Developmental Relationships are characterized by - ✔️ Attachment,
reciprocity, progressive complexity, balance of power
The TCI system assists organizations to - ✔️ Prevent crisis
De-escalate potential crisis
Manage acute physical behavior
Reduce injury
Teach emotional regulation
Develop a learning organization
Effective TCI implementation Includes - ✔️ 1. Leadership & Program
support
2. Clinical participation
3. Supervision & post crisis response
4. Training and Competency standards
5. Documentation and incident monitoring and feedback
Definition of therapeutic milieu - ✔️ The combination of people,
emotions, attitudes, and objects that create a sense of safety, respect,
belonging, care and accountability
Spaces within the therapeutic milieu - ✔️ S.P.I.C.E. (social, physical,
ideological, cultural, emotional)
Social
Physical
Ideological
Cultural
Emotional
Setting Conditions - ✔️ Anything that makes challenging behavior
more or less likely to occur
Foundations for intentional use of self - ✔️ 1. Self awareness
2. Self regulation
3. Relationship skills and attunement
, 4. Self care
Triune Brain's 3 parts - ✔️ 1. The thinking brain
2. The emotional brain
3. Survival brain
Thinking Brain - ✔️ Neocortex- responsible for higher functions
such as reasoning, language, creativity, and abstract thought.
Emotional Brain - ✔️ Limbic System- Center for emotional behavior
and motivation.
Within this part of the brain is the amygdala (aka sentry).
FIGHT, FLIGHT, FREEZE.
Role of the amygdala (emotional brain) - ✔️ Responsible for
determining what is a threat
Survival Brain - ✔️ Brainstem (what is first developed in the brain),
basically responsible for maintaining homeostasis, survival functions such as
heart rate, circulation, breathing.
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
Not included in text but mentioned in program:
1. Disassociation
2. Intrusive thoughts
3. Flashbacks
Act in vs Act Out
Assessing behavior is important because: - ✔️ 1. All behavior has
meaning