Module 1
(Creating a Safe Place for Learning)
(Creating a Safe Place for Learning)
What is a Setting Condition?
Anything that makes a challenging behavior or traumatic stress response, more or less likely to occur.
How should a staff member think of a crisis and what should their attitude and actions encourage?
A crisis is an opportunity to grow, and a staff member's attitude and actions should encourage respect for culture and diversity.
What are the four Non-Verbal Techniques of Active Listening?
F.E.S.T.
Facial Expressions,
Eye Contact,
Silence,
Tone of Voice
Can a child rest after we do a hold or restraint?
After we do a hold/restraint, we should not let a child take a nap.
What is Asphyxia?
The deprivation (lack) of oxygen to living cells?
What are the three parts of the Triune Brain?
Thinking, Emotional, and Survival
What are the two goals of Crisis Intervention?
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?
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 we say 3 times before everyone releases in the hold.
ABORT! ABORT! ABORT!
What are the 5 spaces in a therapeutic milieu?
Social, Physical, Ideological, Cultural, and Emotional
What are the three outcomes of the recovery phase?
Higher, No Change, and Lower
Reflective Responses connect to the child's ________,
Empathic Responses connect to the child's ____________.
Feelings
Experience
What are the four elements of a potentially Violent Situation?
The Spark, Target, Weapon, and level of Stress and Motivation
What are the improper restraint techniques?
Pressure on the neck or chest,
Incorrect positioning of the arms,
Obstructing the mouth or nose,
Abnormal positioning of the child's body
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?
Baseline, Triggering Event, Escalation, Outburst, and Recovery
What are the Encouraging and Eliciting Techniques?
Minimal Encouragements, Door Openers, Closed Questions, and Open Questions
What nonverbal strategies are a part of the "What to Do" step of Crisis Co-Regulation "Help Me Help Myself"?
Take a 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 are the four foundations for the Intentional Use of Self?
Self-Care, Self Awareness, Self-Regulation, and Relationship Skills and Attunement
What are the four questions we ask ourselves in a crisis or our Dynamic Risk Assessment?
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 the routine
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
What are The Pain Based Behaviors?
Inability to Regulate Emotions
Overreaction to Situations
Impulsive Outbursts
Trauma Re-enactment
Defiance
Inflexibility
Running Away through Fear or Anger
Self-Injury
Withdrawal
When can we intervene in the Stress Model to help de-escalate a situation?
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 are situations 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
What are the TCI Holds approved by Damar?
Standing Restraint
Small Child with the wall
Small Child without the wall
Seated Restraint
Supine Restraint