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? (definition not example)
Any behavior that is a result of emotional and psychological pain
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
Which key skill is necessary to use during the LSI conversation?
Active Listening
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?
skin color changes, ineffective breathing, going limp, evacuation of bodily fluids, changes in consciousness
What are two of the 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
What is a specific adjustment that could be made in the physical space to make it less likely that a youth exhibits a challenging behavior/traumatic stress response?
Adjust noise, furniture, lighting, decoration room you are in etc
What is the main objective of crisis co-regulation
This technique involves giving the youth a verbal instruction in a firm but respectful way
Directive Statemtent
Please name 3 improper restraint techniques
pressure on neck, back, chest
Incorrect positioning of arms
Obstructing the mouth or nose
Abnormal positioning of the body
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
What 3 criteria must be met before employing a physical restraint?
The agency and state allow it
The ICSP (child's plan) indicates it
Your professional, dynamic, risk assessment determines there is imminent risk of injury/harm
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