De-Escalation Techniques
Provide 5 of the Behavior Support Techniques.
Managing the Environment
Proximity
Prompting
Caring Gesture
Hurdle Help
Redirection / Distraction
Directive Statement
Time Away
What is the last question we ask ourselves in a crisis situation?
How Do I Best Respond?
What is Crisis an opportunity for?
Growth
What is the deprivation of oxygen to living cells?
Asphyxia
Where and how do you secure a youth's arm when Obtaining the Hold?
Grasp the forearm with your outside hand, your inside arm's bicep / elbow region raised against the armpit of the youth as gently as possible then bring the youths arm along your chest akin to a seatbelt.
What kind of strategy is "Dropping the Rope"?
De-Escalation Strategy
What are the 4 Elements of a Potentially Violent Situation?
* Remember the "Gun" or "Bow & Arrow" analogy
The Target
The Weapon
The Level of Stress / Motivation
The Spark
Exposure to trauma affects the way a child:
Thinks, Feels, and Behaves
Anything that makes challenging behavior or traumatic stress response more or less likely to occur is called:
Setting Conditions
Which Physical Intervention can be utilized by one individual?
*A second staff should always be present to supervise and can secure the legs if needed*
The Small Child Restraint (With the Use of a Wall / Without the Use of a Wall)
What are the 3 Strategies of Emotional First Aid?
*Remember BRB
1) Be a Calm Presence - Co-regulate emotions with you
2) Maintain the Relationship and Lines of Communication
3) Be a Coach - Plan and Anticipate for problems during the activity
What are the Options to Handle Physical Violence?
* Remember E.R.R.L.
1) ELIMINATE one of the four elements of a potentially violent situation
2) Utilize TCI approved RELEASES and maintain a safe distance
3) RESTRAIN a youth that is displaying acute physical behavior / contraindicated in their ICSP to prevent dangerous behavior
4) LEAVE and get assistance
What are the 5 phases along the Stress Model of Crisis?
Baseline -> Triggering Event -> Escalation -> Outburst -> Recovery
What are the first 3 questions we ask ourselves in a potential crisis situation?
What am I feeling now?
What does this child feel, need, expect, or want?
How is the environment affecting the situation?
Which physical intervention requires staff to stand together foot-to-foot, shoulder-to-shoulder, and hip-to-hip for the duration of the restraint?
The Standing Restraint
Name 2 Strategies to Avoid or End a Power Struggle.
Listen and Validate Feelings
Manage the Environment
Give Youth Choices and Time to Decide
Drop or Change Expectations
What are 3 aspects of non-verbal crisis communication?
*Crucial during potentially violent situations
Eye Contact
Body Language
Height & Gender
Personal Space
Cultural Sensitivity
What are the Two Goals of Crisis Intervention?
Support: To provide immediate emotional and environmental support to reduce stress and risk and increase the child's sense of safety.
Teach: Help youth learn and practice ways to regulate their emotions and behaviors.
Provide three Pre-Disposing Risk Factors for a Restraint
Obesity
Influence of Drugs / Alcohol
Prolonged Violent Physical Agitation
Underlying Natural Disease
Hot, Humid Environment
Certain Medications
Effects of Severe Trauma History
Which physical intervention requires 2 staff to lower the youth to the floor and a 3rd to secure properly?
The Supine Restraint
What are the 3 Goals of Emotional First Aid?
1) Provide emotional support for the youth to co-regulate
2) Identify and address underlying concerns
3) Keep the youth in the activity
Provide 3 non-verbal crisis co-regulation "help me help myself" strategies to help a potentially violent child.
Take a deep breath
Give the youth space and time
Use silence
If safe, step out of child's sight
Assume neutral stance and concerned facial expression
Explain the 3 aspects of a Trauma Informed Organization.
Understand - What trauma is and how if impacts everyone within the system
Recognize - Behaviors and patterns that reflect past/present trauma
Respond - In ways to avoid re-traumatizing the youth
List 5 physical warning signs during a restraint that a youth is in danger.
Goes limp & ceases to breathe spontaneously
States they can't breathe
Respiration is labored - gasping, wheezing, coughing etc.
May make grunting noises
Gagging / vomiting
Changes in skin color - Pale, gray/blue. gray/white, gray/green
Change in level of responsiveness / consciousness
Sudden change in struggle
Bobbing of head / fatigue
Excessive sweating
Evacuation of bodily fluids
Which physical intervention allows staff to move the youth a short distance if necessary?
The Seated Restraint