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42 Cards in this Set
- Front
- Back
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What is Setting Condition? |
Anything that makes challenging behavior more or less likely to occur. |
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Examples of Setting Condition are..? |
- Organizational Culture (control oriented) - Environmental (crowded) - Program Related (activities) - Personal (medication) - Relationship-based ("us vs them" culture) |
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A Positive Organizational Culture does what? |
- Supports developmentally appropriate practice. - Provides opportunities to children to participate in successful activities. - Involves children, families, and staff members in decision making. - Encourages relationship building activities. - Creates a learning organization |
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A Calming Physical Environment is?
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- Making good use of space for personal and public use.
- Is clean, orderly, inviting. - Has soft lighting and reasonable calming noise levels. - Is furnished and decorated appropriately for the age group living there. |
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Programs, Activities, and Routines should..?
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- Balance structure and flexibility to meet individual needs.
- Provide for thoughtful transitions. - Be consistent and satisfying. - Have goals, structure, and designed to help children develop skills. - Be adequately resourced. |
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Treat Each Child as an Individual With..?
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- Individual baseline behavior.
- Different strengths and abilities. - Specific effects of trauma. - Underdeveloped co-regulation and self-regulation skills. - Possible physical discomfort (illness). - A needed for an individualized crisis management plan (ICMP). |
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Encourage Positive Relationships by?
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- 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. |
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The Goals of Crisis Intervention are..?
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1) Support: environmentally and emotionally to reduce stress and risk.
2) Teach: children better ways to cope with stress. |
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The Affect of Anger is..?
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"When we are at our angriest, we are at our stupidest."
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Four Questions We Ask Ourselves in a Crisis Situation are..?
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1) What am I feeling now?
2) What does this youth person feel, need, or want? 3) How is the environment affecting the youth? 4) How do I best respond? |
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Active Listening is..? |
- Identifies and validates feelings. - Reduces defensiveness. - Promotes change. - Communicates that we care and understand. - Is an effective co-regulation strategy. - "talk out rather than act out". |
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Active Listening is NOT..? |
- Throwing up roadblocks. - Arguing or blaming - Giving permission. - Giving advice or solving the problem for the child. - Necessarily time consuming. |
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Encouraging and Eliciting Techniques are..? |
- Minimal Encouragements (uh-huh, go on) - Door Openers (I'd like to hear more) - Closed Questions (Do you like your teacher) - Open Questions (How do you feel) |
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Some Nonverbal Techniques are..? |
- Silence - Nods - Facial Expressions - Eye Contact |
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Some Behavior Support Techniques are...? |
- Managing the environment
- Prompting - Caring Gesture - Proximity - Re-directions - Time Away - Hurdle Help - Directive Statements |
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Goals of Emotional First Aid are to? |
1) Provide immediate help and support to reduce emotional intensity.
2) Resolve the immediate crisis. 3) Keep the child in the program/activity. |
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Some Strategies for Emotional First Aid are..? |
- Drain off emotions.
- Clarify events. - Maintain the relationship and lines of communications. - Remind the child of expectations and mediate the situation if necessary. |
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The Child Should Understand That the Worker is..? |
- Believes the child has the ability to successfully participate in the activity.
- Will have time later to talk again, if needed. |
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We Can Avoid the Conflict Cycle By? |
- Using positive self-talk
- Listening and validating feelings - Managing the environment - Giving choices and the time to decide - Re-directing the young person to another positive activity - Appealing to the young person's self interest - Dropping or changing the expectation |
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What is Reactive and Proactive Aggression? |
Reactive: emotions are dominant
Proactive: goal oriented, planned |
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What are some Elements of a Potentially Violent Situation? |
1) Trigger 2) Target 3) Weapon 4) Level of stress/motivation |
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How to Remove a Potential Trigger to Violence Situation by..? |
- Never touching an angry/violent person.
- Avoiding any aggressive moves/direct statements. - Avoiding the conflict cycle - Removing others (triggers) |
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How to Remove the Target by..? |
- Asking the target to leave - If you, remember position or ask another staff to take position |
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How to Remove the Weapon by..? |
- Discreetly removing objects - Maneuvering away from weapon - Staying a safe distance away |
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Decreasing the Level of Stress/Motivation by? |
- Using your relationship - Active listening/identify feelings - Removing the audience - Using co-reg strategies - Offering alternative nonaggressive ways |
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Some Aspects of Non-Verbal Crisis Comm to Consider During a Potentially Violent Situation are..? |
- Eye Contact - Body Language - Personal Space - Height Difference - Gender Difference - Cultural Difference |
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What is the Objective of Crisis Co-Reg.? |
To provide support in a way that reduces stress and risk. |
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What are some Pain Based Behaviors of Crisis Co-Reg.? |
- Impulsive Outburst - Aggression - Running Away - Self-injury - Defiance - Inability to regulate emotions - Trauma re-enactment |
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What are the Three Crisis Co-Reg. Strategies? |
1) What to think (Self-Awareness) 2) What to do (Nonverbal Strategies) 3) What to say (Verbal Strategies) |
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What to Think Strategies are..? |
- Ask yourself the four questions - Use positive self-talk |
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What to Do Strategies are..? |
- Take a deep breath - Use protective stance - Step back - Give the situation time - Sit down if appropriate - Remembering body language and facial expressions |
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What to Say Strategies are..? |
- Very little - Understanding responses - Remember the importance of tone and voice |
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LSI stands for..? |
Life Space Interview |
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What are the 5 Goals of LSI? |
1) Return the youth to baseline 2) Clarify events 3) Repair and restore the relationship 4) Teach new coping skills 5) Reintegrate the youth back to program |
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What is the Acronym of LSI? |
I - Isolate the conversation E - Explore the youth's point of view S - Summarize the feelings/content C - Connect the youth's behavior A - Alternative behaviors discussed P - Plan/Practice new behavior E - Enter young person back to program |
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What are some Options to Handle Physical Violence that don't Include Physical Restraint? |
- Eliminate one of the elements - Make direct statements - Use releases and maintain a safe distance and protective stance - Leave the situation and get assistance - Employ physical restraint techniques |
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What is the Basic Principles of Physical Intervention? |
Maximum amount of caring and a minimum amount of force with a goal of deescalating the situation. |
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What are some Risk Factors During a Physical Restraint? |
- Obesity - Drugs or Alcohol - Prolonged violent aggression - Medical conditions - Hot/humid environment |
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Physical Restraints should ONLY be USED When? |
- Agency policies and state regulations approve - Youth's ICMP - Professional judgement |
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Physical Restraints is NOT used to..? |
- Demonstrate authority - Enforce compliance - Inflict pain or harm - Punish or discipline |
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Physical Warning Signs that Indicate the Young Person is in Danger? |
- Youth goes limp - Youth breathes spontaneously - Youth states he/she cannot breathe - Respiration is labored - Youth makes grunting noises - Youth vomits/turning dusky purple color |
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DO NOT Use Physical Restraints When..? |
- We cannot control the youth's safety - We are not in control/too angry youth - Sexual stimulation is the motivation - We are in a public place - Youth has a weapon - Youth's medical conditions - Youth has emotional problems with re-traumatize |
