Complex Trauma Resources: new forum comment on Building a Better FDA

New comment from Dr. Kirk Austin, Ph.D., RCC, CCI Coach

I have a few comments based on an initial walk-through of the document.
Under "Legend-Comparative Scales/Severity of trauma" we are using the word "compromised" as a descriptor. I am wondering why we are going with that word? It sounds like a 'security compromise' or breach of some sort. Framing though a developmental lens, the words 'lagging' or 'difficulties' might work better. Thoughts?
Under 1. Neuro & Bio: a.2 we use the word defecation, but leave out urination. I would add this as many of of our CCI kids have this issue.
Under Neuro & Bio: c.1 We note beading and weaving as examples. These are not typical activities for most children but may have a first nations focus. I would add activities like "buttons, zippers and cutlery"
Under Neuro and Bio: d. 2 we use 'dizziness'. My experience is that this is not common, whereas 'clumsiness' is.
Under Overreactive: a. 2 I would remove the last sentence "There may be some environments…" as this would apply to all of the "a" categories. The prompt stands on its own without it.
Under Emotional Reg: c. 1 The word depressed has been confusing for some teams. "Sad" should be integrated if possible.
Under Attachment: b. 3 I would remove either "some" or "limited" as either makes the prompt clear on its own.
Under Identity: Opening paragraph. The paragraph is directed toward a First Nations audience. My thinking is about the future of the (FDA) instrument in that it may end up being used by international or other provincial groups. This is inserted (I think) due to the current MCFD and DAA audiences. I am wondering if this is best inserted as a drop down option or alternate process.
Otherwise- it looks good.
Kirk

https://www.complextrauma.ca/cci-coach-discussion-forum/building-a-better-fda

Original Post by Dr. Chuck Geddes

Building a Better FDA

<p>Hi CCI gang,</p>
<p><strong>We need your help!</strong>  We are working on a couple of big things with the FDA.  This is related to creating an online application instead of messing with the Suites.  We want to keep the same items but provide a better description and examples.  (We could make small changes to the items themselves but not much because if it changes too much then the new data won't line up with the old.)</p>
<p>In the online app you will see a description of the item plus an example for each rating point, i.e. a 1 might look like this, a 3 might look like this, etc. (I will attach a working draft in the first reply box.) We will also be clear about which items might fit with a <strong>developmental stage</strong> ("reminds us of a 5 yr old") vs which items are only being rated on <strong>degree of challenge</strong>s – these will each likely be signaled with an icon in the online version. This is a way to integrate the FDA items with the FDA Question Prompts sheet from the Manual.  We think that providing these examples will likely help teams to focus and move through the FDA faster as well.  </p>
<p><strong>Please help us build a better FDA</strong>.  Please be specific in your feedback and offer a better solution if you have one:</p>
<p>Which items need clarification?  Which could be worded better?  Have you found a way to explain a particular item that has been useful?   If you could change one thing about the FDA what would it be?</p>
<p>The working draft in the reply section will show you the general thrust of what we're hoping to do, so please comment on that as well. </p>
<p>Finally, make sure to <strong>add your name</strong> to your feedback so we know who to thank!  Your feedback will be viewable by other coaches so we can have a good discussion.</p>

comment made on…

<p>Here is the working draft attachment.</p>

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