TCI 1 -May 2024

Question 1

Steps of a Life Space Interview (LSI)

Answer 1

• 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

Question 2

Pain Based Behaviours?

Answer 2

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

Question 3

3 regions of the Triune Brain

Answer 3

• Thinking
• Emotional (Amydala; Limbic system)
• Survival

Question 4

Active Listening
Encouraging and Eliciting Techniques

Answer 4

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

Question 5

Elements of a potentially violent situation

Answer 5

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

Question 6

Active Listening
Reflective & Empathic Responses

Answer 6

Reflective Responses connect with the YP’s feelings

Empathic Responses connect with the YP’s experience,

Question 7

4 Questions we ask ourselves in a crisis

Answer 7

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.

Question 8

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

Answer 8

• Higher
• No change
• Lower

Question 9

Name the spaces of the Therapeutic Milieau

Answer 9

1. Social
2. Physical
3. Ideological
4. Cultural
5. Emotional

Question 10

Setting Condition

Answer 10

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

Question 11

Behaviour Support Techniques?

Answer 11

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

Question 12

Non-Verbal Crisis Communication
What to say?

Answer 12

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

Question 13

Non-Verbal Crisis Communication
What to do?

Answer 13

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

Question 14

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

Answer 14

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.

Question 15

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

Answer 15

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

Question 16

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

Answer 16

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

Question 17

We can avoid or end the Power Struggle by?

Answer 17

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.

Question 18

Non-Verbal Messaging?

Answer 18

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

Question 19

Strategies for Emotional First Aid?

Answer 19

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).

Question 20

Active Listening
Non-Verbal Techniques?

Answer 20

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

Question 21

Stress Model of Crisis
Stages?

Answer 21

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

Question 22

Goals of Crisis Intervention?

Answer 22

Support & Teach

Question 23

Active Listening
Non-Verbal Skills?

Answer 23

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