The combination of people, emotions attitudes, & objects that create a sense of safety, respect, belonging, care & accountability.

To create safe, developmentally appropra non-confrontational, trauma-sensitive environments that are supported at all levels of the organization.

1. Child & Family Inclusive 2. clinical Participation 3. Supervision & Post-Crisis Response 4. Training & Competency Standards 5. Documentation, Incident Monitoring, 8 Feedback 6. Leadership & program support

Developmental relationships are charactorized by:

1. Attachment 2 Reciprocity 3. Progressive complexity 4. Balance of Power

A Trauma - Informed Organization ensures that staff:

1. Understand what trauma is and how it impacts everyone within the system. 2. Recoanize behaviors & patterns that reflect pos orpresent trauma. 3. Respond in ways that avoid re-tramatization.

A Trauma- Informed Organization Supports & Facilitates Trama - informed care through:

1. Policies 2.Procedures 3.Practices

Basic Principles Of Physical Intervention

A maximum amount of care with a minimum amount of force and the goal of de- escalating the situation by reducing Stimulation

Basic Principles Of Physical Intervention

A maximum amount of care with a minimum amount of force and the goal of de- escalating the situation by reducing Stimulation

Physical Restraint Should only be used when: (All three criteria must be met.

1.Agency policies & state regulations regarding restraint allow it. 2. The child's individual crisis support plain describes it. 3, Our professional dynamic risk assessment indicates it.

Definition of Physical Restraint • Physical Restraint And • Acute Physical Restraint

Physical Restraint: The use of trained & competent Staff members to hold a child in order to contain acute physical behavior. notes! Acute Physical Behavior: Behavior likely to result in physical injury.

Crisis Co-Regulation what to say (Verbal Strategies)

• Very little •Speak Calmly, assertively t. • Give understanding responses * Remember the importance of tone of voice*

Crisis Co-Regulation What to do (Nonverbal Strategis)

Take a deep breath 8 slowly exhale. Give the child spore & time Use silence If safe, step away from the child's sight. Assume a neutral Stance & concerned facial expression

Crisis Co-Regulation what to think (Self-Talk)

-Ask yourself the four Questions ouse positive Self-talk

Nonverbal Comm. in Crisis Situations Elements of a Potentially Violent situation:

1. The Spark (Remove) Never touch an angry & potentially violent child. 2. The target (Remove) Asking the targeted Person to leave: 3. The weapon (Avoid) Discreetly removing objects & Staying a safe distance away. 4. The level of Stress or motivation (Desases) use your relationship& actively listen.

Nonverbal Conm. in crisis situations Nonverbal Messaging

• Eye contact • Body language • Personal space • Height & gender •Sensitivity to cultural Issues

We can avoid or end the Power Struggle by:

1. Listenings and validating feelings. 2. Managing the environment 3. Give Choices & the time to decide what to do next. 4.Dropping or changing the expectation.

"when we are at our angriest, we are at our stupidest. "

Strategies for Emotional First Aid?

1. Co-regulate emotions "Bea calm presence 2. Maintain the relationships & lines of communication 3. Plan and anticipate -be a coach

Goals of Emotional First Aid?

1. Provide immediate support to reduce emotional intensity. 2. Identify & resolve the underlying concerns causing distress 3. Keep the child in the activity.

What are some Behavior Support Techniques?

1. Managing the environmental d 2. Prompting 3. Caring Gesture 4. Hurdle Help 5. Redirection and Distraction 6. Proximity 7. Directive Statements 8. Time Away

What does Active Listening Do?

1. Helps children express their thoughts& feelings. 2. Reduces defensiveness z opposition. 3. Promotes change 4. communicate we understand & have desire to help. 5. Helps children learn to Self-Soothe as we model ways to respond. 6. Helps children talk out rather than act out."

Active Listening Reflective Resporses

1. The Reflective Response *Connects with the Child's feelings. 2. The Empathic Response * Connects with the child's experience.

Active Listening Encouraging Eliciting Techniques

• Minimal encouragement • Door Openers • Closed questions •Open Questions

Active Listening Nonverbal Techniques

• Silence •Facial Expressions• Eye contact •Tone of Voice

Four Questions we ask ourselves in a crisis situation ?

1. What am I feeling now? 2. what does this child feel, need, expect, or want? 3. How is the environment affecting the situation! 4. How do I best respond?

5 Levels - Stress mocklof Crisis

1. Baseline 2. Triggering Event 3. Escalation 4. Outburst 5. Recovery

Goals Of Crisis Intervention

Support: Provide immediate emotional and environmentat support to reduce stress & risk & increase childs sense of Safety Teaich: Help children learn and practice ways to regulate their emotions & behaviors.

*All behavior has meaning* - Behavior reflects Emotions and needs - Trauma affects children's ability to manage feelings a behaviors

What are Some pain Based Behaviors ?

Behaviors that are the result of emotional and psychological pain: - Inability to regulate emotions - overreation to situation - Defiance - Inflexibility - Self: Injury - Withdrawal

The Triune Brain The Survival Brain

The system of the brain (The Brain Stem) also knownas the reptitian brain, is responsible for survival functions such As breathing heart rate, circulation, etc.

The Triune Brain The Thinking Brain

This is the Neocortex, responsible for higher furictions such as reasoning. language, creativity, & abstract thought

1. Monitor personal levels of stress. 2. Maintain a healthy lifestyle. 3. Use reflective supervision.

What are Relationship Skills & Attunement?

To build developmental relationships, adults need to: * Listen and engage the child. "Tune in" to what the Child is saying and feeling . - Be aware of their own feelings - Respond to child

What is self Regulation?

• Ability to concisely focus attention * Awareness of our own physical and emotional state * Skills to manage our own emotions & behavior

What is Self - Awareness?

* Knowing our own attitudes, values, and beliefs about children and how they influence behaviors. * Understanding our own cultural valves, fears, & beliefs. * understanding how our previous tife experiences can influence current behaviors.

Foundations For Intentional use of self?

1. Self-Awareness 2. Self-Regulation 3. Relationships Skills & Attunement 4. Self-Care

What is emotional Space?

* Takes into consideration specific events of trauma * Facilitates an atmosphere of safety: and acceptance * Requires emotionally competent staff

What is Social Space?

•valves attachments and developmental relationships •Balances structure flexibility to meet Individual and group neede •Creates opportunities to participate and contribute •Allows for practice of important life Skills

What is Cultural Space?

* Develops culturally competent staff * Accepts and celebrates cultural differences * Supports family connections and Involvement

What is Physical Space?

•Makes good use of space for personal and public use. * Is clean, orderly, inviting * Feels Safe & Nurturing * Is furnished decorated appropriately for the age group living there.

The Triune Brain The Emotional Brain

This part of the brainis also called the limbic System & is the center for emotions. within this part, the bráin is the amygdala , also known as the sentr Determine whether something is a threat or not.

Objective of Crisis CO-Regulation

To provide support in away that reduces Stress and risk & increases the childs sense of safety.

Nonya

Authored by Elizza Garcia

Professional Development

Used 1+ times

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What is Ideological Space?

What is Setting Conditions?

5Spaces within the therapeuticMilieu

A Therapeutic Milieu

The Goal of T.C.I

6 Domains Include:

The TCI SystemAssistsOrganizations to :

Developmental relationships arecharactorized by:

A Trauma - InformedOrganizationensures that staff:

A Trauma- InformedOrganizationSupports & FacilitatesTrama - informed care through:

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5
Spaces within the therapeutic
Milieu

A Therapeutic
Milieu

The TCI System
Assists
Organizations to :

Developmental relationships are
charactorized by:

A Trauma - Informed
Organization
ensures that staff:

A Trauma- Informed
Organization
Supports & Facilitates
Trama - informed care through: