Tci Flashcards
A Trauma - informed organisation
Policies
Procedures
Practices
Where can a trauma - informed organisation be found
People HR
Power app
Developmental relationships are characterised by
Attachment
Reciprocity
Progressive complexity
Balance of power
Effective TCI implementation includes
Young person and family
Clinical participation
Supervision and post crisis response
Training standards
Documentation and incident monitoring
Leadership and programme support
The TCI system assists organisations to
Prevent crisis
De escalate crisis
Manage physical behaviour
Reduce injury to young people and staff
Teach emotional regulation skills and coping strategies
Develop a learning organisation
TCI theory of change
Cornell
Organisation
Organisation outcomes
Young person outcomes
Young people
Carers
Supervisors
What is a therapeutic Milieu
Combination of people,emotions, attitudes and objects that create a sense of safety
Spaces within the therapeutic milieu
Ideological
Physical
Cultural
Social
Emotional
Setting conditions
Anything that makes challenging behaviour or traumatic stress responses more or less likely to occur
What are the internal use of self
Self-awareness
Self-regulation
Relationship skills and attunement
Self-care
3 parts of the triune brain are
Thinking
Emotional
Survival
Pain based behaviours
Cant regulate emotions
Overreaction
Outbursts
Trauma re-enactment
Defiance
Inflexibility
Running away through anger or fear
Self injury
Withdrawal
When does a crisis occur
When a child is in fight, flight or freeze and cant regulate their emotions
Goals of crisis intervention
Support
Teach
Recovery phase outcomes
Higher
No change
Lower
What 4 questions do we ask ourselves in a crisis situation
What am I feeling now
What does the young person feel
How is the environment
How do I respond
How do I best respond in a crisis
Stay in control
Emotional support
Environmental support
Decrease level of stress
Non verbal techniques
Silence
Facial expression
Eye contact
Tone of voice
What is reflective response
Connect with the child’s feelings
What is the empathetic response
Connect with the child’s experience
Active listening does the following
Helps children express their thoughts and feelings
Reduces opposition
Promotes change
Helps children to talk out not act out
What are the behaviour support techniques
Environment
Prompting
Caring gesture
Hurdle help
Redirection and distraction
Proximity
Directive statement
Time away
Goals of emotional first aid
immediate support to reduce emotions
Identify and resolve the concerns causing stress
Keep child in the activity
Strategies for emotional first aid
Co-regulate emotions
Maintain relationship
Plan and anticipate
How do you avoid a power struggle
Drop the rope
Listen and validate feelings
Manage environment
Give choices
Change expectation
Effects of anger
When we are at our angriest
We are at out stupidest
Non verbal messaging
Eye contact
Body language
Personal space
Heigh and gender
Sensitivity to cultural issues
Elements of a violent situation
The spark
The target
The weapon
Stress level
Objective of co-regulation
Provide support that will reduce stress and decrease child’s risk of safety
What to think(self talk)
Ask yourself the 4 questions
Use positive self talk
What to do (non verbal strategies)
Take a deep breath
Give child space and time
Use silence
Step away
Neutral face expression
What to say ( verbal strategies)
Very little
Calmly
Understand responses
Tone of voice
What do do when its over
Discuss situation in LSI
Debrief
Post crisis multi level response timeline
Immediate response
LSI with child
Incident report
Incident review with staff
Incident review with team
Life space interview LSI is
A verbal process that helps turn crisis events into learning experiences
Goals of LSI
Provide emotional safety
Help clarify events for adult and child
Repair relationship help regulate emotions
Enter child back into routine
Steps to LSI
IESCAPE
Identify a place and time to talk
Explore childs point of view
Summarise feelings and content
Connect trigger to feelings and behaviour
Alternate responses to feelings discussed
Plan/ practice
Enter child back into routine
Who carries out the steps to LSI
Adult who was supporting child through the event
The goal of physical intervention
To reduce risk
What is physical restraint
Trained staff members to hold a child to contain physical behaviour
Acute physical behaviour is
Behaviour that can result in injury
Options to handle physical violence
Restraint techniques
Leave situation for assistance
Keep safe distance
Eliminate one of the elements - SPARK
Physical restraint is not used to
Demonstrate authority
Enforce compliance
Cause pain or harm
Punish or discipline
