Improper Restraint Techniques
~ pressure on the neck or chest
incorrect positioning of arms
obstructing the mouth or nose
abnormal positioning of the body
warning signs of asphyxia
~ goes limp, stops breathing, says they cannot breathe, breathing is labored,
grunting, gagging or vomiting,...
3. use adaptive behaviors in response to stressful events
,4. develop ability to learn through reflecting on experience
6 Domains of the TCI System
✓~ 1. leadership and program support (leadership knows and implements TCI
principles)
2. child and family inclusion (active participants in choice and voice)
3. clinical participation (ICSPs)
4. supervision and post-crisis response (support staff)
5. training and competency standards (refreshers and training)
6. documentation, incident monitoring, and feedback (review of incidents)
Therapeutic milieu
✓~ a safe, nurturing environment in which children can heal and continually
learn and practice important life skills
Spaces in the Therapeutic Milieu
✓~ 1. Ideological (culture and climate of the organization)
2. Physical (physical environment)
, 3. Cultural (human diversity)
4. Social (relationships, activities, routines)
5. Emotional (pain-based behavior and emotional competence)
Cultural Space in the Milieu
✓~ 1. develops culturally competent staff
2. accepts and celebrates cultural differences
3. supports family connections and involvement
4. allows for culturally diverse staff-child interactions
Setting Condition
✓~ anything that makes a challenging behavior and traumatic stress response
more or less likely to occur
A trauma-informed organization supports and facilitates trauma-informed care
through...
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