TCI Seventh Edition
4 Foundations for intentional Use of Self - ANS -1. Self awareness
2. Self Regulation
3. Relationship skills and attunement
3. Self Care
\4 Questions We ask Ourselves in a Crisis Situation - ANS -1. What am I feeling now?
2. What does this child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond?
\A Crisis Occurs When: - ANS -A child's flight, fight, and freeze response is activated and they are unable to regulate their
emotions and behaviors.
\A Trauma -Informed Organization Ensures that Staff - ANS -Understand- Understand what trauma is and how it impacts
everyone in the system.
Recognize- Recognize behaviors and patterns that reflect past and present trauma.
Respond- Respond in ways that avoid re-traumatization
\A Trauma-informed organization - ANS -Supports trauma-informed care through:
Policies
Procedures
Practices
\Active Listening - ANS -Helps children express their thoughts and feelings
Reduce defensiveness and opposition
Promotes Change
Communicates we understand and have a desire to help
Helps Children learn to self-soothe as we model ways to respond (Co-Regulation)
,Helps children "Talk out rather then act out"
\Adults can be a source of strength for children by: - ANS --Seeing the situations from the child's point of view
(empathetic response)
-Lending enough support (emotional and environmental) to help bring the situation within the child's ability to manage.
-Celebrating the child's efforts and success
\Adults need to know - ANS -*Safety Concerns including contradictions to restraint
*Child's triggers to a stress response
* Child's High -risk behavior
* Strategies for preventing a crisis (setting conditions)
*Strategies for responding to reduce the child's stress in the triggering escalation, and outburst phases of the crisis.
*How to help the child recover and return to normal functioning after crisis.
\Assessing a Crisis Situation - ANS -Accurately assessing a potential crisis situation and choosing strategies that will
provide the emotional and environmental support the child needs to navigate through the event.
\Assessing Behavior - ANS -- All behavior has meaning
-Behavior reflects emotions and needs
-Trauma affects children's ability to manage feeling and behaviors.
\Avoid the Weapon By - ANS -- Discreetly removing objects
-Maneuvering away from weapons
-Staying a safe distance away.
\Baseline Behavior - ANS -Every child has a normal state of functioning and arousal level that is specific to that child.
\Basic Principles of Physical Intervention - ANS -A maximum amount of care with a minimum amount of force and the goal
of de-escalating the situation by reducing stimulation.
\Behavior Support Techniques - ANS -Redirection and Distractions
Managing the Environment
Prompting
Proximity
Direct Statements
Caring Gesture
Time Away
, Hurdle Help
\Caveat - ANS -*Participate only if physical and medically able
*Offer no resistance in the role of the child(unless the trainers instruct you otherwise)
* Remove objects that might cause injury
*Be appropriately dressed
*Practice only the techniques demonstrated
\Criteria For Using Direct Statements - ANS --The Child has a trusting relationships with the adults
-The expectation is important enough to risk escalating the situation.
-The Child has the ability to meet the expectations and has demonstrated this ability in the past when they were at the
same level of arousal.
-The child is still in control enough to hear and understand the statement and respond positively to the request
-The request is made respectfully and calmly.
\Criteria for Using Time Away - ANS --The child has demonstrated an ability to self-regulate
-The child is not too highly escalated
-The child can go somewhere to relax, be quiet and think
-The purpose is to help the child quiet their emotions, not to punish
\Cultural Space - ANS -1. Develops culturally competence staff
2. Accepts and celebrates cultural difference
3. Supports family connections and involvement.
4. Allows for culturally diverse staff child interactions.
\Decrease the Level of Stress or Motivation By - ANS -- Using your relationship (Intentional use of self)
-Actively listening to identify feelings (reflective responses) and communicate understanding (empathetic responses)
-Removing the audience
-Using co-regulation strategies (reactive aggression)
-Removing the audience
-Using co-regulations strategies (reactive aggression)
-Offering alternative, non aggressive ways to achieve goals (if motivation)
\Definition of Physical Restraint - ANS -Physical Restraint- The use of trained and competent staff members to hold a
child in order to contain acute physical behavior
4 Foundations for intentional Use of Self - ANS -1. Self awareness
2. Self Regulation
3. Relationship skills and attunement
3. Self Care
\4 Questions We ask Ourselves in a Crisis Situation - ANS -1. What am I feeling now?
2. What does this child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond?
\A Crisis Occurs When: - ANS -A child's flight, fight, and freeze response is activated and they are unable to regulate their
emotions and behaviors.
\A Trauma -Informed Organization Ensures that Staff - ANS -Understand- Understand what trauma is and how it impacts
everyone in the system.
Recognize- Recognize behaviors and patterns that reflect past and present trauma.
Respond- Respond in ways that avoid re-traumatization
\A Trauma-informed organization - ANS -Supports trauma-informed care through:
Policies
Procedures
Practices
\Active Listening - ANS -Helps children express their thoughts and feelings
Reduce defensiveness and opposition
Promotes Change
Communicates we understand and have a desire to help
Helps Children learn to self-soothe as we model ways to respond (Co-Regulation)
,Helps children "Talk out rather then act out"
\Adults can be a source of strength for children by: - ANS --Seeing the situations from the child's point of view
(empathetic response)
-Lending enough support (emotional and environmental) to help bring the situation within the child's ability to manage.
-Celebrating the child's efforts and success
\Adults need to know - ANS -*Safety Concerns including contradictions to restraint
*Child's triggers to a stress response
* Child's High -risk behavior
* Strategies for preventing a crisis (setting conditions)
*Strategies for responding to reduce the child's stress in the triggering escalation, and outburst phases of the crisis.
*How to help the child recover and return to normal functioning after crisis.
\Assessing a Crisis Situation - ANS -Accurately assessing a potential crisis situation and choosing strategies that will
provide the emotional and environmental support the child needs to navigate through the event.
\Assessing Behavior - ANS -- All behavior has meaning
-Behavior reflects emotions and needs
-Trauma affects children's ability to manage feeling and behaviors.
\Avoid the Weapon By - ANS -- Discreetly removing objects
-Maneuvering away from weapons
-Staying a safe distance away.
\Baseline Behavior - ANS -Every child has a normal state of functioning and arousal level that is specific to that child.
\Basic Principles of Physical Intervention - ANS -A maximum amount of care with a minimum amount of force and the goal
of de-escalating the situation by reducing stimulation.
\Behavior Support Techniques - ANS -Redirection and Distractions
Managing the Environment
Prompting
Proximity
Direct Statements
Caring Gesture
Time Away
, Hurdle Help
\Caveat - ANS -*Participate only if physical and medically able
*Offer no resistance in the role of the child(unless the trainers instruct you otherwise)
* Remove objects that might cause injury
*Be appropriately dressed
*Practice only the techniques demonstrated
\Criteria For Using Direct Statements - ANS --The Child has a trusting relationships with the adults
-The expectation is important enough to risk escalating the situation.
-The Child has the ability to meet the expectations and has demonstrated this ability in the past when they were at the
same level of arousal.
-The child is still in control enough to hear and understand the statement and respond positively to the request
-The request is made respectfully and calmly.
\Criteria for Using Time Away - ANS --The child has demonstrated an ability to self-regulate
-The child is not too highly escalated
-The child can go somewhere to relax, be quiet and think
-The purpose is to help the child quiet their emotions, not to punish
\Cultural Space - ANS -1. Develops culturally competence staff
2. Accepts and celebrates cultural difference
3. Supports family connections and involvement.
4. Allows for culturally diverse staff child interactions.
\Decrease the Level of Stress or Motivation By - ANS -- Using your relationship (Intentional use of self)
-Actively listening to identify feelings (reflective responses) and communicate understanding (empathetic responses)
-Removing the audience
-Using co-regulation strategies (reactive aggression)
-Removing the audience
-Using co-regulations strategies (reactive aggression)
-Offering alternative, non aggressive ways to achieve goals (if motivation)
\Definition of Physical Restraint - ANS -Physical Restraint- The use of trained and competent staff members to hold a
child in order to contain acute physical behavior
