Self-Awareness- What questions do we ask ourselves when facing a potential crisis?

1. How am I feeling 2. What does the child feel, want, or need? 3. How is the environment affecting the child? 4. How do I best respond?

What is an Individual Crisis Management Plan (ICMP)? Does Horseheads use them?

It helps staff understand and respond to a specific child's behavior, and No.

What are the behavior support techniques?

1. Managing the environment 2. Prompting- verbal, and non-verbal 3. Caring Gesture- non-contingent 4. Hurdle Help 5. Redirection and distractions 6. Proximity 7. Directive Statements 8. Time away (if they can self-regulate)

Goals of Emotional First-Aid?

1. Reduce emotional intensity 2. Resolve the immediate crisis 3. Re-enter the child into the activity

What are some examples of pain-based behaviors?

1. Impulsive outbursts 2. Aggression 3. Running away 4. Self-Injury 5. Defiance 6. Inability to regulate emotions 7. Trauma re-enactment

Crisis Co-regulation- Help me help myself: 1. self-talk (what to think):

-ask the four questions -positive self-talk

Crisis Co-regulation- Help me help myself: 2. Non-verbals (what to do):

-take a deep breath -sit down -use a protective stance -give time -body language/facial expressions

Crisis Co-regulation- Help me help myself: 3. Verbals (what to say):

-I can see... (validate) -When you...(encourage positive behavior) -I know we can...(emphasize desirable outcomes) -I am sorry that... (apologize)

Errors to avoid during restraint that increase chance of injury or death:

1. pressure to the neck/using a position that causes the neck to compress 2. weight on chest or back 3. arms behind the back 4. prolonged restraint (no more than 20 min) * stop as soon, do not bend small child restraint forward, not under 5

What are some physical warning signs during a restraint that indicate the young person is in danger?

1. stops struggling, becomes quiet/goes limp 2. says can't breath 3. becomes dusky purple color or begins vomiting 4. making grunting noises 5. ceases to breath/goes limp 6. spontaneously ceases to breath/limp (neck compression)

Proactive vs. reactive aggression

Proactive is cognitive/planned Reactive is emotional flooding/draining/unplanned

Non-verbal crisis communication we should consider during a potentially violent situation:

-eye contact -body language -personal space -height differences -gender differences -cultural differences

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TCI-initial course

Therapuetic Crisis Intervention Training Study Guide

Question	Answer
What are the goals of Crisis Intervention	1. Support 2. Teach
Self-Awareness- What questions do we ask ourselves when facing a potential crisis?	1. How am I feeling 2. What does the child feel, want, or need? 3. How is the environment affecting the child? 4. How do I best respond?
What is an Individual Crisis Management Plan (ICMP)? Does Horseheads use them?	It helps staff understand and respond to a specific child's behavior, and No.
What are the behavior support techniques?	1. Managing the environment 2. Prompting- verbal, and non-verbal 3. Caring Gesture- non-contingent 4. Hurdle Help 5. Redirection and distractions 6. Proximity 7. Directive Statements 8. Time away (if they can self-regulate)
Goals of Emotional First-Aid?	1. Reduce emotional intensity 2. Resolve the immediate crisis 3. Re-enter the child into the activity
What are some examples of pain-based behaviors?	1. Impulsive outbursts 2. Aggression 3. Running away 4. Self-Injury 5. Defiance 6. Inability to regulate emotions 7. Trauma re-enactment
Crisis Co-regulation- Help me help myself: 1. self-talk (what to think):	-ask the four questions -positive self-talk
Crisis Co-regulation- Help me help myself: 2. Non-verbals (what to do):	-take a deep breath -sit down -use a protective stance -give time -body language/facial expressions
Crisis Co-regulation- Help me help myself: 3. Verbals (what to say):	-I can see... (validate) -When you...(encourage positive behavior) -I know we can...(emphasize desirable outcomes) -I am sorry that... (apologize)
Errors to avoid during restraint that increase chance of injury or death:	1. pressure to the neck/using a position that causes the neck to compress 2. weight on chest or back 3. arms behind the back 4. prolonged restraint (no more than 20 min) * stop as soon, do not bend small child restraint forward, not under 5
What are some physical warning signs during a restraint that indicate the young person is in danger?	1. stops struggling, becomes quiet/goes limp 2. says can't breath 3. becomes dusky purple color or begins vomiting 4. making grunting noises 5. ceases to breath/goes limp 6. spontaneously ceases to breath/limp (neck compression)
Proactive vs. reactive aggression	Proactive is cognitive/planned Reactive is emotional flooding/draining/unplanned
Non-verbal crisis communication we should consider during a potentially violent situation:	-eye contact -body language -personal space -height differences -gender differences -cultural differences

Created by: svondracek

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