Module 1
(Creating a Safe Place for Learning)
Module Two (Crisis as an Opportunity)
Module 3
(De-Escalating the Crisis)
Module 4/5
(Managing the Crisis
& Recovery)
Module 6
(Safety Interventions)
Complex Needs
100

What is a Setting Condition?

 What is anything that makes a challenging behavior or traumatic stress response, more or less likely to occur?

100

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?

100

What are the four Non-Verbal Techniques of Active Listening?

What is F.E.S.T.?

Facial Expressions,

Eye Contact

Science

Tone of Voice  

100

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.

100

What is the definition of Asphyxia?

What is the deprivation (lack) of oxygen to living cells?

100

Using the N.A.M.E. Model primary interventions take place in what phase?

What is Baseline?

200

What are the three parts of the Triune Brain?

What are Thinking, Emotional, and Survival?

200

What are the two goals of Crisis Intervention?

What are to Support and Teach?

200

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

200

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

200

What is the word we say 3 times before everyone releases in the hold?

ABORT! ABORT! ABORT!

200

The hierarchy of communication starts with _________ and ends with_____

What is starts with real objects and ends with written/spoken words

300

What are the 5 spaces in a therapeutic milieu?

What is Social, Physical, Ideological, Cultural, and Emotional?

300

What are the three outcomes of the recovery phase?

What are Higher, No Change, and Lower

300

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

300

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?

300

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?

300

How can we teach skills that help individuals meet their needs in a safer or more appropriate way?

By teaching them replacement skills

400

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

400

What are the 5 phases of the Stress Model of a Crisis? (In Order)

What is Baseline, Triggering Event, Escalation, Outburst, and Recovery?

400

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

400

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

400

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

400

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

500

What are the four foundations for the Intentional Use of Self?

What is Self-Care, Self Awareness, Self-Regulation, and Relationship skills and Attunement?

500

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?

500

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 

500

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

500

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

500

Perform an ADAPTED LSI

E- Explore

P- Plan Developed

P- Practice

E- Enter the child back into the routine

600

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

600

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?

600

What are the 8 Behavior Support Techniques?

Managing the Environment

Prompting

Caring Gesture

Hurdle Help

Redirection & Distraction

Proximity

Directive Statements 

Time Away

600

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

600

Perform one of the holds

Small Child with the wall

Small Child without the wall

Standing Restraint

Seated Restraint

Supine Restraint

600

What are the needs that drive a behavior?

Reduction in trauma-related pain

Sensory

Escape/Exit

Attention/Attachment

Tangible Needs