Therapeutic Crisis Intervention Exam Study Guide (TCI- 7th Edition)

Therapeutic Crisis Intervention Exam Study Guide (TCI- 7th Edition) What are the four questions that we ask ourselves before intervening in a potential crisis? - answer -1. What am I feeling now? 2. What does this child feel, need, or want? 3. How is the environment affecting the child? 4. How do I best respond? Behavior Support Techniques (need to know 4) - answer -1. Managing the environment 2. Prompting 3. Caring gesture 4. Hurdle help 5. Redirection and distractions 6. Proximity 7. Directive statements 8. Time away What are the three goals of emotional first aid? **Be able to write these out - answer -1. Co-regulation (provide immediate help and support to reduce emotional intensity) 2. Resolve the immediate crisis 3. Re-enter the child back into the program Strategies for Emotional First Aid **Need to know terms and be able to write them out - answer -1. Drain off emotions 2. Clarify events 3. Maintain the relationship and lines of communication 4. Remind the child of expectations and mediate the situation if necessary Conflict Cycle - answer -1. Stressful situation/incident 2. Young person's feelings 3. Young person's behavior 4. Adult's response Avoid the conflict cycle by: **Know at least four of these and be able to write them out! - answer -1. Listen and validate the child's feelings 2. Manage the environment 3. Give the young person choices and the time to decide what to do next. 4. Redirect the young person to another positive activity 5. Appeal to the young person's self interest 6. Drop or change the expectation 7. Use positive self-talk Reactive vs. Proactive Aggression - answer -Reactive Aggression -emotions are dominant -loss of control and emotional flooding -eg. impulsive, angry, loud, highly aroused emotions Proactive Aggression -cognitions are dominant -goal oriented -eg. impassive, staring, smiling/smirking, firm, calm What are the four elements of a potentially violent situation? - answer -1. Trigger 2. Target 3. Level of Stress 4. Weapon True or False The goal in crisis intervention is to lower the stress and risk by providing emotional and environmental support? - answer -TRUE Nonverbal crisis co-regulation Help Me Help Myself strategies to help a potentially violent child. (NEED TO KNOW 4) - answer -1. Deep breath 2. Protective stance 3. Step back 4. Give the situation time 5. Sit down (if appropriate) 6. Remember importance of body language and facial expression What are the five goals of the LSI? - answer -1. return the young person to baseline (normal functioning) 2. clarify the events 3. repair and restore the relationship with the adult 4. teach new coping skills 5. reintegrate the young person back into the program What are the steps of the LSI? **Know these word for word - answer -I --- Isolate the conversation E ---Explore the young person's point of view S ---Summarize the feelings and content C ---Connect feelings to behavior A ---Alternative behaviors discussed P ---Plan developed/practice new behavior E ---Enter the young person back into the routine What is a setting condition? - answer -Anything that makes challenging behavior more or less likely to occur. True or False