TCI - Therapeutic Crisis Intervention CORRECT
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Therapeutic milieu - ANSWER The combination of people, emotions, attitudes, and objects that create a
sense of safety, respect, belonging, care, and accountability
Spaces within the Milieu - ANSWER Ideological, Physical, Cultural, Social, and Emotional
Intentional Use of Self - ANSWER 1. Self-awareness
2. Self regulation
3. Relationship skills and attunement
4. Self-care
The Three Parts of the Triune Brain - ANSWER 1. Thinking brain
2. Emotional brain
3. Survival brain
Symptoms of Pain-Based Behavior - ANSWER - inability to regulate emotions
- overreaction to situations
- impulsive outbursts
- trauma re-enactment
- defiance
- inflexibility
- running away
- self injury
- withdrawal
Goals of Crisis Intervention - ANSWER Support
, Teach
Stress Model of Crisis - ANSWER Baseline -> Triggering Event -> Escalation -> Outburst -> Recovery
Elements of a Potentially Violent Situation - ANSWER - The spark
- The target
- The weapon
- Level of stress or motivation
Objective of Crisis Co-Regulation - ANSWER To provide support in a way that reduces stress and risk and
increases the child's sense of safety
Steps to the LSI - ANSWER I- Identify (time and place to talk)
E- Explore (the child's point of view, child does most of the talking)
S- Summarize (feelings and content, big picture)
C- Connect (trigger -> feeling -> behavior)
A- Alternative (different way to express anger, agitation, distress; the child should come up with this)
P- Plan (role play)
E- Enter (prepare them to enter back into milieu
Restraints Should be Avoided or Stopped When... - ANSWER - Adults can't control the child safely
- Adult is mentally not capable
- Child is threatening and capable of hurting staff
- Sexual stimulation is motivation
- In a public place
- Child has a weapon
- Child's medical condition
- Child has risk of traumatization
100%
Therapeutic milieu - ANSWER The combination of people, emotions, attitudes, and objects that create a
sense of safety, respect, belonging, care, and accountability
Spaces within the Milieu - ANSWER Ideological, Physical, Cultural, Social, and Emotional
Intentional Use of Self - ANSWER 1. Self-awareness
2. Self regulation
3. Relationship skills and attunement
4. Self-care
The Three Parts of the Triune Brain - ANSWER 1. Thinking brain
2. Emotional brain
3. Survival brain
Symptoms of Pain-Based Behavior - ANSWER - inability to regulate emotions
- overreaction to situations
- impulsive outbursts
- trauma re-enactment
- defiance
- inflexibility
- running away
- self injury
- withdrawal
Goals of Crisis Intervention - ANSWER Support
, Teach
Stress Model of Crisis - ANSWER Baseline -> Triggering Event -> Escalation -> Outburst -> Recovery
Elements of a Potentially Violent Situation - ANSWER - The spark
- The target
- The weapon
- Level of stress or motivation
Objective of Crisis Co-Regulation - ANSWER To provide support in a way that reduces stress and risk and
increases the child's sense of safety
Steps to the LSI - ANSWER I- Identify (time and place to talk)
E- Explore (the child's point of view, child does most of the talking)
S- Summarize (feelings and content, big picture)
C- Connect (trigger -> feeling -> behavior)
A- Alternative (different way to express anger, agitation, distress; the child should come up with this)
P- Plan (role play)
E- Enter (prepare them to enter back into milieu
Restraints Should be Avoided or Stopped When... - ANSWER - Adults can't control the child safely
- Adult is mentally not capable
- Child is threatening and capable of hurting staff
- Sexual stimulation is motivation
- In a public place
- Child has a weapon
- Child's medical condition
- Child has risk of traumatization
