Crisis Prevention Creating a Safe Place for Learning
-Attachment
-Reciprocity
-Progressive Complexity
-Balance of Power
What is, Developmental Relationships are Characterized by?
Support and Teach
What is, Goals of Crisis Intervention?
"Uh-huh"
"Go on"
"I see"
What is, Minimal Encouragements?
The deprivation of oxygen to living cells.
What is asphyxia?
Oh, no I won't!
Oh, yes you will!
What is, The Power Struggle?
Child and Family Inclusion
Clinical Participation
Supervision, Post-Crisis Response
Training Competency Standards
Documentation, Incident, Monitoring, Feedback
Leadership, Program Support
What are the six domains?
(Effective TCI Implementation Includes)
Thinking Brain - Neocortex
Emotional Brain - Limbic System
Survival Brain - Brain Stem
What is the Triune Brain?
"This is really hard for you, isn't it?"
"It must be awful to feel like that?"
"You are having a tough time at the moment, aren't you?"
What is, Empathic Response?
Fatal respiratory arrest in which the ability to breath is compromised by the positioning of the body in relationship to its immediate surroundings.
What is positional asphyxia?
SPICE
All _____ has meaning
What is behavior?
Four questions we ask ourselves in a crisis situation.
1. What am I feeling now?
2. What does the child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond?
Managing the Environment
What is, a Behavior Support Technique?
Adult cannot control the child safely
Adult is not in control – too angry
Child is threatening and is capable of harming staff
Sexual stimulation is the motivation
It is a public place
Child has a weapon
Child’s medical condition prohibits it
Child has emotional problems risking traumatization
Child is on medication(s) that affects their system
What is when a, Restraint should be avoided or discontinued when?
I know a better way.
What is, Drop the Rope?
Makes good use of space for personal and public use
Is clean, orderly, inviting
Feels safe and nurturing
Has soft lighting and reasonable calming noise level
Is furnished and decorated appropriately for the age group living there
What is Physical Space?
Recovery Phase Outcomes
Identify and resolve the underlying concerns causing distress.
Keep the child in the activity.
What is, Goals of Emotional First Aid?
•Obesity
•Influence of alcohol or drugs
•Prolonged violent physical agitation
•Underlying natural disease (i.e., enlarged heart, asthma, sickle cell trait, high blood pressure, diabetes)
•Hot humid environments
•Young people taking certain types of medication
•Effects of severe trauma history
What is, Predisposing Risk Factors?
The top of the iceberg.
What is, Child's Behavior?
Monitor personal levels of stress.
Maintain a healthy lifestyle.
Use reflective supervision.
What is Self-Care?
Stress Model of Crisis
Silence
Facial Expression
Eye Contact
Tone of voice
What is, Non-verbal techniques?
•Pressure on the neck or chest
•Incorrect positioning of arms
•Obstructing the mouth or nose
•Abnormal positioning of the body
What is, Improper Restraint techniques?
Later we ask ourselves, "What was I thinking?"
What is, amygdala hyjack?