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Rachel TCI > Tci > Flashcards

Tci Flashcards

1
Q

A Trauma - informed organisation

A

Policies
Procedures
Practices

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2
Q

Where can a trauma - informed organisation be found

A

People HR
Power app

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3
Q

Developmental relationships are characterised by

A

Attachment
Reciprocity
Progressive complexity
Balance of power

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4
Q

Effective TCI implementation includes

A

Young person and family
Clinical participation
Supervision and post crisis response
Training standards
Documentation and incident monitoring
Leadership and programme support

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5
Q

The TCI system assists organisations to

A

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

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6
Q

TCI theory of change

A

Cornell
Organisation
Organisation outcomes
Young person outcomes
Young people
Carers
Supervisors

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7
Q

What is a therapeutic Milieu

A

Combination of people,emotions, attitudes and objects that create a sense of safety

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8
Q

Spaces within the therapeutic milieu

A

Ideological
Physical
Cultural
Social
Emotional

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9
Q

Setting conditions

A

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

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10
Q

What are the internal use of self

A

Self-awareness
Self-regulation
Relationship skills and attunement
Self-care

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11
Q

3 parts of the triune brain are

A

Thinking
Emotional
Survival

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12
Q

Pain based behaviours

A

Cant regulate emotions
Overreaction
Outbursts
Trauma re-enactment
Defiance
Inflexibility
Running away through anger or fear
Self injury
Withdrawal

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13
Q

When does a crisis occur

A

When a child is in fight, flight or freeze and cant regulate their emotions

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14
Q

Goals of crisis intervention

A

Support
Teach

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15
Q

Recovery phase outcomes

A

Higher
No change
Lower

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16
Q

What 4 questions do we ask ourselves in a crisis situation

A

What am I feeling now
What does the young person feel
How is the environment
How do I respond

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17
Q

How do I best respond in a crisis

A

Stay in control
Emotional support
Environmental support
Decrease level of stress

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18
Q

Non verbal techniques

A

Silence
Facial expression
Eye contact
Tone of voice

19
Q

What is reflective response

A

Connect with the child’s feelings

20
Q

What is the empathetic response

A

Connect with the child’s experience

21
Q

Active listening does the following

A

Helps children express their thoughts and feelings
Reduces opposition
Promotes change
Helps children to talk out not act out

22
Q

What are the behaviour support techniques

A

Environment
Prompting
Caring gesture
Hurdle help
Redirection and distraction
Proximity
Directive statement
Time away

23
Q

Goals of emotional first aid

A

immediate support to reduce emotions
Identify and resolve the concerns causing stress
Keep child in the activity

24
Q

Strategies for emotional first aid

A

Co-regulate emotions
Maintain relationship
Plan and anticipate

25
Q

How do you avoid a power struggle

A

Drop the rope
Listen and validate feelings
Manage environment
Give choices
Change expectation

26
Q

Effects of anger

A

When we are at our angriest
We are at out stupidest

27
Q

Non verbal messaging

A

Eye contact
Body language
Personal space
Heigh and gender
Sensitivity to cultural issues

28
Q

Elements of a violent situation

A

The spark
The target
The weapon
Stress level

29
Q

Objective of co-regulation

A

Provide support that will reduce stress and decrease child’s risk of safety

30
Q

What to think(self talk)

A

Ask yourself the 4 questions
Use positive self talk

31
Q

What to do (non verbal strategies)

A

Take a deep breath
Give child space and time
Use silence
Step away
Neutral face expression

32
Q

What to say ( verbal strategies)

A

Very little
Calmly
Understand responses
Tone of voice

33
Q

What do do when its over

A

Discuss situation in LSI
Debrief

34
Q

Post crisis multi level response timeline

A

Immediate response
LSI with child
Incident report
Incident review with staff
Incident review with team

35
Q

Life space interview LSI is

A

A verbal process that helps turn crisis events into learning experiences

36
Q

Goals of LSI

A

Provide emotional safety
Help clarify events for adult and child
Repair relationship help regulate emotions
Enter child back into routine

37
Q

Steps to LSI
IESCAPE

A

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

38
Q

Who carries out the steps to LSI

A

Adult who was supporting child through the event

39
Q

The goal of physical intervention

A

To reduce risk

40
Q

What is physical restraint

A

Trained staff members to hold a child to contain physical behaviour

41
Q

Acute physical behaviour is

A

Behaviour that can result in injury

42
Q

Options to handle physical violence

A

Restraint techniques
Leave situation for assistance
Keep safe distance
Eliminate one of the elements - SPARK

43
Q

Physical restraint is not used to

A

Demonstrate authority
Enforce compliance
Cause pain or harm
Punish or discipline

Rachel TCI (1 decks)

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