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16 terms

TCI Study Cards

STUDY
PLAY
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.