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Therapeutic Crisis Intervention > TCI 1 -May 2024 > Flashcards

TCI 1 -May 2024 Flashcards

1
Q

Steps of a Life Space Interview (LSI)

A
  • Identify a time & place to talk
  • Explore the child’s POV
  • Summarise feelings & content
  • Connect trigger to feelings to behaviour
  • Alternate responses to feelings discussed
  • Plan developed & practise
  • Enter YP back into routine
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2
Q

Pain Based Behaviours?

A
  1. Inflexibility
  2. Trauma re-enactment
  3. Self harm/injury
  4. Defiance
  5. Running away through anger or fear
  6. Overreaction to situations
  7. Withdrawal
  8. Impulsive outbursts
  9. Inability to regulate emotions
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3
Q

3 regions of the Triune Brain

A
  • Thinking
  • Emotional (Amydala; Limbic system)
  • Survival
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4
Q

Active Listening
Encouraging and Eliciting Techniques

A
  1. Minimal Encouragers
  2. Open Questions
  3. Closed Questions
  4. Door Openers
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5
Q

Elements of a potentially violent situation

A
  1. Spark
  2. Target
  3. Weapon
  4. Level of motivation/stress
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6
Q

Active Listening
Reflective & Empathic Responses

A

Reflective Responses connect with the YP’s feelings

Empathic Responses connect with the YP’s experience,

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7
Q

4 Questions we ask ourselves in a crisis

A
  1. What am I feeling right now?
  2. What does the YP feel, need, expect, or want?
  3. How is the environment affecting the situation?
  4. How do I best respond.
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8
Q

3 outcomes for the Recovery Phase of the Stress Model of Crisis

A
  • Higher
  • No change
  • Lower
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9
Q

Name the spaces of the Therapeutic Milieau

A
  1. Social
  2. Physical
  3. Ideological
  4. Cultural
  5. Emotional
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10
Q

Setting Condition

A

Anything that makes the challenging behaviour or traumatic stress responses more or less likely to occur.

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11
Q

Behaviour Support Techniques?

A
  1. Managing the environment
  2. Proximity
  3. Prompting
  4. Caring Gesture
  5. Hurdle Help
  6. Time Away
  7. Redirection/Distraction
  8. Directive Statements
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12
Q

Non-Verbal Crisis Communication
What to say?

A
  1. Say very little
  2. Speak calmly, assertively & respectfully
  3. Understanding responses
    • affirm & validate YP’s feelings
    • communicate an understanding before making a request
    • share a belief you can work this out together
    • offer an apology
  4. Remember tone of voice
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13
Q

Non-Verbal Crisis Communication
What to do?

A
  1. Take a deep breath and slowly exhale
  2. Silence
  3. Give YP time and space
  4. If safe to do so, step out of their line of sight
  5. Maintain a neutral stance and concerned facial expression
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14
Q

Predisposing risk factors that put YP at greater risk of serious injury during a physical restraint?

A
  1. Obesity
  2. Influence of drugs or alcohol
  3. Prolonged violent physical agitation
  4. Underlying natural disease
  5. Hot/Humid environments
  6. Individuals taking certain medication/s
  7. Effects of severe trauma history.
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15
Q

Name situations in which restraint should be avoided?
(Part 1)

A
  1. The staff cannot remain calm and in control
  2. The staff is so angry with, or afraid of the YP that staff might intentionally or unintentionally inflict harm as a result of restraint
  3. The child is threatening the staff with bodily injury and appears to be capable of inflicting it
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16
Q

Name situations in which restraint should be avoided?
(Part 2)

A
  1. If sexual stimulation is the YP’s motivation.
  2. If a YP begins to act out in public at a location where physical intervention might easily be misinterpreted by the general public.
  3. When the YP has a weapon.
  4. When the YP has a medical condition.
  5. When the restraint may result in serious emotional trauma for the YP.
  6. If the YP is on medications.
17
Q

We can avoid or end the Power Struggle by?

A
  1. Listening and validating feelings.
  2. Managing the environment (removing others).
  3. Give YP choices; & time to decide what to do next.
  4. Dropping or changing the expectation.
18
Q

Non-Verbal Messaging?

A
  1. Eye contact.
  2. Body language.
  3. Personal space.
  4. Height & gender.
  5. Sensitivity to cultural issues.
19
Q

Strategies for Emotional First Aid?

A
  1. Co-regulate emotions (be a calming presence).
  2. Maintain the relationship & lines of communication.
  3. Plan and participate (to enter them back into program).
20
Q

Active Listening
Non-Verbal Techniques?

A
  1. Silence
  2. Facial expression.
  3. Eye contact.
  4. Tone of Voice.
21
Q

Stress Model of Crisis
Stages?

A
  1. Baseline
  2. Triggering Event
  3. Escalation.
  4. Outburst.
  5. Recovery.
22
Q

Goals of Crisis Intervention?

A

Support & Teach

23
Q

Active Listening
Non-Verbal Skills?

A
  1. Eye contact.
  2. Facial features.
  3. Silence.
  4. Tone of voice.

Therapeutic Crisis Intervention (1 decks)

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