Breakfast
What is a child's normal state of functioning?
Baseline
What is a setting condition?
A setting condition is anything that makes pain based behaviors more or less likely to occur
When a person is in their survival brain, the flight, fight and freeze response is activated.
The most valuable tool staff have in therapeutic interventions with children is themselves
True or False
CGS is allowed to complete a therapeutic restraint if approved by program directors and assistant directors
Name the phases of the stress model of crisis
Baseline
Triggering Event
Escalation
Outburst
Recovery
What behavior support technique is the least intrusive?
Managing the environment
Name the six domains of an effective crisis management system
Child and Family Inclusion
Clinical Participation
Supervision and post - crisis Response
Training and competency Standard
Documentation, Incident Monitoring and Feedback
Leadership and program support
What are the four factors for intentional use of self?
Self-awareness
Self-Regulation
Relationship skills and attunement
Self-Care
True or False- Reflective response vs Empathic response
Reflective responses acknowledge what the child is experiencing vs empathic responses is acknowledge what the child is feeling.
What are the outcomes of the recovery phase?
Higher
No change
Lower
List two appropriate caring gestures GCS can implement?
High five
Fist pump
Pat on the shoulder
What are the goals of crisis intervention?
Support - To provide immediate emotional and environmental support in a way that reduces the stress and risk
Teach-To help the child learn and practice more constructive, effective ways to deal with stress or manage painful feelings
Finish the sentence- All behavior......
....have meanings.
What are the elements of a potential violent situation?
The spark
The target
The weapon
Level of stress and motivation
What are parts of the triune brain?
The thinking brain
The emotional brain
The survival brain
What are the two behavior support techniques that have rules? List the behavior support technique and its rule.
Time Away- This does not mean isolation or punishment.
Direct statements - Make sure the child has a trusting relationship with the adult The request is made respectfully and calm. The child is able to meet expectations. The child is still in control.
Name the 5 spaces within a milieu
Physical Space
Social Space
Cultural Space
Emotional Space
Ideological Space
What are the goals of LSI?
Provide a sense of emotional safety
Help clarify the events 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
Give an example of minimal encouragements, door openers, closed questions, why questions and open questions .
Minimal encourgagements- " uhu-huh ", " go on " or " I see "
Door openers- " I'd like to hear more" " Tell me about that" "What's up "
Closed questions- " Specific questions where the child's answers are short " yes " or " no "
Why questions- asking why questions
open questions-encourage the child to explain further " How did you respond " " What happened next "
What are the four questions we ask our self during a crisis?
How am I feeling right now?
What does the child need, expect, want and feel?
How is the environment affecting the situation?
How do I best respond?
List 6/8 behavior support techniques
Managing the environment
Prompting
Caring Gesture
Hurdle Help
Redirection and distractions
Proximity
Directive Statements
Time Away
What are the goals of emotional first aid?
Provide immediate support to reduce emotional intensity
Identify and resolve the underlining concerns causing distress
Keep the child in the activity
What are some elements for using non-verbal Techniques?
Silence
Facial expressions
Eye Contact
Tone of voice
What are the steps to an LSI?
Identify a place and a time to talk
Explore the child's point of view
Summarize the feelings and content
Connect the trigger to feelings to behavior
Alternative responses to feelings discussed
Plan developed/practice
Enter the child back into the routine