So Every Kid Can
Where do referrals for CBAT or Unit 1 treatment come from?
Crisis team or Emergency Department - ED only for Unit 1
Bipolar disorder is an example of this type of suicide risk factor
Chronic
Reframe the following term to strengths-based language -- "attention-seeking"
connection-seeking
This therapy focuses on balancing acceptance and change while helping individuals manage intense emotions.
DBT (Dialectical Behavior Therapy)
When a patient is in the anxiety phase, the appropriate staff response is
Supportive
Name 3 reasons a child may be referred to Unit 1 or CBAT for treatment
Risk of harm to self, risk of harm to others, decline in daily functioning
This is the number one suicide prevention measure on our units
Trauma can cause the "fear center" of the brain to become overactive, constantly scanning for danger. This part of the brain is called what?
The amygdala.
Name this therapeutic tool: acknowledging that a person's emotions, thoughts and behaviors make sense
Validation
Name 5 members of the interdisciplinary care team
Psychiatrist, SW, NP, Clinical educators, Psychologists, Nurses, OT, MHS, interns, Pharmacists, Lab techs, expressive therapist
These are the highest risk areas on the unit for self harm or suicidal behaviors
Bedroom, bathroom and QR
Name an example of a positive outcome from a strengths-based, trauma-informed approach.
Children view themselves more positively, supporting increased confidence and self-esteem
Shift narrative for family and collateralsImproved self-esteem may reduce focus on negative thoughts
Problematic behaviors decrease when staff increase the use of praise
Children, families, and staff report feeling more hopeful
Staff report greater enjoyment and fulfillment when working in programs that emphasize strengths rather than behavior control
What's the DBT term for crisis survival skills?
Distress tolerance
What are the 2 ways the Decision-Making Matrix helps us assess risk?
Likelihood and severity
A treatment model that uses the therapeutic community, including the physical, social, and cultural environment, to support healing and growth.
A patient assessed as high risk for suicide on the unit must at minimum have these 2 safety interventions in place:
1:1 staff monitoring 24/7 and visual bathrooms
Chronic or repeated trauma during early childhood that disrupts attachment, safety, and emotional regulation is referred to as
Developmental trauma
What is the primary DBT distraction skill?
ACCEPTS
Define rational attachment
Recognizing the need to remain professional by managing your own behavior and attitude
Name two ways our programming supports a therapeutic milieu
1. Daily schedule (safe, structured)
2. Group therapy (opportunities to relate to peers)
3. Communal meals (sense of community)
4. School structure (skills practice)
5. Social interaction (coaching, opportunities for positive social interactions)
A patient endorses suicidality. Staff should then assess for these 3 components:
Plan, intent, access to lethal means
What is the greatest therapeutic tool you have?
YOURSELF!
What does TIPP stand for?
Temperature, intense exercise, paced breathing, progressive muscle relaxation
What does risk behavior communicate?
Increased distress where it is difficult for the person to express their emotions with words.