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TCI training
social care worker therapeutic crisis intervention
| Question | Answer |
|---|---|
| how many therapeutic milieu are there? | 5 |
| what are the therapeutic milieu | Psychological, physical, idealogical, cultural, social |
| what is it called when something makes the behaviour more/ less likely to occur? | setting condition |
| what are the parts of the triune brain | thinking emotional and survival |
| what are pain based behaviours (definition) | behaviours that occur as a result of past pain or trauma |
| what are some of the pain based behaviours | withdrawal, trauma re-enactment, self- injury, inflexibility, dysregulation |
| what are the stages of the stress model of crisis | baseline, trigger, escalation, outburst, recovery |
| what are the 3 outcomes after a crisis in the recovery stage | higher, no change, lower |
| name some behaviour support techniques | redirection and distraction, prompting, hurdle help, manage environment |
| what are the elements of a potential violent situation | spark, target, weapon, motivation |
| what are the three parts of crisis co-regulation | what to think, what to do, what to say |
| what to think in crisis co-regulation | ask the 4 questions, positive self- talk |
| what to do in crisis co-regulation | active listening, concerned facial expression, deep breaths |
| what to say in crisis co-regulation | use silence, speak calmly and assertively |
| what are the steps of a life space interview | I.E.S.C.A.P.E. |
| what is the I in LSI steps | identify space and time to talk |
| what is the E in LSI steps | explore young person's point of view |
| what is the S in LSI steps | summarise events |
| what is the C in LSI steps | connect event, feeling, and behaviour |
| what is the A in LSI steps | alternative responses |
| what is the P in LSI steps | plan/ practise |
| what is the E in LSI steps | re-enter young person into the routine |
| 2 conditions for letting go of restraint | 1) state what is required of the young person 2) sets up recovery phase |
| 4 conditions to stop or avoid restraint | 1) it in a public space 2) the young person has a weapon 3) the adult is too angry/ not in control 4) you can't control the young person safely |
| define asphyxia | the deprivation of oxygen to living cells |
| predisposing risk factors | obesity, hot/ humid weather, medical conditions, young person is on certain medications |
| what are some improper techniques | pressure on neck/ chest, obstructing nose/ mouth |
| what to monitor during restraint | skin colour, breathing |