Stress Model of Crisis
The normal state of functioning specific to an individual youth.
What is BASELINE?
True or False: A crisis occurs when a child’s fight, flight, or freeze response is activated and they are unable to regulate their emotions and behaviors.
True.
True or False: All behavior has meaning.
True.
S117
Multiple choice: During a Power Struggle
a) we are in our Thinking Brain
b) we should give choices
c) we have to maintain the expectation
b) Giving choices is a strategy to avoid or end a Power Struggle.
S139
This part of the Triune Brain is the center for emotions, emotional behavior, and motivation. It determines whether or not something is a threat.
What is the EMOTIONAL brain?
This is the second phase of the Stress Model of Crisis, where something happens that causes a youth to react emotionally or exhibit agitation.
What is TRIGGERING EVENT / TRIGGER?
The first question you ask yourself in a crisis situation.
What am I FEELING now?
True or False: It is more important that a child feel safe than be safe.
True.
True or False: Anger or fear triggers a fight, flight, or freeze response when the amygdala sends a danger message from the emotional to survival brain.
True.
S139
The 2 Goals of crisis intervention.
What are SUPPORT and TEACH?
When a youth becomes more and more agitated and less able to manage emotions, they are in their Emotional Brain during this phase of the Stress Model of Crisis.
What is ESCALATION?
The second question to ask in a crisis situation.
What does this YOUTH FEEL, NEED, EXPECT, or WANT?
IESCAPE
What is Isolate, Explore, Summarize, Connect feelings to behavior, Alternative behaviors, Plan, Enter into the mileau.
When a youth is almost at Outburst, staff can "Remove Others"
1) for Self-Care
2) as a coping skill
3) to avoid/end a Power Struggle
What is a strategy 3) to avoid or end the Power Struggle?
S139
Identify three of the skills needed for Intentional Use of Self.
What are SELF-Awareness, SELF-Regulation, SELF-Care, RELATIONSHIP, and ATTUNEMENT?
During this phase, youth in their Survival Brain may exhibit intense behaviors that could be dangerous to themselves or others.
What is OUTBURST?
The third question to ask yourself in a crisis situation.
How is the ENVIRONMENT AFFECTING THE SITUATION?
Those are two examples of pain based behaviors.
running away, aggression, trauma re-enactment, self harm etc.
True or False: Listening and Validating Feelings are strategies that will start or escalate a Power Struggle.
False. Listening and Validating Feelings are tools to avoid or end a power struggle.
S139
These are the 4 Elements of a Potentially Violent Situation. Removing any of them will reduce the risk of violence to help de-escalate the youth.
What are the SPARK, TARGET, WEAPON, and STRESS or MOTIVATION?
In this phase of the Stress Model of Crisis, once youth are back to baseline and in their thinking brain, we can help them learn coping skills to handle challenging situations in the future.
What is RECOVERY?
The last question to ask yourself in a crisis situation.
How do I best RESPOND?
Trauma re-enactment is an example of emotional and psychological pain.
True.
S116
True or False: It is important to tell the young person they are wrong and you as the adult are correct when in a power struggle.
What is False
5 SPACES in the therapeutic milieu that we can adjust in order to prevent or decrease the likelihood of a youth exhibiting a traumatic stress response or challenging behavior.
What are the SOCIAL, PHYSICAL, IDEOLOGICAL, CULTURAL, and EMOTIONAL spaces?