(Creating a Safe Place for Learning)
What is a Setting Condition?
What is anything that makes a challenging behavior or traumatic stress response, more or less likely to occur?
Can crisis be an opportunity to grow, and should a staff member's attitude and actions encourage respect for culture and diversity?
What is True?
What are the four Non-Verbal Techniques of Active Listening?
What is F.E.S.T.?
Facial Expressions,
Eye Contact
Science
Tone of Voice
After we do a hold/restraint, should we let a child take a nap?
What is no, a child should not be allowed to sleep after a physical hold.
What is the definition of Asphyxia?
What is the deprivation (lack) of oxygen to living cells?
Using the N.A.M.E. Model primary interventions take place in what phase?
What is Baseline?
What are the three parts of the Triune Brain?
What are Thinking, Emotional, and Survival?
What are the two goals of Crisis Intervention?
What are to Support and Teach?
What are the Goals of Emotional First Aid?
Provide immediate support to reduce emotional intensity
Identify and resolve the underlying concerns causing distress
Keep the Child in the Activity
What are the four parts of the Letting Go Process?
What are...
States what is expected of the young person
Is directed by a team leader
Is supportive of the young person
Sets the tone for recovery
What is the word we say 3 times before everyone releases in the hold?
ABORT! ABORT! ABORT!
The hierarchy of communication starts with _________ and ends with_____
What is starts with real objects and ends with written/spoken words
What are the 5 spaces in a therapeutic milieu?
What is Social, Physical, Ideological, Cultural, and Emotional?
What are the three outcomes of the recovery phase?
What are Higher, No Change, and Lower
Reflective Responses connect to the child's _______,
Empathic Responses connect to the child's _______.
Reflective Responses connect to the child's feelings,
Empathic Responses connect to the child's experience.
Bonus Points:
50 Points- Use One
100 Points- Use one of each type of response
What are the four elements of a potentially Violent Situation?
Bonus Question:
Which one of the four elements would you remove first? (100 points)
What is the Spark, Target, Weapon, and level of Stress and Motivation?
What is the Target?
What are the improper restraint techniques?
What is
pressure on the neck or chest,
incorrect positioning of the arms,
obstructing the mouth or nose,
abnormal positioning of the child's body?
How can we teach skills that help individuals meet their needs in a safer or more appropriate way?
By teaching them replacement skills
What three factors play into ensuring staff are a part of a Trauma-Informed Organization?
Understand... what Trauma is and how it impacts everyone within the system
Recognize... behaviors and patterns that reflect past or present trauma
Respond... in ways that avoid re-traumatization
What are the 5 phases of the Stress Model of a Crisis? (In Order)
What is Baseline, Triggering Event, Escalation, Outburst, and Recovery?
What are the Encouraging and Eliciting Techniques?
What are Minimal Encouragements, Door Openers, Closed Questions, and Open Questions?
Bonus Points:
10 Points- Use One, 50 points- use three
100 Points- Use one of each
What nonverbal strategies are a part of the "What to Do" step of Crisis Co-Regulation "Help Me Help Myself"?
Take deep breath and slowly exhale
Give Child Space & Time
Use Silence
If safe, step away from the child's sight
Assume a neutral Stance and Concerned Facial Expression
What are the warning signs of Asphyxia?
Goes limp and ceases to breathe spontaneously
States they cannot breathe
Labored breathing, shortness of breath, gasping, wheezing, coughing, gagging, or vomiting
Change in Skin Color
Change in level of response or consciousness
A sudden change in the struggle
Bobbing of head, fatigue
Excessive sweating
Evacuation of body fluids
What is backwards and forward chaining?
Backwards- teaching a skill starting from the last step (reduces anxiety)
Forwards- teaching a skill starting at the first step
What are the four foundations for the Intentional Use of Self?
What is Self-Care, Self Awareness, Self-Regulation, and Relationship skills and Attunement?
What are the four questions we ask ourselves in a crisis
What am I feeling now?
What does this child feel, need, expect, or want?
How is the environment affecting the situation?
How do I best respond?
What are the four ways we can avoid or end a power struggle?
Listen & validate feelings
Manage the environment
Give choices & time to decide
Drop or change the expectation
What are the steps of the Life Space Interview? (LSI)
I- Identify a time & place to talk
E- Explore child's point of view
S- Summarize feelings and Content
C- Connect trigger to feelings to behavior
A-Alternatives responses to feelings discussed
P- Plan developed/ Practice
E-Enter the child back into routine
Bonus- 500 points
Perform FULL LSI with a partner or trainer
What do we monitor during restraints?
Skin Color
Respiration (No breathing problems)
Level of Consciousness (Is responsive)
Level of agitation (Overexertion)
Range of motion in the extremities
Perform an ADAPTED LSI
E- Explore
P- Plan Developed
P- Practice
E- Enter the child back into the routine
Name as many Pain Based Behaviors as possible.
Inability to Regulate Emotions
Overreaction to Situations
Impulsive Outbursts
Trauma Re-enactment
Defiance
Inflexibility
Running Away through Fear or Anger
Self-Injury
Withdrawal
When working with a child, can we work on intervening before the child gets to the outburst phase? Where, and how?
What is Yes, we can intervene at any point on the Stress Model to de-escalate to recovery?
What are the 8 Behavior Support Techniques?
Managing the Environment
Prompting
Caring Gesture
Hurdle Help
Redirection & Distraction
Proximity
Directive Statements
Time Away
What situations could be present where we avoid or discontinue a restraint?
Adult cannot control the child safely
Adult is not in control-too angry
Child is threatening and capable of harming staff
Sexual stimulation is the motivation
In a public place
Child has a weapon
Child's medical condition prohibits it
Child has emotional problems risking traumatization
Child is on medication(s) that affects their system
Perform one of the holds
Small Child with the wall
Small Child without the wall
Standing Restraint
Seated Restraint
Supine Restraint
What are the needs that drive a behavior?
Reduction in trauma-related pain
Sensory
Escape/Exit
Attention/Attachment
Tangible Needs