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My name is Adrianna Bascochea. My close friends and family call me Anna. I am currently in my Master's Program for Mental Health and wellness Counseling. I would really like to continue my degree and jump into the LPC program. I do have three years until I retire from the Air Force first but I would love to become a school counselor, eventually. I am not currently working for anything that has to do with my degree. Once I retire, I will be ready to pursue something.
Durnig this class, I would love to learn how to handle trauma and crisis events. This will also help me in the Air Force. I do have a section in my job currently that deals with casualty. I was the first person that medical commander called to give the status of an injured, seriously injured, very seriously injured, or death. This was extremely hard and we had our reporting instructions but I would love to learn what it is like for mental health professionals to process. We also have the emergency shelters and tend to our customers who have gone through a disaster. We keep accountability and provide resources for help. So far, I have learned from the Psychological First Aid training, we follow a lot of the same processes. This made it a little easier to finish and exciting as well.

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During this week, I took a few quizzes and learned that I have no idea what trauma and crisis is.

School counselors are there for their students even if they are not having any issues. I took a little bit more of a dive into what school counselors do.

https://kidshealth.org/en/teens/school-counselors.html

We also had a lot of resources provided to us that were very helpful and I will be using again.

The following resources are global and national statistics and facts related to Mental Health. Take some time to explore each of these websites to truly understand the magnitude of mental illnesses in our society.

World Health Organization - Mental Health Fact Sheets

National Institute of Mental Health - Statistics

Mental Health America - Quick Facts and Statistics About Mental Health

National Alliance on Mental Illness - Mental Health by the Numbers

Centers for Disease Control and Prevention - Mental Health Data in the US

Centers for Disease Control and Prevention - Data and Statistics on Children's Mental Health

National Counsel for Behavioral Health - 5 Surprising Mental Health Statistics

Mental Health America - The State of Mental Health in America

The National Alliance on Mental Health - General Mental Health Facts Infographic
The National Alliance on Mental Health - General Mental Health Facts Infographic - Alternative Formats

Resources and Organizations to Combat Mental Illnesses

The first start to providing support and referral services involves knowing what resources, organizations, and trainings are out there! Below are a few to get you started.

Mental Health First Aid

MHFA is an internationally recognized non-profit organization designed to offer mental health training and research and is managed by the National Council for Mental Health and the Missouri Department for Mental Health. Take some time to explore their website and learn more about how you can become certified!

"MHFA is a course that teaches you how to identify, understand and respond to signs of mental illnesses and substance use disorders. The training gives you the skills you need to reach out and provide initial help and support to someone who may be developing a mental health or substance use problem or experiencing a crisis" (MHFA, 2020).

MHMR Services of the Concho Valley

This is the local mental health authority for the Concho Valley. I encourage you to locate your local mental health authority in your community.

Red Cross

American Foundation for Suicide Prevention

United Way Worldwide

2-1-1 Crisis and Emergency

Texas Department of Family and Protective Services

This is just the tip of the iceberg in terms of resources and information available for mental health, crises, and trauma. I encourage you to do some independent research and locate additional recourses. Consider law enforcement, other professionals in the field, education service centers, non-profits, counseling services, suicide coalitions, faith-based services, etc.  Learn what is available for your community!

Law and Ethics

What can help you in your professional role? The ACA Code of Ethics are national guidelines from the American Counseling Association that set the foundation for delivering professional and ethical counseling services. You will refer to the ACA Code of Ethics throughout this course and other courses in your program. There are 18 national divisions available to cover the multifaceted field of counseling. If you are not a member of ACA, you are encouraged to join. As a member, you have access to resources, trainings, and professional development opportunities that may assist you in your professional role. If you are from Texas, The Texas Counseling Association (TCA) is also a great organization to be a member of. If you are not in Texas, you can locate a list of branches here.

Texas Mental Health Protections

This is a comprehensive resource overview providing Texas statues relevant specific to Texas law.

Substance Abuse and Mental Health Services Administration

Federal laws and regulations pertaining to substance abuse and mental health services, SAMHSA programs, and related topics

Test your Knowledge!

What do you know about Mental Health? Below are a few different online quizzes you are strongly encouraged to take to asses your prior and current knowledge on mental health.

Channel Kindness Mental Health Awareness Quiz

Deconstructing Stigma Mental Health Quiz

Centers for Disease Control and Prevention Mental Health Quiz

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We created a reference guide for mental health disorders on an excel spreadsheet. I learned more about Depression, Anxiety, Psychosis, Substance Use, and Eating Disorders. I have my excel sheet with a lot of resources, definitions, and websites. This took a while to accomplish but it is very helpful in the long run!  I used the websites that were posted into our assignments instructions as well.
American Association for Suicidology

www.suicidology.org

Mental Health America

http://www.mentalhealthamerica.net/mental-health-screening-tools

Depression Screening

www.depression-screening.org

National Alliance on Mental Health

www.nami.org

National Institute on Mental Health

www.nimh.nih.gov

Anxiety and Depression Association of America

http://adaa.org/understanding-anxiety/panic-disorder-agoraphobia/symptoms

Obsessive-Compulsive Foundation

www.ocfoundation.org

Brain & Behavior Research Foundation

www.bbrfoundation.org/

Schizophrenia.com

www.schizophrenia.com

National Council on Alcoholism and Drug Dependence, Inc.

www.ncadd.org

National Institute on Alcohol Abuse and Alcoholism

www.niaaa.nih.gov

National Institute on Drug Abuse

www.nida.nih.gov

National Association of Anorexia Nervosa and Associated Disorders

www.anad.org

National Eating Disorders Association

www.nationaleatingdisorders.org

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Reference Guide for Mental Health Disorders - Adrianna Bascochea

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Blog post 1 and 2
This was a very fun start to the blog posting. I learned about the different categories of trauma. My top 3 were secondary trauma, burnout, and vicarious trauma. Secondary trauma is when someone has listened to or hears about trauma by an individual. I believe I may have even gone through this myself when I was the casualty representative of my base when I was stationed in Korea. I received the calls directly from the Doctor and updated our Headquarters on the casualty. This can be from injured to death. When I put together the reports, I would see all the details of everything. From the crime scene to the body, depending on the event. I was not directly in the situation but I witnessed it, listened to it and reported on it.

Burnout trauma is a long-term exposure to stress. It happens from chronic stress due to physical, emotional or mental exhaustion. The stress is too much for what stress levels we can deal with. An example is when a school counselor absolutely loves their job but starts to lose interest or empathy for helping over the years.
I will be watching The Trails of Gabriel Fernandez for my documentary. I am not sure how I will get through this documentary. This is one that I will need to watch as it is real and it could happen to any teacher, school counselor, or professional. Trying to protect the children and do the right thing is what I will have to do. It will be reality.

We received a lot of valuable information fro our profession again, all posted below.
Texas Education Agency Grief Informed and Trauma Informed Practices

Childhood Traumatic Grief: Information for School Personnel
Childhood Traumatic Grief: Information for School Personnel - Alternative Formats

Supporting Children with Traumatic Grief: What Educators Need to Know
Supporting Children with Traumatic Grief: What Educators Need to Know - Alternative Formats

Tips for Survivors: Coping with Grief after a Disaster or Traumatic Event
Tips for Survivors: Coping with Grief after a Disaster or Traumatic Event - Alternative Formats

Screening for Adverse Childhood Experiences and Trauma
Screening for Adverse Childhood Experiences and Trauma - Alternative Formats

CDC - Preventing Adverse Childhood Experiences (ACEs)

Oklahoma Department of Mental Health and Substance Abuse Services - Categories of Trauma
Oklahoma Department of Mental Health and Substance Abuse Services - Categories of Trauma - Alternative Formats

This document provides a quick overview of the various types of trauma. You are encouraged to engage in independent research on the various types of trauma. It is important you know the differences between the types of trauma and the impacts it can have on those you work with as well as yourself.

The National Child Traumatic Stress Network - Secondary Traumatic Stress

"Any professional who works directly with traumatized children, and is in a position to hear the recounting of traumatic experiences, is at risk for secondary traumatic stress" (NCTSN, 2020, para. 1).

Counseling Today (a publication of ACA) - Grappling with Compassion Fatigue

As a counselor, you are at risk of experiencing compassion fatigue. It is important to know what compassion fatigue is, the signs, symptoms, and risk factors, and what you should do to protect yourself against compassion fatigue.

Counseling Today (a publication of ACA) - Black Mental Health Matters

Concerns of mental illness and trauma exists regardless of demographics; however, the availability of resources and support services are not equitable. This article is the tip of the iceberg related to injustices in serving and supporting all individuals in need of mental health services.

ACA Ethical Code C.5 Nondiscrimination states "Counselors do not condone or engage in discrimination against prospective or current clients, students, employees, supervisees, or research participants based on age, culture, disability, ethnicity, race, religion/spirituality, gender, gender identity, sexual orientation, marital/ partnership status, language preference, socioeconomic status, immigration status, or any basis proscribed by law" (American Counseling Assocation, 2014).

Keim et al. (2008) Trauma and Burnout: Counselors in Training
Keim et al. (2008) Trauma and Burnout: Counselors in Training - Alternative Formats

This article is a little dated, but the rise in mental health concerns since this time makes the content still relevant and beneficial for you as a counselor in training.

The ACE Pyramid (CDC, 2020)

Preventing Adverse Childhood Experiences (ACEs): Leveraging the Best Available Evidence
Preventing Adverse Childhood Experiences (ACEs): Leveraging the Best Available Evidence - Alternative Formats

Centers for Disease Control and Prevention (2019). Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

Book Recommendation (Optional): The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel Van Der Kolk, M.D.

This book is an interesting read and discusses the impact trauma has on the mind and body while also providing suggestions for how to heal trauma on a path to recovery. It can be purchased online in both audible and paperback from.

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During this week we watched our documentary and responded to questions. This was very interesting as I had picked The Trials of Gabriel Fernandez. There were multiple different aspects of an individual experiencing trauma. The child that this was about was not able to speak for himself but he went through an unimaginable amount of pain and abuse. He was abused both mentally and physically and he really did not have a chance. Not one agency truly helped him and they all failed him. His teacher tried to report to DFS multiple times but they did nothing. They trusted what the mom said over what people reported. They did not check on him in which they took the moms word for it. The teacher, first responders, siblings, DAs, and detectives had all be traumatized by this event. They have a lot of guilt even though they weren’t able to truly intervene.  This was very interesting to dissect the documentary and try to figure out where trauma was and who was experiencing it.

Below are references we were provided in class that helped during this assignment as well.
Texas Education Agency Grief Informed and Trauma Informed Practices

Childhood Traumatic Grief: Information for School Personnel
Childhood Traumatic Grief: Information for School Personnel - Alternative Formats
Supporting Children with Traumatic Grief: What Educators Need to Know
Supporting Children with Traumatic Grief: What Educators Need to Know - Alternative Formats
Tips for Survivors: Coping with Grief after a Disaster or Traumatic Event
Tips for Survivors: Coping with Grief after a Disaster or Traumatic Event - Alternative Formats
Screening for Adverse Childhood Experiences and Trauma
Screening for Adverse Childhood Experiences and Trauma - Alternative Formats
CDC - Preventing Adverse Childhood Experiences (ACEs)
Oklahoma Department of Mental Health and Substance Abuse Services - Categories of Trauma
Oklahoma Department of Mental Health and Substance Abuse Services - Categories of Trauma - Alternative Formats

This document provides a quick overview of the various types of trauma. You are encouraged to engage in independent research on the various types of trauma. It is important you know the differences between the types of trauma and the impacts it can have on those you work with as well as yourself.

The National Child Traumatic Stress Network - Secondary Traumatic Stress

"Any professional who works directly with traumatized children, and is in a position to hear the recounting of traumatic experiences, is at risk for secondary traumatic stress" (NCTSN, 2020, para. 1).

Counseling Today (a publication of ACA) - Grappling with Compassion Fatigue

As a counselor, you are at risk of experiencing compassion fatigue. It is important to know what compassion fatigue is, the signs, symptoms, and risk factors, and what you should do to protect yourself against compassion fatigue.

Counseling Today (a publication of ACA) - Black Mental Health Matters

Concerns of mental illness and trauma exists regardless of demographics; however, the availability of resources and support services are not equitable. This article is the tip of the iceberg related to injustices in serving and supporting all individuals in need of mental health services.

ACA Ethical Code C.5 Nondiscrimination states "Counselors do not condone or engage in discrimination against prospective or current clients, students, employees, supervisees, or research participants based on age, culture, disability, ethnicity, race, religion/spirituality, gender, gender identity, sexual orientation, marital/ partnership status, language preference, socioeconomic status, immigration status, or any basis proscribed by law" (American Counseling Assocation, 2014).

Keim et al. (2008) Trauma and Burnout: Counselors in Training
Keim et al. (2008) Trauma and Burnout: Counselors in Training - Alternative Formats

This article is a little dated, but the rise in mental health concerns since this time makes the content still relevant and beneficial for you as a counselor in training.

The ACE Pyramid (CDC, 2020)

Preventing Adverse Childhood Experiences (ACEs): Leveraging the Best Available Evidence
Preventing Adverse Childhood Experiences (ACEs): Leveraging the Best Available Evidence - Alternative Formats
Centers for Disease Control and Prevention (2019). Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
Book Recommendation (Optional): The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel Van Der Kolk, M.D.

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Cultural competence is going to be such a huge factor in being a school counselor. Each individual is brought up different based on their background. Children do not know any difference than what they see around them. If they are growing up in an abusive household, they may think that this is normal and behave the same way. If they grow up in a very strict household, they may be scared to do anything except follow rules. This will help me to learn the children and know how they are at home and at school. This may help to see why they do the things they do.

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We did a group project during this week. I truly learned a lot about school violence and how to make a trauma and crisis plan. My group worked together very well and I now have a product that will help me with references and citations in case I need to come up with a plan for my future as a school counselor.

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Psychological First Aid Online Certification

This week, we took our 5-hour Psychological First Aid Certification course. During this lesson, I learned how to be prepared to talk to individuals or victims of disasters.  There are many other certifications to take on this website, and I know I will take more in the future. This certification was very eye-opening and it made me want to help more.
Being there for individuals who have lost everything could be a humbling and rewarding experience. It can also be such a traumatizing experience as well but making sure victims of disasters get help, is huge.

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As part of the National Child Traumatic Stress Network (NCTSN), the Learning Center for Child and Adolescent Trauma offers Free Online Education with:

300+ FREE CE certificates

50+ speakers

200+ online webinars

90,000+ members

Psychological First Aid (PFA) and Skills for Psychological Recovery (SPR) are promising practices for disaster behavioral health response and recovery. Both PFA and SPR were developed by the National Center for PTSD and the National Child Traumatic Stress Network, as well as other individuals involved in coordinating and participating in disaster response and recovery.

PFA and SPR intervention strategies are intended for use with children, adolescents, parents and caretakers, families, and adults who are survivors or witnesses exposed to disaster or terrorism. PFA and SPR can also be provided to first responders and other disaster relief workers.

While grounded in the same foundations of disaster response and recovery, there are several differences between PFA and SPR.

Psychological First Aid (PFA) and Skills for Psychological Recovery (SPR) are promising practices for disaster behavioral health response and recovery. Both PFA and SPR were developed by the National Center for PTSD and the National Child Traumatic Stress Network, as well as other individuals involved in coordinating and participating in disaster response and recovery.

PFA and SPR intervention strategies are intended for use with children, adolescents, parents and caretakers, families, and adults who are survivors or witnesses exposed to disaster or terrorism. PFA and SPR can also be provided to first responders and other disaster relief workers.

While grounded in the same foundations of disaster response and recovery, there are several differences between PFA and SPR.

Psychological First Aid (PFA) Online is 5-hour interactive online course that helps participants learn the core actions of PFA and describes ways to apply them in different post-disaster scenarios and with different survivor needs. This course also covers provider well-being before, during, and after disasters. This course is relevant for new providers who are wanting to be oriented to PFA, as well as for seasoned practitioners who want a review of the PFA concepts.
This 5-hour interactive online training offers certificate of completion with 5 CEs upon completion.

Skills for Psychological Recovery (SPR) is a 5-hour interactive course designed for providers to help survivors gain skills to manage distress and cope with post-disaster stress and adversity. This course is for individuals who want to learn about using SPR, learning the goals and rationale of each core skill, delivering SPR, and supporting survivors in the aftermath of a disaster or traumatic event.
This 5-hour interactive online training offers certificate of completion with 5 CEs upon completion.

Los Primeros Auxilios Psicológicos constituyen un enfoque modular basado en la evidencia y cuyo objetivo es ayudar a niños, adolescentes, adultos y familias a afrontar las consecuencias inmediatas de desastres o actos de terrorismo. En este curso en línea, Rosaura Orengo-Aguayo, PhD, ha adaptado el entrenamiento de PFA en un formato de 3 horas, en Español. Luego de ver este curso en línea, los participantes recibirán 3 créditos de educación continua.

Destrezas para la Recuperación Psicológica (SPR por sus siglas en inglés) es un curso de 3.5 horas diseñado para que los proveedores ayuden a los sobrevivientes a adquirir destrezas para manejar la angustia y afrontar el estrés y la adversidad luego de un desastre. Este curso es para personas que desean aprender sobre el uso de SPR, conocer los objetivos y la justificación para cada destreza básica, brindar SPR y brindar apoyo a los sobrevivientes después de un desastre o evento traumático. Luego de ver este curso en línea, los participantes recibirán 3.5 créditos de educación continua.

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learn: psychological first aid (pfa) and skills for psychological recovery (spr)

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Learn: Psychological First Aid (PFA) and Skills for Psychological Recovery (SPR)

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As part of the National Child Traumatic Stress Network (NCTSN), the Learning Center for Child and Adolescent Trauma offers Free Online Education with: 300+ FREE CE certificates 50+ speakers 200+ online webinars 90,000+ members Psychological First Aid (PFA) and Skills for Psychological Recovery (SPR) are promising practices for disaster behavioral health response and recovery.

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ABC Module of Crisis Intervention
During this week we got to learn about the different forms of needs. This included physical, emotional, and social/relational, mental/cognitive. Putting myself into a scenario and pulling it out which form was which, truly helped me to try and understand each part of a counseling session. Being able to identy the physical needs from the mental needs will help with counseling sessions as well as real life situations in the long run.

ABCD of Crisis Intervention Handout

ABCD of Crisis Intervention Handout - Alternative Formats

Crisis Interventions: Issues and Challenges
Crisis Interventions: Issues and Challenges - Alternative Formats
Overview of Crisis Intervention
Overview of Crisis Intervention - Alternative Formats
Dustin McDonald ABC Model of Crisis Intervention
Crisis Intervention Handbook: Assessment, Treatment, and Research

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American Counseling Association. (2014). 2014 ACA code of ethics.

https://www.counseling.org/docs/default-source/default-       document-       library/2014-code-of-ethics-finaladdress.pdf

National Center for Biotechnology Information. (n.d.). https://www.ncbi.nlm.nih.gov/books/NBK64952/

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Local Emergency and Non-Emergency Support Services 

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Local Emergency and Non-Emergency Support Services 

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988 Suicide and Crisis Lifeline
Crisis Text Line - Text TALK to 741-741
Veterans Crisis Line - text 838255
Text CONNECT to 741741 / https://www.selfinjury.bctr.cornell.edu/resources.html (Lists an endless amount of websites for resources)
HelpLine - 1-800-944-4773 / https://www.postpartum.net/resources / https://naturalwomanhood.org/the-fourth-trimester-guidebook-your-postpartum-mental-health-matters/?gclid=CjwKCAjw3dCnBhBCEiwAVvLcu_9U_3v2N42KeZtNoRS9r8vdPK7WKdhePOegwM2twbXt1WIY01cgTRoCdOEQAvD_BwE