Stress Model of Crisis
The normal state of functioning specific to an individual youth.
What is BASELINE?
True or False: A crisis occurs when a child’s fight, flight, or freeze response is activated and they are unable to regulate their emotions and behaviors.
True.
True or False: All behavior has meaning.
True.
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This part of the brain enables us to make decisions.
What is the neocortex (thinking brain)
This part of the Triune Brain is the center for emotions, emotional behavior, and motivation. It determines whether or not something is a threat.
What is the EMOTIONAL brain?
This is the second phase of the Stress Model of Crisis, where something happens that causes a youth to react emotionally or exhibit agitation.
What is TRIGGERING EVENT / TRIGGER?
The first question you ask yourself in a crisis situation.
What am I FEELING now?
True or False: It is more important that a child feel safe than be safe.
True.
Those are the things we monitor during restraints.
What is skin color, respiration, level of responsiveness, level of agitation, range of motion, and the restraint positions of child and staff?
The 2 Goals of crisis intervention.
What are SUPPORT and TEACH?
When a youth becomes more and more agitated and less able to manage emotions, they are in their Emotional Brain during this phase of the Stress Model of Crisis.
What is ESCALATION?
The second question to ask in a crisis situation.
What does this YOUTH FEEL, NEED, EXPECT, or WANT?
Multiple choice: Inflexibility and Defiance are behaviors youth exhibit when
1) limit-testing
2) starting a Power Struggle
3) in emotional or psychological pain
What is Inflexibility and Defiance are behaviors youth exhibit when 3) in emotional or psychological pain?
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Nods, open ended questions, closed questions, silence and minimal encouragers are all examples of what?
What is ACTIVE LISTENING?
Identify three of the skills needed for Intentional Use of Self.
What are SELF-Awareness, SELF-Regulation, SELF-Care, RELATIONSHIP, and ATTUNEMENT?
During this phase, youth in their Survival Brain may exhibit intense behaviors that could be dangerous to themselves or others.
What is OUTBURST?
The third question to ask yourself in a crisis situation.
How is the ENVIRONMENT AFFECTING THE SITUATION?
Mutiple choice: Withdrawing or Running away (through anger or fear) are examples of
a) Time Away
b) Self-Regulation
c) What am I feeling now?
d) Pain-Based Behaviors
d) Withdrawing and Running away (through anger or fear) are 2 examples of the 9 types of Pain-Based Behaviors.
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The deprivation of oxygen to living cells.
What is ASPHYXIA?
These are the 4 Elements of a Potentially Violent Situation. Removing any of them will reduce the risk of violence to help de-escalate the youth.
What are the SPARK, TARGET, WEAPON, and STRESS or MOTIVATION?
In this phase of the Stress Model of Crisis, once youth are back to baseline and in their thinking brain, we can help them learn coping skills to handle challenging situations in the future.
What is RECOVERY?
The last question to ask yourself in a crisis situation.
How do I best RESPOND?
These are 3 of the nine Pain-Based Behaviors.
Inability to regulate emotions, Impulsive outbursts, Inflexibility, Overreaction to situations, Self-Injury, Running away (through anger or fear), Withdrawal, Trauma re-enactment, Defiance.
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These are two strategies to Avoid or End the Power Struggle.
Drop expectation. Validate feelings. Listening. Give choices. Give time to decide. Manage the Environment. Change expectation. Remove others.
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5 SPACES in the therapeutic milieu that we can adjust in order to prevent or decrease the likelihood of a youth exhibiting a traumatic stress response or challenging behavior.
What are the SOCIAL, PHYSICAL, IDEOLOGICAL, CULTURAL, and EMOTIONAL spaces?