TCI Training Cornell study guide 2023

Crisis occurs when - A young person's inability to cope results in a change in behavior The Goals of a crisis intervention are to SUPPORT : environmentally and emotionally to reduce stress and risk TEACH: children better ways to cope with stress - SUPPORT : environmentally and emotionally to reduce stress and risk TEACH: children better ways to cope with stress Skills Building Pyramid - LSI Crisis CoRegulation Emotional First Aid Behavior Support Techniques Active Listening Crisis Communication Self Awareness - Four Questions Stress model of crisis - Pre-crisis State (Baseline) Triggering Event - Agitation Escalation Phase - Aggression Outburst CRISIS - Violence Recovery FOUR questions to ask ourselves in a crisis situation - What am I feeling now? What does this young person feel need want How is the environment affecting the young person? How do I 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 your own feelings What am I feeling now? - Anger can undermine objectivity Anger is an emotional and physical response Cognitive abilities are reduced Pain based behavior includes - Impulsive outbursts Aggression Running away Self Injury Defiance Inability to regulate emotions Trauma reenactment Substance Abuse Managing environment - Possible weapons Stimulating lights or noise Crowding Chaotic, messy, disorganized messages Behavior Support Techniques - *More effective in warning phase Managing the Environment Prompting Caring gesture Hurdle help Redirection and Distraction Proximity Directive statements Time away Goals of Emotional First Aid - 1. Provide immediate help and support to reduce emotional intensity (co-regulation) 2. Resolve the immediate crisis 3. Keep the child in the program/activity Emotional First Aid - Quick intervention to get back to baseline behavior Crisis is a good time to teach Conflict Cycle - Stressful situation/incident Young person's Feelings Young Person's Behavior Adult's response Ways to avoid the conflict Cycle - Using positive self talk Listening and validating feelings Managing the environment - ie removing others Giving choices and the time to decide Redirecting the young person to another positive activity Appealing to the young person's self-interest Dropping or changing the expectation Understanding Aggressive Behaviors - Types - Reactive Aggression