TCI

The TCI System

100

What are the Goals of TCI?

SUPPORT: environmentally and emotionally to reduce stress and risk. TEACH: children better ways to cope with stress.

200

A crisis occurs when

A young person's inability to cope

300

What are the 4 elements of a violent situation

1. Trigger 2. Target 3. Weapon 4. Level of Stress

400

List 4 of the 5 Setting Conditions

Organizational Culture; Environment; Program related; Personal; Relationship-based

500

List 4 of the 5 factors needed for an effective TCI implementation

1. Leadership and program support 2. Clinical Participation 3. Supervision and Post Crisis Response 4. Training and Competency Standards 5. Documentation and incident monitoring and feedback

Restraint Safety

100

What is the goal of physical intervention

To ensure safety

200

What are 4 things you should monitor during a restraint

Position of the student and the staff; Skin color; Respiration (no breathing problem); Level of consciousness (is responsive); Level of agitation (overexertion); Range of motion and/or swelling in extremities

300

What is the basic principal of physical intervention?

A maximum amount of caring and a minimum amount of force with the goal of de-escalating the situation by reducing the stimulation.

400

List 5 reasons when you should not use physical intervention

1. We cannot control the student safely. 2. We are not in control or are too angry. 3. Sexual stimulation is the motivation. 4. We are in a public place. 5. Student has a weapon. 6. Student's medical condition prohibits it. 7. Student has emotional problems risking retraumatization. 8. Student is on medication that affects his/her system.

500

List 4 reasons that restraint safety is not used for

To demonstrate authority; To enforce compliance; To inflict pain or harm; To punish or discipline

Stress Model of Crisis

100

Label the 5 stages of the Stress Model of Crisis

Precrisis State (Baseline) --- Triggering Event --- Escalation Phase --- Outburst (CRISIS) ---Recovery

200

What is the difference between proactive and reactive aggression?

Proactive Aggression is goal oriented, cognitions are dominant, and is instrumental or operant aggression; Reactive Aggression is a loss of control and emotional flooding, emotions are dominant, and is affective or expressive aggression

300

Identify 4 ways to avoid the conflict cycle

Using positive self talk; Listening and validating feelings; Managing the environment (e.g. removing others); Giving choices and the time to decide; Redirecting the young person to another positive activity; Appealing to the young person's self-interest; Dropping or changing the expectation

400

What are the steps in the LSI

Isolate the conversation; Explore young person's point of view; Summarize the feelings and content; Connect feelings to behavior; Alternative behaviors discussed; Plan developed/Practice new behavior; Enter young person back into the routine

500

What is the goal of crisis co-regulation and what are the 4 steps to remember?

To provide support in a way that reduces stress and risk 1. What to think (self-awareness) 2. What to do (Nonverbal strategies) 3. What to say (Verbal strategies) 4. What to do when it is over (LSI)

Self Awareness

100

What is emotional competence (give at least 2 examples)?

Being aware of personal goals, values, beliefs; Understanding cultural and ethnic differences and each other's worldview; Demonstrating self-regulation skills; Knowing personal triggers

200

What are the 4 questions you ask yourself

1. What am I feeling now? 2. What does this young person feel, need, or want? 3. How is the environment affecting the young person? 4. How do I best respond?

300

Describe the TCI iceberg.

Needs and Feelings are under the water (the biggest part of the iceberg and the part that is not seen). Behaviors are the part of the iceberg that is seen.

400

Identify 6 of the 8 behavior support techniques you can utilize

Managing the Environment; Prompting; Caring Gesture; Hurdle Help; Redirection and distractions; Proximity; Directive Statements; Time Away

500

What are the 3 possible outcomes of a crisis during recovery and define each

Higher (Educateur) --- No Change (Fire Fighter) --- Lower (Abuser)

Emotional First Aid

100

What are 3 nonverbal techniques to be aware of when working with an agitated or upset student

Silence; Nods; Facial Expression; Eye Contact; Space

200

What is an example of an encouraging and eliciting technique to utilize to help encourage the student to talk

Tone of Voice; Minimal encouragements: "uh-huh" "go on" "I see"; Door Openers: "Tell me about that"; Closed Questions: "Do you like your teacher?"; Open Questions: "How did you respond?"

300

What does active listening do?

Identifies and validates feelings; Reduces defensiveness; Promotes change; Communicates that we care and understand; Is an effective co-regulation strategy; Helps young people "talk out rather than act out"

400

What are the strategies for Emotional First Aid?

Drain off emotions -- Clarify Events -- Maintain the relationship and lines of communication -- Remind the child of expectations and mediate the situation if necessary

500

What are the goals of emotional first aid?

1. Provide immediate help and support to reduce emotional intensity. 2. Resolve the immediate crisis. 3. Keep the child in the program/activity.