Therapeutic Crisis Intervention

Question 0

Encourage positive relationships by

Answer 0

Meeting children’s basic needs and building attachments
Building culturally competent staff members
Helping staff develop emotional competence and self-awareness
Teaching children relationship skills
Providing team building experiences for staff members and young people

Question 1

Effective TCI implementation includes

Answer 1

Leadership and program support
Clinical participation
Supervision and post crisis response
Training and competency standards
Documentation and incident monitoring feedback

Question 2

Emotional competence means

Answer 2

Being aware of personal goals, values, beliefs
Understanding cultural and ethnic differences and each other’s worldview
Demonstrating self-regulation skills
Knowing personal triggers

Question 3

The stress model of crisis

Answer 3

Precrisis state (baseline)
Triggering event
Escalation phase
Outburst crisis
Recovery

Question 4

Recovery phase

Answer 4

Higher (Educateur)
No change (fire fighter)
Lower (abuser)

Question 5

Four questions we ask ourselves in a crisis situation

Answer 5

1. What am I feeling now
2. What does this young person feel, need, or want?
3. How is the environment affecting the young person?
4. How do I best respond?

Question 6

Identifying a young person’s needs

Answer 6

What is this individual child’s baseline behavior?
Is this normal for a child of this age?
Does this behavior reflect the child or family’s worldview?
Is this a pain-based behavior related to past trauma?
What feeling is the child expressing?

Question 7

Meaning in emotional communication

Answer 7

Meaning = facial expression (55%) + Tone of voice (38%) + Words (7%)

Question 8

Crisis communication and active listening

Nonverbal Techniques

Answer 8

Silence
Nods
Facial expression
Eye contact

Question 9

Behavior support techniques

Answer 9

Managing the environment
Prompting
Caring guesture
Hurdle help
Redirection and Distractions
Proximity
Directive statements
Time away

Question 10

Goals of emotional first aid

Answer 10

1. Provide immediate help and support to reduce emotional intensity (co-regulation)
2. Resolve the immediate crisis
3. Keep the child in the program/activity

Question 11

Strategies for emotional first aid

Answer 11

Drain off emotions
Clarify events
Maintain the relationship and lines of communication
Remind the child of expectations and mediate the situation if necessary

Question 12

The child should understand that the worker

Answer 12

Believes the child has the ability to successfully participate in the activity.
Will have time to talk again, if needed

Question 13

Conflict cycle

Answer 13

Stressful situation/incident
Young person’s feelings
Young person’s behavior
Adult’s response

Question 14

We can avoid the conflict cycle by

Answer 14

Using positive self talk
Listening and validating feelings
Managing the environment
Giving choices and the time to decide
Redirecting the young person to another positive activity
Appealing to the young person’s self-interest
Dropping or changing the expectation

Question 15

Understanding aggressive behaviors

Answer 15

Reactive aggression
Affective or expressive aggression
Loss of control and emotional flooding
Emotions are dominant

Proactive Aggression
Instrumental or operant aggression
Goal orientated
Cognitions are dominant

Question 16

Nonverbal behaviors

Answer 16

Eye contact
Body language
Personal space
Height differences
Gender differences
Cultural differences

Question 17

Elements of a potentially violent situation

Answer 17

A potential trigger to violence
A target
A weapon
Level of stress or motivation

Question 18

Remove the potential trigger to violence by

Answer 18

Never touching an angry and potentially violent person
Avoiding any aggressive moves and provocative statements
Avoiding the conflict cycle and counter aggression
Removing others who might trigger the violence
—-Body language is critical—-

Question 19

Objective of crisis co-regulation

Answer 19

To provide support in a way that reduces stress and risk

Question 20

What to think (self-awareness)

Answer 20

Ask yourself the four questions
1. What am I feeling now?
2. What does this young person feel, need, or want?
3. How is the environment affecting the young person?
4. How do I best respond?
Use positive self-talk

Question 21

Goals of the LSI (Life Space Interview)

Answer 21

1. Return the young person to normal functioning
2. Clarify events
3. Repair and restore the relationship
4. Teach new coping skills
5. Reintegrate the young person back into the program

Question 22

Steps to the LSI

Answer 22

I - Isolate the coversation
E - Explore the young person’s point of view
S - Summarize the feelings and content
C - Connect feelings to behavior
A - Alternative behaviors discussed
P - Plan developed/practice new behavior
E - Enter young person back into the routine