{"id":66,"date":"2021-08-23T22:12:24","date_gmt":"2021-08-23T22:12:24","guid":{"rendered":"https:\/\/cthc.ucsf.edu\/triads\/?page_id=66"},"modified":"2022-08-25T18:26:26","modified_gmt":"2022-08-25T18:26:26","slug":"scenario-one","status":"publish","type":"page","link":"https:\/\/cthc.ucsf.edu\/triads\/practice-triads\/scenario-one\/","title":{"rendered":"Scenario One: A Mom Feels Protective"},"content":{"rendered":"\n<div class=\"wp-block-group jump-links-alt\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<ul class=\"wp-block-list\"><li><a href=\"#watch-learn\">Watch &amp; Learn<\/a><\/li><li><a href=\"#reflection\">Reflect<\/a><\/li><li><a href=\"#now-you-try-it\">Now You Try It<\/a><\/li><\/ul>\n<\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"lead\">Jocelyn, 30, is a first-time mom, trying to be available to her 15-month-old daughter while dealing with the pressures of full-time work and the worry of getting quality, affordable child care.   Jocelyn has never been screened for ACEs before and is surprised by the questions.  <\/p>\n\n\n\n<p><strong>What Jocelyn Is Thinking as the ACEs Screening Is Introduced<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>I just want what is best for my baby.&nbsp;<\/li><li>I feel really overwhelmed and anxious.<\/li><li>These questions remind me of experiences I\u2019ve had that I don&#8217;t want my daughter to experience.<\/li><li>I\u2019m not sure the clinic should be asking these questions, so I hope my doctor can help me understand.<\/li><\/ul>\n\n\n\n<p><strong>Learning Objectives:&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Recognize approaches to inquiring about and validating <strong>adversity<\/strong>, <strong>distress<\/strong> and <strong>strengths<\/strong> in ways that support healing<\/li><li>Identify words and practices within the TRIADS framework that resonate with your own approach to health care<\/li><li>Practice applying the TRIADS framework&nbsp;&nbsp;&nbsp;<\/li><\/ul>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-columns gb-layout-columns-1 one-column gb-has-background-dim gb-has-background-dim-80 has-lightgreen-background-color has-black-color alignfull\" style=\"background-position:0% 0%\"><div class=\"gb-layout-column-wrap gb-block-layout-column-gap-2 gb-is-responsive-column\">\n<div class=\"wp-block-genesis-blocks-gb-column gb-block-layout-column\"><div class=\"gb-block-layout-column-inner\" style=\"margin-top:80px;margin-bottom:80px;padding-right:40px;padding-left:40px\">\n<div class=\"wp-block-genesis-blocks-gb-columns gb-layout-columns-1 one-column gb-columns-center\"><div class=\"gb-layout-column-wrap gb-block-layout-column-gap-2 gb-is-responsive-column\" style=\"max-width:800px\">\n<div class=\"wp-block-genesis-blocks-gb-column gb-block-layout-column\"><div class=\"gb-block-layout-column-inner\">\n<h2 class=\"alignfull has-text-align-left header-with-icon wp-block-heading\" id=\"watch-learn\">Watch &amp; Learn<\/h2>\n\n\n\n\t<div class=\"wp-video-popup-wrapper\" data-wp-video-popup-id=\"video1\">\n\t\t<div class=\"wp-video-popup-close\"><\/div>\n\t\t\n\t\t\t<iframe class=\"wp-video-popup-video is-hosted is-landscape is-resizable\" src=\"\" data-wp-video-popup-url=\"https:\/\/youtube.com\/embed\/YfcQS5bNsMo?autoplay=1\" frameborder=\"0\" webkitallowfullscreen mozallowfullscreen allowfullscreen allow=\"autoplay\">\n\t\t\t<\/iframe>\n\t\t\n\t<\/div>\n\t\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile video1\"><figure class=\"wp-block-media-text__media\"><a href=\"https:\/\/youtu.be\/YfcQS5bNsMo\"><img loading=\"lazy\" decoding=\"async\" width=\"757\" height=\"426\" src=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1a-1.png\" alt=\"\" class=\"wp-image-221 size-full\" srcset=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1a-1.png 757w, https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1a-1-300x169.png 300w, https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1a-1-600x338.png 600w\" sizes=\"auto, (max-width: 757px) 100vw, 757px\" \/><\/a><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"time-pill\">4 min<\/p>\n\n\n\n<h3 class=\"video1 wp-block-heading\"><a href=\"#\">Introducing the screening<\/a><\/h3>\n\n\n\n<p>Cherri, a nurse, e-mailed Jocelyn the PEARLS questionnaire prior to this telehealth visit and will now administer the screener.<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n\t<div class=\"wp-video-popup-wrapper\" data-wp-video-popup-id=\"video2\">\n\t\t<div class=\"wp-video-popup-close\"><\/div>\n\t\t\n\t\t\t<iframe class=\"wp-video-popup-video is-hosted is-landscape is-resizable\" src=\"\" data-wp-video-popup-url=\"https:\/\/youtube.com\/embed\/jcHkcbV2Suk?autoplay=1\" frameborder=\"0\" webkitallowfullscreen mozallowfullscreen allowfullscreen allow=\"autoplay\">\n\t\t\t<\/iframe>\n\t\t\n\t<\/div>\n\t\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile video2\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"757\" height=\"426\" src=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1b-1.png\" alt=\"\" class=\"wp-image-223 size-full\" srcset=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1b-1.png 757w, https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1b-1-300x169.png 300w, https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario-1b-1-600x338.png 600w\" sizes=\"auto, (max-width: 757px) 100vw, 757px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"time-pill\">3 min<\/p>\n\n\n\n<h3 class=\"video2 wp-block-heading\"><a href=\"#\">Provider Response<\/a><\/h3>\n\n\n\n<p>Dr. Dayna Long, a pediatrician, explains the purpose of the screening and reassures Jocelyn.<\/p>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-columns gb-layout-columns-1 one-column gb-columns-center\" style=\"margin-top:30px\"><div class=\"gb-layout-column-wrap gb-block-layout-column-gap-2 gb-is-responsive-column\" style=\"max-width:900px\">\n<div class=\"wp-block-genesis-blocks-gb-column gb-block-layout-column\"><div class=\"gb-block-layout-column-inner\">\n<h3 class=\"wp-block-heading\">Finding Your Own Words<\/h3>\n\n\n\n<p class=\"has-normal-font-size\">Below are some commonly asked questions and an example response. The aim is to help you find your own words when communicating with your patients about the ACEs screening.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-accordion gb-block-accordion\"><details open><summary class=\"gb-accordion-title\">My child is so young. How could these traumatic experiences happen so soon?<\/summary><div class=\"gb-accordion-text\">\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>You know, surprisingly, there are children who have gone through these things, and we just want to make sure that we address it early.\u201d<\/p><\/blockquote>\n\n\n\n<p><\/p>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-accordion gb-block-accordion\"><details><summary class=\"gb-accordion-title\">What can I do to protect my child from the effects of traumatic experiences?<\/summary><div class=\"gb-accordion-text\">\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>What we know is that your relationship with Dee is the most important in terms of making sure that she&#8217;s healthy, strong and resilient. You and Dee have the most extraordinary relationship. Every time I see you guys together, it just makes me smile. I love the fact that she loves to read with you, that you guys love to snuggle with one another. She&#8217;s just such an amazing young girl. So you&#8217;re doing an awesome job.\u201d<\/p><p><\/p><\/blockquote>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-accordion gb-block-accordion\"><details><summary class=\"gb-accordion-title\">What does stress have to do with my baby\u2019s health?<\/summary><div class=\"gb-accordion-text\">\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>We know that hard things happen in life, and stress affects young children. It certainly affects us as adults. We know that stress can affect our hearts, minds and bodies. Sometimes, if that stress is prolonged and serious, such as those questions in that questionnaire, it can lead to poor health ultimately.\u201d<\/p><\/blockquote>\n<\/div><\/details><\/div>\n\n\n\n<div class=\"wp-block-genesis-blocks-gb-accordion gb-block-accordion\"><details><summary class=\"gb-accordion-title\">Why are you asking me these questions?<\/summary><div class=\"gb-accordion-text\">\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>Part of our role as physicians is to make sure that we are supporting you and understanding that what happened in your life certainly has influenced your course.\u201d<\/p><\/blockquote>\n<\/div><\/details><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignfull has-white-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-genesis-blocks-gb-columns gb-layout-columns-1 one-column gb-columns-center\" style=\"padding-top:60px;padding-right:40px;padding-left:40px\"><div class=\"gb-layout-column-wrap gb-block-layout-column-gap-2 gb-is-responsive-column\" style=\"max-width:800px\">\n<div class=\"wp-block-genesis-blocks-gb-column gb-block-layout-column\"><div class=\"gb-block-layout-column-inner\">\n<h2 class=\"wp-block-heading\" id=\"reflection\">Reflective Practices<\/h2>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h3 class=\"wp-block-heading\">Self Reflection<\/h3>\n\n\n\n<p>Now that you\u2019ve reviewed the scenario above, reflect on the questions here, either on your own or in a group setting:&nbsp;<\/p>\n\n\n\n<ul class=\"color-box-list wp-block-list\"><li>How do you think that went?<\/li><li>What do you think went well and what could have been improved?<\/li><li>What language could you see yourself using when conducting an ACEs screening?<\/li><li>How might this scenario be different if it were in person rather than telehealth?<br><\/li><\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignwide\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h3 class=\"wp-block-heading\">Mentoring Moments<\/h3>\n\n\n\n<p>After you\u2019ve had a chance to reflect on your own, view a conversation between the health care team and Dr. Alicia Lieberman, Professor of Psychiatry at UCSF and Director of the Child Trauma Research Program.<\/p>\n\n\n\n\t<div class=\"wp-video-popup-wrapper\" data-wp-video-popup-id=\"video3\">\n\t\t<div class=\"wp-video-popup-close\"><\/div>\n\t\t\n\t\t\t<iframe class=\"wp-video-popup-video is-hosted is-landscape is-resizable\" src=\"\" data-wp-video-popup-url=\"https:\/\/youtube.com\/embed\/sxy7e2k3CmU?autoplay=1\" frameborder=\"0\" webkitallowfullscreen mozallowfullscreen allowfullscreen allow=\"autoplay\">\n\t\t\t<\/iframe>\n\t\t\n\t<\/div>\n\t\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile video3\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"360\" src=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario1-mentoring-moment.png\" alt=\"\" class=\"wp-image-228 size-full\" srcset=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario1-mentoring-moment.png 615w, https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/scenario1-mentoring-moment-300x176.png 300w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h4 class=\"video3 wp-block-heading\"><a href=\"#\">Introducing the Screening<\/a><\/h4>\n\n\n\n<p>Dr. Alicia Lieberman and nurse Cherri discuss finding accessible language to use with patients. \u201cIt\u2019s so interesting what words do,\u201d says Alicia. \u201cThey have a lot of power.\u201d<\/p>\n<\/div><\/div>\n\n\n\n\t<div class=\"wp-video-popup-wrapper\" data-wp-video-popup-id=\"video4\">\n\t\t<div class=\"wp-video-popup-close\"><\/div>\n\t\t\n\t\t\t<iframe class=\"wp-video-popup-video is-hosted is-landscape is-resizable\" src=\"\" data-wp-video-popup-url=\"https:\/\/youtube.com\/embed\/LuKWX2Iicbo?autoplay=1\" frameborder=\"0\" webkitallowfullscreen mozallowfullscreen allowfullscreen allow=\"autoplay\">\n\t\t\t<\/iframe>\n\t\t\n\t<\/div>\n\t\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile video4\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"360\" src=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/dayna-mentoring-moment.png\" alt=\"\" class=\"wp-image-262 size-full\" srcset=\"https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/dayna-mentoring-moment.png 615w, https:\/\/cthc.ucsf.edu\/triads\/wp-content\/uploads\/sites\/3\/2021\/09\/dayna-mentoring-moment-300x176.png 300w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h4 class=\"video4 wp-block-heading\"><a href=\"#\">Provider Response<\/a><\/h4>\n\n\n\n<p>Dr. Alicia Lieberman and Dr. Dayna Long discuss finding the time in a 15-minute visit to connect in genuine and joyful ways with patients and addressing the anxiety that clinicians understandably feel.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignfull has-lightgreen-background-color has-background\" id=\"try-section\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-genesis-blocks-gb-columns gb-layout-columns-1 one-column gb-columns-center\" style=\"padding-top:60px;padding-right:40px;padding-left:40px\"><div class=\"gb-layout-column-wrap gb-block-layout-column-gap-2 gb-is-responsive-column\" style=\"max-width:800px\">\n<div class=\"wp-block-genesis-blocks-gb-column gb-block-layout-column\"><div class=\"gb-block-layout-column-inner\">\n<h2 class=\"wp-block-heading\" id=\"now-you-try-it\">Now You Try It<\/h2>\n\n\n\n<p class=\"color-box\"><meta charset=\"utf-8\"><strong><meta charset=\"utf-8\"><meta charset=\"utf-8\">Note: <\/strong>This is intended for all members of the health care team. Remember that we\u2019re all learning and that there are no mistakes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Review<\/h3>\n\n\n\n<ol class=\"wp-block-list\"><li>Find the words and the body language from the <a href=\"#watch-learn\">Watch and Learn<\/a> section that feel comfortable for you and that you can envision using in your conversations with patients. <\/li><li>Jot down some of the suggestions from the <a href=\"#reflection\">Reflective Practice<\/a> section that were most helpful to you.<\/li><li>Now take a moment and visualize yourself running through this scenario with a patient.&nbsp;<\/li><\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">Practice<\/h3>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\"><li>On your own or with another person, practice using the words and the body language that convey the message that you want. Alternatively, you can record a voice memo or video on your phone so that you can play it back to review. You may also get feedback from a trusted colleague or friend.<\/li><li>In a group setting, pair-share or self-reflection, consider these questions:&nbsp;<ul><li>What came easy to you? What would take some work?<\/li><li>What do you think you are doing well?<\/li><li>What do you need some practice with?<\/li><\/ul><\/li><\/ol>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Watch &amp; Learn Reflect Now You Try It Jocelyn, 30, is a first-time mom, trying to be available to her 15-month-old daughter while dealing with the pressures of full-time work and the worry of getting quality, affordable child care. Jocelyn has never been screened for ACEs before and is surprised by the questions. What Jocelyn [&hellip;] <\/p>\n<p><a class=\"more-link\" href=\"https:\/\/cthc.ucsf.edu\/triads\/practice-triads\/scenario-one\/\">Continue reading<\/a><\/p>\n<hr>\n","protected":false},"author":1,"featured_media":0,"parent":11,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/patient-scenario.php","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-66","1":"page","2":"type-page","3":"status-publish","5":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Scenario One: A Mom Feels Protective - The TRIADS Framework<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cthc.ucsf.edu\/triads\/practice-triads\/scenario-one\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Scenario One: A Mom Feels Protective - The TRIADS Framework\" \/>\n<meta property=\"og:description\" content=\"Watch &amp; Learn Reflect Now You Try It Jocelyn, 30, is a first-time mom, trying to be available to her 15-month-old daughter while dealing with the pressures of full-time work and the worry of getting quality, affordable child care. 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