TCI

Question 1

Spaces within the therapeutic Millieu?

Answer 1

Social
Physical
Ideological
Cultural
Emotional

Question 2

What are the four questions we ask ourselves in a crisis situation?
WHAT,WHAT,HOW,HOW

Answer 2

• What am I feeling now?
• What does this young person feel,need, expect or want?
• How is the environment affecting the situation?
• How do I best respond?

Question 3

Crisis Co-Regulation

Answer 3

• What to think
• What to do
• What to say

Question 4

Elements of a potential violent situation

Answer 4

• The Spark
• The Target
• The Weapon
• Level of stress or motivation

Question 5

What are the Four foundations of intentional use of self

Answer 5

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

Question 6

Active listening techniques:
- Non-Verbal
- Encouraging & Eliciting
- Responses

Answer 6

NON VERBAL
• Silence
• Facial expressions
• Eye contact
• Tone of voice

ENCOURAGING & ELICITING
• Minimal encouragements
• Door openers
• Closed questions
• Open questions
RESPONSES
• Reflective response
• Empathic response
• Summarisation

Question 7

Stress Model of Crisis

Answer 7

• Baseline
• Triggering event
• Escalation
• Outburst
• Recovery

Question 8

Strategies to avoid or end the Power Struggle

Answer 8

• Listen & validate feelings
• Managing the environment
• Give choices & the time to decide what to do next
• Dropping or changing the expectation

Question 9

Behaviour Support Techniques

Answer 9

Managing the environment
Caring gesture
Redirection and distraction
Directive statement
Prompting
Hurdle Help
Proximity
Time Away

Question 10

Strategies of emotional first aid

Answer 10

• Co-regulate emotions
• Maintain the relationship and lines of communication
• Plan and anticipate

Question 11

The Triune Brain

Answer 11

• The Thinking Brain
• The Emotional Brain
• The Survival Brain

Question 12

Recovery Phase Outcomes

Answer 12

• Higher
• No Change
• Lower

Question 13

Developmental Relationships are characterised by:

Answer 13

• Attachment
• Reciprocity
• Progressive complexity
• Balance of Power

Question 14

Goals of crisis intervention

Answer 14

SUPPORT - provide immediate emotional and environmental support to reduce stress and rush and increase the YP’s sense of safety
TEACH - help YP learn and practice ways to regulate their emotions and behaviours

Question 15

Help Me Help Myself: Crisis Co-regulation

Answer 15

What to think:
• Ask yourself the 4 questions
• Use positive talk
What to do:
• Take a deep breath and slowly exhale
• Give the YP space and time
• Use silence
• If safe, step away from the YP’s sight
What to say:
• Very little
• Speak calmly, assertively, respectfully
• Understanding response
• Remember the importance of tone of voice

Question 16

Setting Condition

Answer 16

A seeing condition is: anything that makes challenging behaviours more or less likely to occur

Question 17

Objectives of Emotional First Aid

Answer 17

Provide immediate support to reduce emotional intensity. Identify and resolve the underlying concerns causing distress. Keep the young person in the activity

Question 18

Life Space Interview Steps -
IESCAPE

Answer 18

• Identify a time and place to talk
• Explore the YP’s point of view
• Summarise feelings and content
• Connect trigger to feeling to behaviour
• Alternate responses to feelings discussed
• Plan/develop and practice
• Enter YP back into routine

Question 19

Pain based behaviours

Answer 19

• Running away
• Defiance
• Self injury
• Withdrawal
• Inability to regulate emotions
• Overreaction to situations
Impulsive outbursts
• Inflexibility

Question 20

Help Me Help Myself

Answer 20

•Take a deep breath and exhale slowly
•Give the child space and time
•Use silence
•If safe,step out of child’s sight
•Assume a neutral stance and concerned facial expression

Question 21

Empathic Response examples:

Answer 21

•I’m sorry to hear that
•I understand how that could be frustrating
•Thanks for reaching out

Question 22

Reflective Response examples:

Answer 22

•I get a sense that you are angry
•It feels as though your upset and saddened by this
•It sounds like you are very mad about this

Question 23

Where physical force is used in an emergency, staff are required to ensure that the force is:

Answer 23

• Reasonable and necessary to prevent the child from harming themselves or others
• The least restrictive option, in that it is the minimum level of force which is reasonable and necessary to protect the child or YP against danger
• Applied for shortest amount of time possible and is removed as soon as the risk has reduced
• Only used where the risk of not using forced outweighs the risk for using force

Question 24

What are the situations in which restraint would be avoided

Answer 24

• The staff cannot remain calm
• The child is threatening the stuff with bodily injury
• when the child has a weapon
• when the childs medical condition can be aggravated
• if the child is on medications
• when the restraint may result in serious trauma for the child

Question 25

Behaviour Support Techniques

Answer 25

• Managing the environment
• Caring gesture
• Redirection and distraction
• Directive statement
• Prompting
• Hurdle Help
• Proximity
• Time Away

Question 26

Strategies of emotional First Aid

Answer 26

• Co-regulate emotions
• Maintain the relationship and lines of communication
• Plan and anticipate