Crisis Prevention
Monica takes a deep breath, and counts to 10 as she exhales. This helps her to tolerate negative emotions. What type of skill is she using?
Coping Skills
What does the amygdala do?
Determine if something is a threat
Marianne was verbally abused by her parents, and shuts down at the smallest conflict, bursting into tears. Marianne's staff strive to understand her trauma and how it effects the system. Staff recognize her behavior reflects past trauma and respond in ways that avoid re-traumatization.
What type of organization is Marianne's staff a part of?
A Trauma Informed Organization.
What does TDS stand for?
What to think (Self-Talk)
What to do (Nonverbal Strategies)
What to say(Verbal Strategies)
What is congruent communication?
When a person's body language and words/tone match. (ie: Open posture with a caring facial expression, and a soft tone of voice, asking "Are you ok?")
The NAME Model asks us to avoid 2 types of Setting Conditions, what are they?
A) Inside, Outside
B) Sociological, Tautological
C) Environmental, Personal
D) Therapeutic, Dynamic
C) Environmental, Personal
Leonie pinches others to get their attention. Leonie's staff practice tapping people's shoulders with her to get attention instead. What is this an example of?
Replacement Skills
When a young person is in crisis, what are two Reactive Strategies that may be used to de-escalate and manage the crisis situation?
Any two of these answers are acceptable:
Active Listening
Emotional First Aid
Behavior Support Techniques
Co-Regulation
Protective Interventions
Safety Interventions
What is the objective of Crisis Co-Regulation?
To provide support in a way that reduces stress and risk and increases the child's sense of safety
Felix is having trouble in math class and feels bad about himself. Today he acts out, hitting another student, which results in being removed from the class. Felix feels much better about himself now that he isn't in math. What function is his behavior meeting?
Escape/Exit
Mercedes has repeatedly run away from program, with consequences not effecting her behavior. What type of behavior is she experiencing?
Pain-Based Behavior
What are the Four Questions?
(We ask ourselves in a crisis Situation)
1. What am I feeling now?
2. What does the child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond?
Manuela reminds Ingrid that it's time to go to bed, who responds by rolling her eyes and ignoring her worker.
Manuela insists that she go to bed, and Ingrid crosses her arms, turning away from Manuela. The adult and child begin to further dig their feet in and neither are gaining ground. What is happening here?
They are caught in a power struggle (Remember to drop the rope).
Dimitri prepares to work with a behavioral individual by telling himself "I can do this!" and "I have the skills to help this young person". What skill is Dimitri using?
Positive Self Talk
What are the steps to the shortened LSI?
1. Explore
2. Plan + Practice
3. Enter
What are the 4 Foundations of the Intentional use of Self?
Self Awareness
Self-Regulation
Relationship Skills & Attunement
Self-Care
Petra sees a strange dog in an alley and immediately panics, without stopping to think. What is Petra experiencing?
Trauma Driven Perception
Tomas responded with distress to another participant during uno. Staff supported him emotionally and then checked in to find out what was upsetting him in an attempt to resolve it. Tomas was able to continue playing uno. What technique did staff apply with Tomas?
Emotional First Aid
What are three goals of the Life space Interview?
Any three of these answers are acceptable
Return the young person to normal functioning
Clarify events
Repair and restore relationship
Teach new coping skills
Reintegrate the young person back into the routine
What are the two kinds of General Skills we can teach youth?
Personal Skills - Age appropriate self-care skills (washing, dressing, playing)
Social Skills - Rules of society (taking turns, making choices, using good manners)
What are the 5 spaces in the Therapeutic Milieu?
Social
Physical
Ideological
Cultural
Emotional
What are the stages of the Stress Model of Crisis?
Baseline
Triggering Event
Escalation
Outburst
Recovery
What are all the Behavior Support Techniques?
Managing the environment
Prompting
Caring Gesture
Hurdle Help
Redirection and distraction
Proximity
Directive statements
Time away
What is the correct order to the Hierarchy of Communication?
6. Word
^
5. Symbol
^
4. Line Drawing
^
3. Photograph
^
2. Three Dimensional Model
^
1. Concrete Model
What are the four reasons we would not engage in a restraint/physical?
If sexual stimulation is the motivation
If staff is too angry
If the youth has a weapon
If a medical condition prohibits it