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2023 NCH TCI Training

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2023 NCH TCI Training

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TCI Training Cornell
Crisis occurs when - Ans>>A young person's inability to cope results in a change in behavior

The Goals of a crisis intervention are to



SUPPORT : environmentally and emotionally to reduce stress and risk



TEACH: children better ways to cope with stress - Ans>>SUPPORT : environmentally and emotionally to reduce
stress and risk



TEACH: children better ways to cope with stress

Skills Building Pyramid - Ans>>LSI

Crisis CoRegulation

Emotional First Aid

Behavior Support Techniques

Active Listening Crisis Communication

Self Awareness - Four Questions

Stress model of crisis - Ans>>Pre-crisis State (Baseline)

Triggering Event - Agitation

Escalation Phase - Aggression

Outburst CRISIS - Violence

Recovery

FOUR questions to ask ourselves in a crisis situation - Ans>>What am I feeling now?

What does this young person feel

need

want

How is the environment affecting the young person?

How do I respond?

How do I best respond? - Ans>>Provide environmental support by managing the environment to neutralize
potential triggers

, Provide emotional support by engaging the young person

Exercise self-control over your own feelings

What am I feeling now? - Ans>>Anger can undermine objectivity

Anger is an emotional and physical response

Cognitive abilities are reduced

Pain based behavior includes - Ans>>Impulsive outbursts

Aggression

Running away

Self Injury

Defiance

Inability to regulate emotions

Trauma reenactment

Substance Abuse

Managing environment - Ans>>Possible weapons

Stimulating lights or noise

Crowding

Chaotic, messy, disorganized messages

Behavior Support Techniques - Ans>>*More effective in warning phase



Managing the Environment

Prompting

Caring gesture

Hurdle help

Redirection and Distraction

Proximity

Directive statements

Time away

Goals of Emotional First Aid - Ans>>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

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