TCI Training Cornell
Acute physical behavior - correct answerBehavior likely to result in physical injury
The young person, other clients, staff members, or others are at imminent risk of
physical harm.
Basic principles of physical intervention - correct answerMaximum caring
Minimum force
Goal - deescalating by reducing stimulation
Behavior Support Techniques - correct answer*More effective in warning phase
Managing the Environment
Prompting
Caring gesture
Hurdle help
Redirection and Distraction
Proximity
Directive statements
Time away
Conflict Cycle - correct answerStressful situation/incident
Young person's Feelings
Young Person's Behavior
Adult's response
CoRegulation (NonVerbal Strategies) - correct answerTake a deep breath (calm
yourself)
Use protective stance
Step back 5-6 feet
Give situation time - slow things down
Sit down if appropriate
CoRegulation (Verbal Strategies)
Say little (ie: ignore insults) - correct answerUnderstanding responses - Tone of voice
important
I can see (validate feelings)
When you (encourage positive behaviors)
I know we (emphasizes desirable outcomes)
I am sorry (offer an apology)
Crisis occurs when - correct answerA young person's inability to cope results in a
change in behavior
, Definition of Physical Restraint - correct answerThe use of trained staff members to hold
a young person in order to contain ACUTE PHYSICAL BEHAVIOR
Do not use a physical restraint when - correct answerWhen young person cannot be
controlled safely
We are not in control personally or angry
We are in public place (at times cannot be avoided)
Young person has a weapon
Likely on ICMP:
Young person's medical condition prohibits it
Young person has emotional problems risking retraumatizing
Young person is on medications that effect system
Sexual stimulation/young person desiring it
Elements of a potentially violent situation - correct answerA potential trigger to violence
A target
A weapon
Level of stressor motivation - we can help deal with motivation
*looking for a way to relieve stress, some feel it is the only way
Emotional First Aid - correct answerQuick intervention to get back to baseline behavior
Crisis is a good time to teach
FOUR questions to ask ourselves in a crisis situation - correct answerWhat am I feeling
now?
What does this young person feel
need
want
How is the environment affecting the young person?
How do I respond?
Goal of physical intervention - correct answerSAFETY
Goals of Emotional First Aid - correct answer1. Provide immediate help and support to
reduce emotional intensity (co-regulation)
2. Resolve the immediate crisis
3. Keep the child in the program/activity
Goals of LSI - correct answerReturn young person to normal functioning
Clarify events
Repair and restore relationship
Teach new coping skills
Reintegrate the young person back in program
How do I best respond? - correct answerProvide environmental support by managing
the environment to neutralize potential triggers
Acute physical behavior - correct answerBehavior likely to result in physical injury
The young person, other clients, staff members, or others are at imminent risk of
physical harm.
Basic principles of physical intervention - correct answerMaximum caring
Minimum force
Goal - deescalating by reducing stimulation
Behavior Support Techniques - correct answer*More effective in warning phase
Managing the Environment
Prompting
Caring gesture
Hurdle help
Redirection and Distraction
Proximity
Directive statements
Time away
Conflict Cycle - correct answerStressful situation/incident
Young person's Feelings
Young Person's Behavior
Adult's response
CoRegulation (NonVerbal Strategies) - correct answerTake a deep breath (calm
yourself)
Use protective stance
Step back 5-6 feet
Give situation time - slow things down
Sit down if appropriate
CoRegulation (Verbal Strategies)
Say little (ie: ignore insults) - correct answerUnderstanding responses - Tone of voice
important
I can see (validate feelings)
When you (encourage positive behaviors)
I know we (emphasizes desirable outcomes)
I am sorry (offer an apology)
Crisis occurs when - correct answerA young person's inability to cope results in a
change in behavior
, Definition of Physical Restraint - correct answerThe use of trained staff members to hold
a young person in order to contain ACUTE PHYSICAL BEHAVIOR
Do not use a physical restraint when - correct answerWhen young person cannot be
controlled safely
We are not in control personally or angry
We are in public place (at times cannot be avoided)
Young person has a weapon
Likely on ICMP:
Young person's medical condition prohibits it
Young person has emotional problems risking retraumatizing
Young person is on medications that effect system
Sexual stimulation/young person desiring it
Elements of a potentially violent situation - correct answerA potential trigger to violence
A target
A weapon
Level of stressor motivation - we can help deal with motivation
*looking for a way to relieve stress, some feel it is the only way
Emotional First Aid - correct answerQuick intervention to get back to baseline behavior
Crisis is a good time to teach
FOUR questions to ask ourselves in a crisis situation - correct answerWhat am I feeling
now?
What does this young person feel
need
want
How is the environment affecting the young person?
How do I respond?
Goal of physical intervention - correct answerSAFETY
Goals of Emotional First Aid - correct answer1. Provide immediate help and support to
reduce emotional intensity (co-regulation)
2. Resolve the immediate crisis
3. Keep the child in the program/activity
Goals of LSI - correct answerReturn young person to normal functioning
Clarify events
Repair and restore relationship
Teach new coping skills
Reintegrate the young person back in program
How do I best respond? - correct answerProvide environmental support by managing
the environment to neutralize potential triggers
