TCI Basics
This makes challenging behavior more or less likely to occur.
What is a setting condition?
It is used to regain control and think away from the situation.
What is time away?
They are the three things one should do during crisis co-regulation.
What is Think, Do, Say?
It is the first thing we do in this interview.
What is isolate the conversation?
True or False - A child should be allowed to lay on the floor and take a nap after a restraint.
False. Get them into a seated position as soon as possible.
They are the two goals of TCI.
What is support and teach.
They are the 4 questions to ask ourselves in a crisis.
What am I feeling? What does the youth feel, need, want? How is the environment affecting the youth? How do I best respond?
It is used to give a youth a little help through the first few steps of a task.
What is hurdle help?
Use of silence, open ended questions, reflective responses are a few examples of this.
What is active listening?
It is the last step in an LSI.
What is enter the youth back into the program.
If a YP is exhibiting acute physical behavior, what 3 external conditions must be present to use a physical restraint?
-agency policies and state regulations must approve restraint
-ICMP indicates it
-our professional risk assessment indicates it
It is the only reason to physically intervene with a young person.
What is safety?
It tells a youth in specific terms what is expected of them.
What is directive statement?
Trigger, target, weapon and level of stress.
What are the four elements of a potentially violent situation?
This step helps a youth see patterns of behavior.
What is connect feelings and behavior?
List 5 physical warning signs during a restraint that indicate the YP is in danger.
-goes limp and ceases to breath
-states they can’t breath
-Respiration is labored
-Making grunting noises
-Vomiting
-Turning purple/dusky
What are the 5 phases of a crisis?
precrisis/baseline
trigger
escalation
outburst
Recovery
List 4 strategies to help you avoid the conflict cycle.
-listening and validating feelings
-managing the environment (removing others, etc)
-give choices and time to decide
-redirecting YP to another activity
-appealing to YP’s self interest
-Drop or change the expectation
It consists of showing warm feelings of caring for a young person.
What is caring gesture?
Those are the two P's of an LSI.
What are plan and practice?
List 3 errors to avoid when using a TCI Restraint that could increase the risk of injury or death?
-pressure on the YP's neck
-placing head in a position that causes their neck to be compressed
-allowing them to stay in the prone position once they are no longer a safety risk
--placing YP’s arms behind their back
-bending a child forward
-placing anything near their face that could be inhaled or consumed
-ignoring signs of asphyxia
-restraining anyone under the age of 5
Exposure to this during childhood can negatively effect how a person thinks, feels, and behaves later in life. This can also cause negative physical health outcomes.
What is Trauma?
What are the four parts of a Conflict Cycle?
Stressful situation/Incident
YP's Feelings
YP's behavior
Adult's Response
It a method of diverting energy and attention to a substitute activity.
What is redirection and distraction?
What are the 5 goals of the LSI?
-Return YP to normal functioning
-Clarify Events
-Repair and restore your relationship with them
-Teach new coping skills
-Reintegrate them back into the program
List 4 situations in which a restraint may be legal and normally necessary ("indicated,") but you should avoid it anyway:
-We cannot control the YP safely
-We are not in control or are angry
-sexual stimulation is the motivation
-We are in public
-YP has a weapon
-YP’s medical condition prohibits it
-YP has emotional problems risking retraumatiziation
-YP is on meds that affect their system