The Basics
Name IN ORDER all the circles in the stress model crisis
Baseline, triggering events, escalation, outbursts, recovery
What is the I in the LSI
Identify a time and place to talk
Name 3 predisposing risk factors for putting a child in a hold
Obesity, influence of drugs/alcohol, prolonged violent physical agitation, underlying natural diseases, hot humid environment, individuals taking certain medications, effects of serve trauma history
Name 5 behavior support techniques
managing the environment
prompting
caring gestures
hurdle help
redirection and distraction
proximity
directive statements
Time Away
What are the 5 spaces in the milieu
social
physical
ideological
cultural
emotional
What game can you relate a power struggle to?
Tug of War
What is the second E in the LSI
Enter the child back into the routine
Name 3 improper restraint techniques
pressure on the neck or chest
incorrect positioning of the arms
obstructing the mouth or nose
abnormal positioning of the body
Name 3 non-verbal help me help myself techniques
take a deep breath and exhale slowly
give the child time and space
use silence
if safe, step out of the child's sight
assume a neutral stance and concerned facial expression
What are the 3 regions of the triune brain?
emotional
thinking
survival
What are the 3 stages of recovery?
higher
no change
lower
What is the P in the LSI
Plan Developed/Practice
Name what we monitor during holds.
Skin color
respiration
level of consciousness
Level of agitation
range of motion
What is the last goal of emotional first aid?
to keep the child in the activity
What is the final goal of emotional first aid?
To keep the child in the activity
Define asphyxia
the deprivation of oxygen to living cells
What is the C in the LSI
Connect the Trigger to Feeling to Behavior
Name 3 situations where a hold should be avoided.
Adult cannot control child safely
Adult is too angry
Child is threatening and can cause harm
Sexual stimulation is the motivation
Child is in the public
Child has a weapon
Child has medical condition
Child is on medication that causes issues
May result in emotional trauma
What are the 4 elements to a potential violent situation
spark
target
weapon
level of stress or motivation
Explain how the trauma driven brain works
it is when the brain goes from the emotional region to the survival reason and cannot access the the thinking region.
What is a setting condition
anything that makes challenging behavior and traumatic stress responses more or less likely to happen
What is the A in the LSI
Alternative responses to feelings discussed
What are the steps to the letting go process
states what is expected of the young person
is directed by the team leader
is supportive of the young person
sets the tone for the recovery process
What are 3 pain based behaviors
overreaction to situations n
impulsive outbursts
trauma re-enactment
defiance
inflexibility
running away through fear or anger
withdrawal
self-injury
silence
facial expression
eye content
tone of voice