A trauma informed organization supports and facilitates trauma informed care through: -
-policies
-procedures
-practices
foundations for intentional use of self - -self-awareness
-self-regulation
-relationship skills and attunement
-self-care
a trauma informed organization ensures that staff - -understands what trauma is and
how it impacts everyone within the system
-recognizes behaviors and patterns that reflect past or present trauma
-respond in a way that avoids re-traumatization
developmental relationships are characterized by - -attachment
-reciprocity
-progressive complexity
-balance of power
Pain Based Behaviors - -behaviors that are the result of emotional and psychological
pain
-inability to self-regulate emotions
-overreaction to situations
-impulsive outburst
-trauma re-enactment
-defiance
-inflexibility
-running away through anger or fear
-self-injury
-withdrawal
The TCI system assists organizations to - -prevent crisis from occurring
-de-escalate potential crisis
-manage acute physical behavior
-reduce potential and actual injury to children and staff
-teach children emotional regulation skills and coping strategies
, -develop a learning organization
a crisis occurs when - A child's fight, flight or freeze response is activated and they are
unable to regulate their emotions and behaviors
Therapeutic Milieu - The combination of people, emotions, attitudes, and objects that
create a sense of safety, respect, belonging, care, and accountability.
Goals of Crisis Intervention - -support: providing immediate emotional and
environmental support to reduce stress and risk and increase the child's sense of safety
-teach: help children learn and practice ways to regulate their emotions and behaviors
Spaces within the therapeutic milieu - Ideological, Physical, Cultural, Social, Emotional
stress model of crisis - Baseline
Triggering event,
Escalation phase,
Outburst crisis,
Recovery.
setting conditions - Anything that makes challenging behavior or traumatic stress
responses more or less likely to occur
Four questions we ask ourselves in a crisis situation - 1. what am I feeling right now?
2. what does this child need, feel, expect, or want?
3. how is the environment affecting the situation?
4. how do I best respond?
active listening - -helps the child express their thoughts and feelings
-reduces the defensiveness and opposition
-promotes change
-communicates that we understand and desire to help
-helps children learn ways to self-soothe as we model ways to respond (co-regulation)
-helps children talk out rather than act out
behavior support techniques - -managing the environment
-prompting
-caring gesture
-hurdle help
-redirection and distraction
-proximity
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