Therapeutic Crisis Intervention Study Guide

Effective TCI Implementation includes... - Leadership and program support, Clinical participation, Supervision and post crisis response, Training and competency standards, Documentation and incident monitoring and feedback Setting conditions (definition) - Anything that makes challenging behavior more or less likely to occur Setting conditions (examples) - Organizational culture, environment, program related, personal, relationship-based Positive organizational culture - - Supports developmentally appropriate practice - Provides opportunities for children to participate successfully in activities - Involves children, families, and staff members in decision making - Encourages relationship building activities - Creates a learning organization Calming physical environment - - Makes good use of space for personal and public use - Is clean, orderly, inviting - Has soft lighting and reasonable calming noise levels - Is furnished and decorated approrpriately for the age group living there Programs, activities, and routines should - - Balance structure and flexibility to meet individual needs - Provide for thoughtful transitions - Be consistent and satisfying - Have goals, structure, and be designed to help children develop skills - Be adequately resourced Treat each child as an individual with - - Individual baseline behavior - Different strengths and abilities - Specific effects of trauma - Underdeveloped co-regulation and self-regulation skills - Possible physical discomfort - A need for an ICMP Encourage positive relationships by - - Meeting children's basic needs and building attachments - Building culturally competent staff members - Emotional competence and self-awareness - Teaching relationship skills - Providing team building experiences Emotional competence means - - Being aware of personal goals, values, and beliefs - Understanding cultural and ethnic differences - Demonstrating self-regulation skills - Knowing personal triggers Crisis - A crisis occurs when a young person's inability to cope results in a change in behavior Goals of TCI are - - SUPPORT environmentally and emotionally to reduce stress and risk - TEACH children better ways to cope with stress Stress Model of Crisis - Recovery phase options - - Higher (educateur) - No change (fire fighter) - Lower (abuser) Skills Building Pyramid - 1. Self-Awareness/Four Questions 2. Active Listening/Crisis Communication 3. Behavior Support Techniques 4. Emotional First Aid 5. Crisis Co-Regulation 6. Life Space Interview Four Questions - 1. What am I feeling right 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? How do I best respond? - - Provide environmental support by managing the environment to neutralize potential triggers - Provide emotional support by engaging the young person - Exercise self-control over own feelings Identifying a young person's needs - - What is this individual child's baseline behavior? Is this typical? - Is this normal for a young person of this age? - Does this behavior reflect the child or family's worldview? - Is this a pain-based behavior related to past trauma? - What feeling is the child expressing? Examine the physical setting for - - Possible weapons - Stimulating lights or noise levels - Crowding - Chaotic, messy, disorganized messages