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TCI Training Cornell Exam Solved 100%
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Therapeutic Crisis Intervention TCI Training Cornell Exam Solved 100%
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TCI Training Cornell Exam Solved 100%Acute physical behavior - ANSWER-Behavior 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 - ANSWER-Maximum caring
Minimum force
Goal - deescalating by reducing stimulation
Behavior Support Techniques - ANSWER-*More effective in warning phase
Managing the Environment
Prompting
Caring gesture
Hurdle help
Redirection and Distraction
Proximity
Directive statements
Time away
Conflict Cycle - ANSWER-Stressful situation/incident
Young person's Feelings
Young Person's Behavior
Adult's response
CoRegulation (NonVerbal Strategies) - ANSWER-Take 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) - ANSWER-Understanding 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 - ANSWER-A young person's inability to cope results in a change in
behavior
, Definition of Physical Restraint - ANSWER-The use of trained staff members to hold a
young person in order to contain ACUTE PHYSICAL BEHAVIOR
Do not use a physical restraint when - ANSWER-When 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 - ANSWER-A 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 - ANSWER-Quick intervention to get back to baseline behavior
Crisis is a good time to teach
FOUR questions to ask ourselves in a crisis situation - ANSWER-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?
Goal of physical intervention - ANSWER-SAFETY
Goals of Emotional First Aid - ANSWER-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
Goals of LSI - ANSWER-Return 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? - ANSWER-Provide environmental support by managing the
environment to neutralize potential triggers
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