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
The two goals of Crisis Intervention.
What are SUPPORT and TEACH?
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
These two parts of the Triune Brain are responsible for 1) determining whether something/someone is a threat and 2) activating the fight or flight response.
What are the EMOTIONAL brain and SURVIVAL brain?
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?
Multiple choice: Being Inflexible and Defiant are
a) limit-testing behaviors
b) ways to start a Power Struggle
c) signs of emotional pain
c) Inflexibility and Defiance are behaviors resulting from emotional or psychological pain.
S116
Choose 2 correct answers: Removing Others is
a) Time Away
b) a strategy to avoid/end a Power Struggle
c) a way to Manage the Environment
d) Self-Care
Removing Others is b) a strategy to avoid or end the Power Struggle and c) a way to Manage the Environment during a 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?
Mutiple choice: Withdrawing or Running away (through anger or fear) are examples of
a) Time Away
b) Self-Regulation
c) What am I feeling now?
d) Pain-Based Behaviors
d) Withdrawing and Running away (through anger or fear) are 2 examples of the 9 types of Pain-Based Behaviors.
S116
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?
These are 2 of the nine Pain-Based Behaviors.
Inability to regulate emotions, Impulsive outbursts, Inflexibility, Overreaction to situations, Self-Injury, Running away (through anger or fear), Withdrawal, Trauma re-enactment, Defiance.
S116
These are two strategies to Avoid or End the Power Struggle.
Drop expectation. Validate feelings. Listening. Give choices. Give time to decide. Manage the Environment. Change expectation. Remove others.
S139
These are the 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?