, Massachusetts, 1-196.

Do not treat the topic of Death like a "Taboo." Find ways to talk to your students about death in an age appropriate way and normalize conversations around death.

For Mild Cases: If students experience episodes of sudden sadness or anxiety have a safe space in your classroom or your school that the student can go to and decompress.

Identify students who are experiencing grief and whether their grief is mild or severe.

For students with severe grief, have a safe word which students can use with you in order to leave the room and get support from the school counselor.

Reach out to parents and other caregivers for assistance

Provide extra learning support such as tutors, study groups, extra office hours, etc.

Allow students to talk about their feelings. Create spaces in your class for them to engage in conversation and express how they feel.

If you teach younger students, help them to understand what has happened. Death can be a confusing and difficult topic to explain to young students. Talk to your school counselor about how to talk about death to young kids.

If students have a hard time opening up, give them time and space but always offer space for them to have the channel of communication open to voice their feelings and thoughts.

Provide teens with suicide prevention resources and talk about suicide.

Express your own feelings in an open, calm, and appropriate way that encourages students to share their feelings and grief.

Maintain a normal routine in your classroom and engage students in activities they previously enjoyed and be accommodating to students who are struggling with severe grief.

If the death is related to a suicide , watch out for statements of wanting to join the dead person or Increased risk-taking behavior.

Withdrawal from friends and family members.

Cultivate Go-to People in your class and greater school community which students can go to if needed.

Signs/Symptoms (Matt)

Dry/brittle hair (due to poor nutritional intake and dehydration)

Dry skin (chronic, for the same reasons as bad hair)

Yellowing of the teeth/bad breath/frequent chewing gun (poor nutrition and acidity, also increases bacterial growth, chewing gum to hide the scent of purges)

Abrasions to the knuckles (often the finger next to the pinky due to the incisors scraping as they purge)

Hiding evidence of food

elements of self-harm

Cyber bullying (Ross Mc Gregor)

Symptoms/ signals

Resources

Strategies

Depression

Stress

Sudden drop in time spent online

Anxiety

Avoids talking about computers or the internet, and may be defensive when asked about it.

Trouble focusing

A child seems irritable or emotional after using a computer or checking messages on a device.

Loss of interest in friends or school

A child spends a large amount of time on the computer, but they do not want to talk about what they did during that time

keepyourchildsafe.org. (2020). Signs and Symptoms of Cyber Bullying. Retrieved December 08, 2020, from http://www.keepyourchildsafe.org/bullying/cyberbullying-signs-symptoms.html

reachout.com (2020). Cyberbullying and Students. Retrieved December 08, 2020, from https://schools.au.reachout.com/articles/cyberbullying-and-students

Adams, C. (2020). Cyberbullying: What Teachers and Schools Can Do. Retrieved December 08, 2020, from https://www.scholastic.com/teachers/articles/teaching-content/cyberbullying-what-teachers-and-schools-can-do/

Involve the whole-school community in discussions on what cyberbullying is, how to deal with it and how to prevent it. This may include having open discussions and lessons in class.

Reminding students of school procedures and support systems when they need help." There are people who can help you . Your problems are important."

Help students to learn how to manage their privacy and security online.

Encouraging bystanders witnessing bullying to report it

Include strategies in class about how to report and respond to cyberbullying constructively. Encourage students to learn about the processes and policies of the social media platforms they use.

Helping those who do the bullying to learn that bullying affects others in really bad ways. They can benefit from not only from punishment, but also counseling.

Work together with parents to help the student disengage from a certain social media platform and with the comments that were aimed at them. This will help students to think clearly about what has happened and think better about how to respond or not to respond at all. Students should do this with the guidance of an adult.

Reduce space that is unsupervised by adults, as well as making computers and Ipads at school monitored by teachers.

Emotional support:

The method of shared concern can be used. All parties involved are interviewed separated, then follow up until the issue is resolved.

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Talk to students about what cyberbullying is. Reassure students that if they are the victim of cyber bullying they should tell someone

Recognise that students who have experienced cyber bullying must not have had a bad experience

Reiterating that no person has the right to do it to them

Teenage Breakup (Roy Mand)
[Disclaimer: I am 100% serious about this]

Notes

Very common. I don't think I need scientific data here, but anecdotal data: This is the only trauma I've had to deal with as a teacher as students go through it. Pretty sure we've all gone through breakups though. Some do not handle it well.

Best handled not alone as a teacher but by team of adults: Home room teachers, parents and counsellors. Put those PLC's to use.

As you are generally a semi-parent when a teacher in China, and because I did not find any strategies for dealing with breakups as a teacher, below is what I researched as what to do as a parent, which you will want to adapt as a teacher.

General strategy as a teacher: Be firm but understanding. Do not give them a bunch of leeway, as you do not want them to wallow in their self-pity, and getting back into schoolwork is a good return to normalcy (And yeah, you're a teacher, you want them to learn). You do, however, want to let them know that you know they're going through a difficult time and are there for them if they need any help.

Resources

Strategies:

Validate their feelings/Do NOT minimize them (Roy's Note: Whoops! But I did couple it with the encouraging healthy diversions and getting it back to routine)

Offer them support but give space when it comes to the topic Adaption: Definitely treat them as normal as you can in class, and talk to them after class if they are despondent.

Be Available to Listen and Talk: Take cues from the student, if they want to talk, be there. If they do not, give them their space.

Girls and boys tend to handle it differently. Girls tend to be more emotional and talkative, guys will tend to put a tough guy attitude

ENCOURAGE HEALTHY DIVERSIONS! This is where you should really come in as a teacher. They may be a bit more despondent than normal, but your task is to bring them back

To pre-empt as much of this as possible, make sure they are not completely losing other aspects of their life to their relationship before the (very likely) breakup occurs. Adaption: As a teacher, this means to make sure students work is not decreasing in quality, and speaking to the PLC as necessary. Some schools (all public schools?) in China ban relationships outright, which I am not sure actually works, but I understand the reasons.

Get back to a routine! Also a great place to step in as a teacher and enforce the routine you had previously.

Do not talk bad about the ex (Adaption: Hmm, likely not something you were going to do as a teacher, since the ex is likely another student at your school, and possibly in your classroom. In that case, perhaps a class-wide seating rearrangement, so as to not single out the two students, would be a good call.)

Do NOT try to talk them out of their feelings. E.g. "It's been WEEKS. You should be over this by now!" Try to address ways of thinking (pessimism) instead of feelings: "Things will get better. It does take time, but there is always a way through it."

Being Homeless (Ryan Holmes)

I go now. Good luck. Feel free to delete thi

Help students to depersonalize bullying. If they can understand that a someone will bully someone else because they do not feel good about themselves, they can separate themselves from feeling like it is their fault.

Strategies

Victoria State Government (2020). Dealing with bullying. Retrieved December 08, 2020, from https://www.education.vic.gov.au/Documents/about/programs/bullystoppers/afdealingwithbully.pdf

Symptoms

Resources

Support program

The Early Risers Program

Symptoms

Students are very despondent in class, missing class, tardy, not completing homework

Direct affirmation from homeroom teachers

High attendance in and satisfaction with sessions, above typical rates for prevention programs

● Improvements in parenting self-efficacy (confidence in parenting), 2 yrs. after program enrollment

● Reductions in parents’ report of children’s depression, 2 yrs. after program enrollment

● Reductions in growth of child conduct problems, 3 yrs. after program enrollment

● Increased program effect for families with higher levels of baseline parental depression and higher levels

child behavior problems

A;, R. (n.d.). Homelessness in Childhood and Adverse Childhood Experiences (ACEs). Retrieved December 08, 2020, from https://pubmed.ncbi.nlm.nih.gov/31006084/

Roos, L., Mota, N., Afifi, T., Katz, L., Distasio, J., & Sareen, J. (2013, December). Relationship between adverse childhood experiences and homelessness and the impact of axis I and II disorders. Retrieved December 08, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969113/

Approximately 12% to 14% of adults in the United States report a history of homelessness.

Household dysfunction.

respondents who reported homelessness in childhood, 68.1% reported experiencing four or more ACEs.

3 types of childhood adversity (abuse, neglect, or general household dysfunction

Outside the classroom Prevention

Prevention – Stopping people from becoming homeless in the first place.

Emergency Response – Providing emergency supports like shelter, food and day programs, while someone is homeless.

Housing, Accommodation, and Supports – The provision of housing and ongoing supports as a means of moving people out of homelessness.

Prevention. (n.d.). Retrieved December 08, 2020, from https://homelesshub.ca/solutions/prevention

Empowering children and building resilience is seen as protective by mitigating against developing health and social outcomes from exposure to ACEs

community support systems play in the early intervention must be recognised and a holistic system of support for the child provided

Awareness of the impact of ACEs on later vulnerability in adults, including homelessness, would need to be improved so that all services that come into contact with children and young people are better informed

Incarceration of a parent or sibling (Elizabeth)

Impacts

Physical

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Strategies

Disruptions

Change in residence and daily routine

Reduction in household income

Infrequent/unpredictable communication with incarcerated person

Change in primary caregiver

Emotional

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Cyber bullying is bullying that takes place online, mostly through any messenger or social media platform. It is important to be proactive and keep children using sites that are appropriate and limit their privacy. Teachers can help students with strategies of how to deal with bullying here: School A to Z : Tips for dealing with cyberbullying

Resources

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Spotting it

reported associations between childhood adversities and suicidality, substance abuse, depressive symptoms, and psychiatric hospitalization among homeless adults.

3 categories of childhood abuse (emotional, physical, and sexual), 2 categories of neglect (emotional and physical), and 5 categories of household dysfunction (parental separation/divorce, household mental illness, domestic violence against women, household criminal justice involvement, and household substance abuse).

Dirty, shy, tind to smell a little, say they are hungry ofthen even after lunch,

Childs Experience

The lives of homeless children and youngsters become precarious overnight.
Their lives are turned upside down, from one minute to the next.

Parents, children and youngsters who are forced to leave their homes or flee from domestic violence talk about their difficult path before they found shelter or a new home. Some parents, children and youngsters find temporary accommodation with friends or people in the same boat. Youngsters talk about life on the streets, where they were forced to spend time out of sheer necessity. Or parents talk about how they continued to suffer domestic violence along with their children until a place became available in sheltered accommodation.

Almost everything is communal

. Living in sheltered accommodation does not come free. Parents
and children pay a per diem price, which varies depending on the shelter.

Dreaming of a home and a job

Classroom modifications

2)Provide structure and consistency. Write the agenda on the board. Use entry and exit routines. When a student knows what to expect, it can help her to feel safe.

3) Ease transitions. Give time warnings ahead of activity transitions (“3 minutes until we switch groups...”). Warn ahead of doing something unexpected, such as turning off the lights or making a loud sound. If possible, prepare students for fire drills.

1) Provide choice. People with trauma history experience a lack of control. Provide safe ways for students to exercise choice and control within an activity and within the environment (choice of seats, choice of book, etc).


4) Make an “out” plan. Create a way for a student to take space if she feels triggered or overwhelmed during class. Designate a space in the school building or outside where you will know where to find her if she needs to take time for a sensory break or to regulate her emotions. You can also provide a box or kit of sensory calming tools a student can use (Silly Putty, coloring, puzzles).