TCI Flashcards
What three things make up a trauma informed organization?
policies, procedures, practices
Trauma informed organizations ensure that staff…
Understand what trauma is and how it impacts everyone, Recognize behaviors that reflect trauma, Respond in ways to avoid re-traumatization
What is a therapeutic milieu made up of?
People, Emotions, Attitudes, and Objects
What does a milieu create?
creates a sense of Care, Respect, Accountability, Belonging, and Safety
What are the five spaces in a milieu?
Social, Physical, Ideological, Culture, Emotional
What are setting conditions?
Any thing that makes challenging behavior or traumatic responses more or less likely to occur
What does the cultural space do?
develop culturally competent staff, accepts and celebrate cultural differences, supports family connection and involvement, Allows for culturally diverse staff-child interactions
Is it more important to feel safe or be safe?
feel safe
What are the four foundations for intentional use of self?
Self-awareness, Self-regulation, Relationship skills and attunement, Self-care
What are the three parts of the triune brain?
Survival, Emotional, Thinking
Pain based behaviors
Defiance, Withdrawal, Self-injury, Overreaction, Impulsive outbursts
What are the two goals of crisis intervention?
Support: immediate emotional and environmental support to reduce stress and risk and increase child’s sense of safety. Teach: help children learn and practice ways to regulate thei emotions and behaviors
Five parts of a crisis
Baseline, Triggering event, Escalation, Outburst, Recovery
Three recovery phase outcomes
Higher, No change, Lower
What are the four questions we ask ourselves in a crisis?
What am i feeling now? What does the child feel, need, expect, or want? How is the environment affecting the situation? How do I best respond?
What are the four encouraging tecniques?
Minimal encouragements, Door openers, Closed questions, Open questions
Example of minimal encouragement
Uh Huh, Go On, I See
Example of door openers
i’d like to hear more
Example of closed questions
do you like your teacher?
Example of open question
what happened next?
What are the four nonverbal tecniques?
Silence, Tone of voice, Eye contact, Facial expression
Behavior support techniques
Proximity, Time away, Managing the environment, Caring gesture, Directive statements
Three goals of emotional first aid
Provide immediate support, Identify and resolve underlying concerns, Keep the child in the activity
Three strategies for emotional first aid
Co-regulated emotions, maintain the relationships and lines of communication, plan and anticipate
Four ways to avoid or end the power struggle
Listen and validate feelings, Managing the environment, Give choices, Drop or change the expectation
What are the nonverbal messagings?
Eye contact, Body language, Personal space, Height and gender, Sensitivity to cultural issues
Four elements of a potentially violent situation
Spark, Target, Weapon, Level of stress or motivation
How to help myself
What to think, What to do nonverbal, What to say, What to do when it’s over
What are the goals of the LSI
Provide a sense of emotional safety, Help clarify events, Repair and restore the relationship, Help the child learn to regulate emotions, Re-enter the child back into routine
Steps to the LSI
Identify a place and time to talk, Explore child’s pov, Summarize feelings and content, Connect trigger to feelings and behavior, Alternative responses, Plan developed/practiced, Enter child back into the routine
Options to handling physical violence
Eliminate one of the elements of a violent situation, use Releases and maintain a safe distance, employ physical Restraint techniques, Leave the situation and get assistance
Physical restraint should only be used when
Agency policies and state regulations allow it, the crisis support plan prescribes it, our professional dynamic risk assessment indicates it
Physical restraint is never used to
Demonstrate authority, Enforce compliance, Inflict pain or harm, Punish or discipline
The letting go process
States what is Expected, is directed by the Leader, is Supportive, Sets the ton for the recovery phase