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Two goals of crisis intervention

To educate and support

Stages of the Stress Model

Precrisis (baseline) State
Triggering event
Escalation Phase
Outburst
Recovery

Behaviors within the Stress Model

Baseline
Agitation
Aggression
Violence
Recovery

Parts of Conflict Cycle

Stressful Situation/Incident
Young Person's Feeling
Young Person's Behavior
Adult Response

Four Questions

How am I feeling?
What does young person feel,want or need?
How is environment affecting young person?
How do I best respond?

Setting Condition

Anything that makes a challenging behavior more or less likely to occur..
ex:
-room too hot
-reminder of traumatic event
-medically related problems
-change in routine

Pain Based Behaviors

Impulsive Outbursts
Aggression
Running Away
Self-injury
Defiance
Inability to regulate emotion
Trauma Re-enactment

Behavior Support Techniques

Manage environment
Prompting
Caring Gestures
Hurdle Help
Redirection and Distraction
Proximity
Directive Statement
Time Away

Emotional First Aid Strategies

Drain off emotions
Clarify events
Maintain the relationship/lines of communication
Remind child of expectations/mediate if necessary

Help me help myself strategies

(Be able to explain these)
Non-verbal crisis co-regulation
crisis communication
verbal (what to say)

LSI Steps in order

I - Isolate the conversation
E - Explore young person's POV
S - Summarize feelings and content
C - Connect feelings to behavior
A - Alternative Behaviors discussed
P- Plan developed/Practice new behavior
E - Enter young person back into program

Goals of LSI

Return young person to normal functioning
Clarify events
Repair and restore relationship
Teach new coping skills
Re-integrate young person back into program

Four elements of a potentially violent situation

Trigger
Target
Weapon
Level of Stress

Risk factors to be aware of.. restraint

Obesity
Influence of Drugs/Alcohol
Prolonged violent physical agitation
Underlying natural disease
Hot humid environment
Individual taking meds

Restraint should be avoided when..

Cannot control young person's safety
We are not in control/too angry
Sexual stimulation as motivation
We are in a public place
Young person has weapon
Young person has medical condition
Young person has emotional problems
Young person on medication

During restraint you should NEVER..

Never fail to ignore the warning conditions of asphyxia or fail to take action if there is a need for emergency medical treatment.

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