Crisis Prevention
Anything that makes challenging behavior or traumatic stress responses more or less likely to occur are called what?
Setting Conditions
What is a pain-based behavior?
Any behavior that is directly related to past traumatic experiences
This technique involves using your physical presence to help de-escalate a situation or bolster safety and confidence in a youth.
Proximity
What is the primary goal of using a physical restraint technique?
To ensure the safety of the individual and others. To reduce risk.
The acronym we use to remember the steps of LSI is what?
I-ESCAPE
What do we call the combination of people, emotions, attitudes, and objects that create a sense of safety, respect, belonging, care and accountability? The overall "vibe" or atmosphere"
Therapeutic Milieu
What is the purpose of a Time Away Intervention and what should we consider before offering time away?
To help the child self-regulate in a less stimulating environment. We need to consider if that child is able to successfully independently self-regulate and be sure not to use it as punishment.
What are two examples of non-verbal crisis intervention techniques
Tone of voice
body language
eye contact
facial expressions
What are 2 situations where physical restraints would not be appropriate?
in public, in hot, humid environments, if the child has a weapon, if sexual stimulation is the motivation, if the adult is dysregulated
What is the overall purpose of the LSI conversation?
to process the crisis and create a LEARNING opportunity
What are the 5 spaces in the therapeutic milieu?
Social
Physical
Ideological
Cultural
Emotional
What are the four elements of a potentially violent situation?
1. spark
2. target
3. weapon
4. level of stress or motivation
This technique involves getting youth to think about something different or re-orienting their attention to de-escalate them
Redirection and Distraction
What are 3 warning signs of asphyxia?
color changes, ineffective breathing, going limp, evacuation of bodily fluids, changes in consciousness
What are two goals of LSI? (why we have the conversation)
Secure youth emotional and physical safety
Clarify events for adult and child
Repair and restore relationship
Teach youth ways to regulate their emotions
Re-enter youth into routine
Effective TCI Implementation requires the agency at various levels to be aligned. Name two domains necessary for effective TCI implementation.
Child and Family Inclusion
Leadership and Program Support
Clinical Participation
Documentation, Incident Monitoring, and Feedback
Training and Competency Standards
Supervision and Post-Crisis Response
What is the main objective of crisis co-regulation
This technique involves giving the youth a directive in a firm but respectful way
Directive Statemtent
With any physical intervention we must ensure a MAXIMUM amount of ( ) and a MINUMUM amount of ( )
care, force
In the connect stage of LSI, what 3 things are we connecting. Which of the 3 will we focus on when we move to the alternatives stage?
trigger-feeling-behavior
we stick with the feeling..."next time you are feeling () you will do () instead"
Please name the 4 skills necessary for effective Intentional Use of Self
Self-Awareness
Self-Regulation
Self-Care
Relationship Skills and Attunement
What are two possible consequences of an angry adult responding in crisis?
Adult not thinking clearly/not in thinking brain
Adult in survival brain
Adult escalates situation further
Adult loses their job
Name 6 behavior support techniques
time away
caring gesture
hurdle help
redirection and distraction
proximity
prompting
manage the environment
As staff we have a duty of BLANK and duty of BLANK, meaning all interventions are done for in the best interests of individuals and others and we are honest and transparent with youth and families
duty of care and duty of candor
If you face resistance from the youth when engaging in LSI, what is one thing you can do to support?
give them time/space
re-schedule the LSI
use encouraging and eliciting techniques