TCI Initial Test Flashcards
Four Questions in Crisis Event
- What am I feeling now?
- What does this child feel, need, expect, or want?
- How is the environment affecting the situation?
- How do I best respond?
Definition of
Setting Condition
Anything that makes behavior more or less likely to occur.
3 Outcomes of Recovery
Higher outcome: learning experience and growth opportunity.
No change: neutral outcome. Nothing good nor bad happens.
Lower outcome: someone is hurt or other negative outcome.
Behavioral Support Techniques
Managing the environment
Prompting
Caring gestures
Hurdle help
Redirection & Distractions
Proximity
Directive Statements
Time Away
Phases of Stress Model of Crisis
Baseline
Triggering Event
Escalation
Outburst
Recovery
3 Regions of Triune Brain
Thinking brain (neocortex)
Survival brain (brain stem)
Emotional Brain (limbic system)
Restraints should be discontinued of avoided when…
(When restraints, as indicated, should not be used)
Adults cannot control child safely
Adult is not in control - too angry
Child is threatening and is capable of harming staff
Sexual stimulation is the motivation
In a public place
Child has a weapon
Child’s medical condition prohibits it
Child has emotional problems risking traumatizion
Child is on medication(s) that affect their system
Predisposing Risk Factors for Restraints
Obesity
Influence of drugs/alcohol
Prolonged violent physical agitation
Underlying natural disease
Hot humid environments
Young person taking certain types of medication
Effects of severe trauma history
Warning Signs of Asphyxia
Neck compression: go lump and ceases to breathe simultaneously
Respiratory interference: breathing is labored, grunting noises, gagging/vomiting, change in skin color.
Change in level of response/consciousness: sudden change in struggle, bobbing of head, excessive sweating, evacuation of body fluids.
Physical Restraint Should only be used when
- Agency policies and state regulations regarding restraint allow it.
- The child’s individual crisis support plan prescribes it.
- Out professional dynamic risk assessment indicates it.
Physical Restraint Should NOT Be Used to
Demonstrate authority
Enforce compliance
Inflict harm or pain
Punish or discipline
HELP ME HELP MYSELF
What to think
Ask yourself the four questions
Use positive self-talk
HELP ME HELP MYSELF
What to do (nonverbal strategies)
Take a deep breath and exhale
Give the child space and time
Use silence
If safe, step away from the child’s sight
Assume a neutral stance and concerned facial expression
HELP ME HELP MYSELF
What to say
Very little
Speak calmly, assertively, and validate child’s feeling
Use understanding responses
Remember importance of tone of voice
LSI Steps
Identify a time and place to talk
Explore the child’s point of view
Summarize feelings and content
Connect trigger to feeling to behavior
Alternative responses to feeling
Plan developed and practiced
Enter child back into routine with support
