CCHMC: TCI 7
2 ways to develop the Cultural Space - ANS - culturally competent staff & accept
and celebrate cultural differences
\3 basic processing regions of the triune brain - ANS - Thinking (neocortex)
Emotional (limbic system/amygdala)
Survival (brain stem)
\3 conditions have to be present to use a physical restraint - ANS - 1. Agency
policies and state regulations allow it
2. The child's ICSP prescribes it
3. Our professional dynamic risk assessment indicates it
\3 effects of anger during a stressful situation - ANS - 1. Anger can undermine
objectivity
2. Anger is an emotional and physical state
3. Cognitive abilities are reduced
\3 examples of pain-based behaviors - ANS - 1. running away
2. withdrawal
3. overaction
\3 options to handle physical violence that don't include physical restraint - ANS -
1. Eliminate one of the elements of violence
2. Releases/protective stance
3. Leave and get assistance
\3 possible outcomes of recovery? - ANS - Higher, no change, lower
\4 questions we ask ourselves in a crisis - ANS - 1. What am I feeling now?
2.What does the child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond?
\5 goals of the LSI - ANS - 1. Provide a sense of emotional safety
2. Help clarify the events for the child and adult
3. Repair and restore the relationship
4. Help the child learn to use emotional regulation skills
5. Re-enter the child back into the routine
\5 nonverbal crisis co-regulation strategies - ANS - 1. Take a deep breath and
exhale slowly
2. Give space and time
3. Use silence
4. If safe, step out of the child's sight
2 ways to develop the Cultural Space - ANS - culturally competent staff & accept
and celebrate cultural differences
\3 basic processing regions of the triune brain - ANS - Thinking (neocortex)
Emotional (limbic system/amygdala)
Survival (brain stem)
\3 conditions have to be present to use a physical restraint - ANS - 1. Agency
policies and state regulations allow it
2. The child's ICSP prescribes it
3. Our professional dynamic risk assessment indicates it
\3 effects of anger during a stressful situation - ANS - 1. Anger can undermine
objectivity
2. Anger is an emotional and physical state
3. Cognitive abilities are reduced
\3 examples of pain-based behaviors - ANS - 1. running away
2. withdrawal
3. overaction
\3 options to handle physical violence that don't include physical restraint - ANS -
1. Eliminate one of the elements of violence
2. Releases/protective stance
3. Leave and get assistance
\3 possible outcomes of recovery? - ANS - Higher, no change, lower
\4 questions we ask ourselves in a crisis - ANS - 1. What am I feeling now?
2.What does the child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond?
\5 goals of the LSI - ANS - 1. Provide a sense of emotional safety
2. Help clarify the events for the child and adult
3. Repair and restore the relationship
4. Help the child learn to use emotional regulation skills
5. Re-enter the child back into the routine
\5 nonverbal crisis co-regulation strategies - ANS - 1. Take a deep breath and
exhale slowly
2. Give space and time
3. Use silence
4. If safe, step out of the child's sight
