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.