Therapeutic Crisis Intervention (TCI) Already Graded A+

Therapeutic Crisis Intervention (TCI) Already Graded A+ Setting Condition: ️Anything that increases or decreases the likelihood of challenging behavior occurring. Examples of Setting Conditions: - Organizational Culture: - Control-oriented - Poor communication - Environment: - Hot - Crowded - Program Related: - Routine - Staffing - Activities - Personal: - Illness - Medication - Trauma - Relationship-Based: - Excessive controls - "Us versus them" culture Goals of Crisis Intervention: ️ - Support: Environmentally reduce stress and risk - Teach: Help children develop better ways to cope with stress Stress Model of Crisis: 1. Baseline 2. Triggering Event 3. Escalation Phase 4. Outburst Crisis 5. Recovery Four Questions to Ask in a Crisis Situation: 1. What am I feeling now? 2. What does this young person feel, need, or want? 3. How is the environment affecting the young person? 4. How do I best respond? Examples of Pain-Based Behaviors: - Impulsive outbursts - Aggressiveness - Running away - Self-injury - Defiance - Inability to regulate emotions - Trauma re-enactment Please provide examples of each of the following techniques regarding Active Listening: Nonverbal Techniques ️Silence Nods Facial Expression Eye Contact Encouraging and Eliciting Techniques ️Tone of voice minimal encouragements-"Uh-huh" "go on" "I see" door openers-"I'd like to hear more" "tell me more about" closed questions- "Do you like your teacher" open questions- "How did you respond" "What happened next" Understanding Responses ️Reflective Responses: - "You feel uncomfortable when your friends talk about school" - "You are angry about your visit being canceled. I'd be upset, too" Summarization: "Here is what I hear you saying, you felt good at first but now....." Characteristic of Active Listening ️Identifies and validates feelings Reduce defensiveness Promotes change Communicates that we care and understand Is an effective co-regulation strategy Helps young people "talk out rather than act out" Active listening is NOT ️throwing up roadblocks arguing or blaming giving permission giving advice or solving the problem for the child necessarily time consuming List the behavior of support techniques in order from least to most restrictive and explain or give an example of each technique: (need to know) ️Managing the environment Prompting- nonverbal (have a seat, point to the seat) (give them countdown) Caring gesture- hugs on back, letting them know you care Hurdle help- helping them start cleaning the room Redirection and Distractions- telling them about a squirrel outside to distract them. but then get them back Proximity- Directive statements- child picks up the chair and staff ask please put the