NCH TCI Training 2023

the 3 P's of trauma -informed organization - Policy, procedures, practices developmental relationships are characterized by... - attachment, reciprocity, progressive complexity, balance of power what is a therapeutic milieu - combination of people, emotions, attitudes, and objects that create a sense of safety, respect, belonging, care, and accountability what is setting conditions - anything that can increase or decrease the likelihood of challenging behavior spaces within therapeutic milieu (SPICE) - Social Physical Ideological Cultural Emotional idealogical space includes... - philosophy of care, supports appropriate practices, gives patients choices physical space includes... - appropriate decor, furniture, and lighting. feels safe and nurturing. clean, orderly space. cultural space includes... - culturally competent staff, supports family connections, allows for culturally diverse staff-child interactions social space includes... - practice for important life skills, opportunities to participate and contribute, has goals and structure emotional space includes... - consideration of specific effects of trauma, emotionally competent staff, alternatives to participation Foundations for intentional use of self - 1. Self awareness 2. self regulation 3. relationship skills and attunement 4. self care self-awareness includes... - knowing our own attitudes, values, and beliefs about children and how they influence behaviors self-regulation includes... - awareness of our own physical and emotional state relationship skills and attunement include... - listen and engage the child, be aware of their own feelings, attuned of how the child is experiencing adults self-care includes... - monitoring personal levels of stress, maintaining healthy lifestyle