List that...
In order please list the Stress Model of Crisis?
Baseline, Triggering Event, Escalation Outburst, and Recovery
What are the 2 goals of ‘crisis intervention’?
support: provide immediate emotional and environmental support to reduce stress and risk and increase the child’s sense of safety
teach: help children learn and practice ways to regulate their emotions and behaviors
Setting Condition
Anything that makes challenging behavior and traumatic stress responses more or less likely to happen
Define Asphyxia
the deprivation of oxygen to living cells
What are the 3 basic processing regions of the tribune Brain Model?
Thinking
Emotional
Survival
Please list 3 strategies to avoid or end the power struggle.?
listening and validating feelings
managing the environment (e.g. removing others)
giving choices and time to decide what to do next
dropping or changing the expectation
Name the skills that adults need for successful ‘Intentional Use of Self’ with children?
self -awareness
self-regulation
relationship skills and attunement
self-care
During a potentially violent situation, name 3 aspects of non-verbal crisis communication that staff should consider.
eye contact
body language
personal space
height and gender
sensitivity to cultural issues
What are the 4 elements of a Potential Violent Situation?
spark
target
weapon
level of stress or motivation
List 2 ways to develop the Cultural Space in an organization or program to decrease the likelihood of challenging behavior or traumatic stress responses.?
develop culturally competent staff
accept and celebrate cultural differences
support family connections and involvement
allow for diverse staff-child interactions
What are the outcomes of the recovery phase?
Higher
No Change
Lower
Please list 3 non-verbal crisis co-regulation “help me help myself” strategies to help a potentially violent child?
take a deep breath and exhale slowly
give the child space and time
use silence if safe, step out of the child’s sight
assume a neutral stance and concerned facial expression
List the strategies of emotional first?
co-regulate emotions-be a calm presence
maintain the relationship and lines of communication
Plan and anticipate-Be a coach
Name 2 things we monitor for during restraints?
pressure on the neck or chest
incorrect positioning of the arms
obstructing the mouth or nose
abnormal positioning of the body
List 2 effects of anger during a stressful situation.?
anger can undermine objectivity
anger is an emotional and physical state
cognitive abilities are reduced
Name all the therapeutic milieu space?
Physical
Social
Cultural
Emotional
Ideological
What are the first 3 questions we ask ourselves when facing a potential crisis?
What am I feeling now?
What does this child feel, need, expect or want?
How is the environment affecting the situation?
Please list some verbal “what to say” statements you can make when using crisis coregulation “help me help myself” with a potentially violent child?
“I can see…” (affirm and validate the child’s feelings)
“You look angry. Let’s go for a walk …” (communicate understanding before making a request)
“I am sorry…” (offer an apology)
What are 3 ways to avoid increasing the risk of injury or death in a TCI physical restraint?
never place weight on a child’s chest, torso, stomach, rib cage or back
never put pressure on the child’s neck
never place the head in a position that causes the neck to be compressed
never allow a child to stay in the prone or supine position once they are no longer a safety risk
never place a child’s arms behind their back when in a prone restraint
never bend a child forward or place pressure or weight on the child’s back in a seated position never place anything over or near the child’s face, mouth, or nose that can be inhaled or conform to the contours of the face
never ignore any of the warning signs of pending asphyxia
never fail to take immediate action if emergency medical attention is needed
never allow the child to continue lying or sleeping on the floor after a restraint
never restrain a child under the age of five make sure the position of the child’s body is correctly positioned as taught in training
If the child is exhibiting acute physical behavior and is a safety risk, what 3 conditions have to be present to use a physical restraint?
agency policies and state regulations regarding restraint allow it
the child’s individual crisis support plan prescribes it
our professional dynamic risk assessment indicates it
Please list all of the Pain-based behaviors?
overreaction to situation
impulsive outburst
trauma re-enactment
defiance
running away through anger or fear
withdrawal
self-injury
Please list 3 of the goals of a Life Space Interview?
provide a sense of emotional safety
help clarify the event for the child and adult
repair and restore the relationship with the adult
help the child learn and use emotional regulation skills
re-enter the child back into the routine
Please list the steps of a Life Space Interview (LSI) in the correct order?
a. identify a place and time to talk
b. explore child’s point of view
c. summarize the feelings and content
d. connect trigger to feelings to behavior
e. alternative responses to feelings discussed
f. plan developed/practice
g. enter child back into the routine
Please list 3 options to manage physical violence that don’t include a physical restraint?
eliminate one of the elements of a potentially violent situation
use releases and maintain a safe distance with a protective stance
leave the situation and get assistance
Describe the principles for the Letting Go Process?
states what is expected of the young person
is directed by the team leader
is supportive of the young person
Sets the tone for the recovery process