Therapeutic Crisis Intervention (TCI) Already Rated A+ 2024

Therapeutic Crisis Intervention (TCI) Already Rated A+ 2024 Effective TCI Implementation Includes leadership and program support, clinical participation, supervision & post crisis response, training & competency standards, documentation & incident monitoring and feedback Setting Condition Anything that makes a crisis more or less likely to happen -examples: the organizational culture, the environment, activities and routines, the individual young person (history of trauma, medical issues, etc.), and the quality of the relationship Emotional Competence of the Staff Member Awareness of personal goals, values and beliefs; knowing personal triggers; understanding their own feelings, strengths, and limitations; and having the skill to self-regulate their own emotion during stressful situations Two goals of TCI Support-provide emotional and environmental support to reduce stress and risk Teach-teach better ways to cope with stress The Stress Model of Crisis precrisis state (baseline)-->triggering event/agitation-->escalation phase/aggression-->outburst crisis/violence-->recovery assessing behavior children behave pain-based behavior all behavior has meaning, behavior reflects needs, trauma effects how challenging behavior that is an expression of emotional and psychological pain that young people experience when they run out of coping skills awareness of the environment -the physical environment (lighting, noise, clutter, etc.) -activities & routines (inadequate space or resources, is it too difficult, too long, etc.) -agency policies & procedures (should help staff know what to do) active listening helps us to answer the question, "what does this child feel, need, or want?" by using verbal or nonverbal techniques to identify what the young person is feeling and then communicating that understanding back to them. It communicates understanding and caring and is an excellent source of co-regulation to help a young person calm down -Doesn't take long non-verbal techniques -silence, facial expressions, eye contact encouraging and eliciting techniques questions (open and closed) understanding responses -tone of voice, minimal encouragements, door openers, -reflective responses (feelings and content) -summarization behavior support techniques managing the environment, prompting, caring gesture, hurdle help, redirection and distraction, proximity, directive statement, time away managing the environment conditions or reduce stress -managing and structuring the environment to avoid setting prompting -a signal to a young person to start a desired behavior or stop an inappropriate action caring gesture -a gesture that communicates "I care about you". Helping when a young person is feeling insecure or overwhelmed hurdle help -helping a young person with the first few steps of an overwhelming task redirection & distraction proximity -diverting or redirecting a young person's energy or attention -standing near a young person to provide a sense of reassurance and support directive statement t ime away -clear guidance by telling a young person exactly what is expected of them -asking the young person to go to a quiet area when they are upset and being