TCI - Therapeutic Crisis Intervention
Test Review
TCI ✔✔ correct answer purpose:
- trauma informed care/de-escalate
- having physical presence
- this technique works for ages 5 and up (no one younger than 5)
- all feelings are valid, how you respond is what is important
developmental relationships are characterized by: ✔✔ correct answer - attachment
- reciprocity (ex: throwing a ball back and forth)
- progressive complexity (ex: the medal system)
- balance of power
a trauma informed organization: ✔✔ correct answer - supports and facilitates trauma-informed care
through:
- policies
- procedures
- practice
a trauma informed organization ensures that staff: ✔✔ correct answer - understand - understand
what trauma is/how it impacts everyone within the system
- recognize - recognize behaviors and patterns that reflect trauma (past or present)
- respond - respond in ways that avoid bringing up trauma
the TCI system assists organizations to: ✔✔ correct answer - prevent crisis from occurring
- de-escalate potential crises
- manage - acute physical behavior
- reduce - potential and actual injury to young people and staff
- teach - young people adaptive coping skills
- develop - a learning organization
,TCI - Therapeutic Crisis Intervention
Test Review
competencies ✔✔ correct answer 1.) be able to prevent and/or de-escalate a potential crisis
situation with a child/young person
2.) be able to safely and therapeutically manage a crisis situation
3.) be able to process with children - help improve their capacity to regulate their emotions and use
positive coping strategies
therapeutic milieu ✔✔ correct answer ("the living") the combination of people, emotions, attitudes,
and objects that create a sense of safety, respect, belonging, care and accountability
spaces within therapeutic milieu ✔✔ correct answer (these are the things that we can control - the
spaces)
- ideological - connection/programming
- physical - safe/clean environment
- cultural - diversity - accept/celebrate cultural differences
- social - attachments/relationships, develop skills
- emotional - safety/acceptance, effects of trauma
setting conditions ✔✔ correct answer anything that makes challenging behavior/traumatic stress
responses more or less likely to occur
foundations for intentional use of self ✔✔ correct answer - self awareness - knowing own attitudes,
beliefs, values (ready/willing/able - 'neutrality)
- self regulation - focus attention, awareness of physical/emotional state (regulate behaviors)
- relationship skills/attunement - listen/engage, "tune-in" respond to child, be aware of own feelings
(be present and aware)
- self care - monitor personal, levels of stress, healthy lifestyle/reflexive supervision
the triune brain ✔✔ correct answer - practiced process
- co-regulation techniques
(neocortex)
1.) the thinking brain - reasoning, higher functioning, thinking
2.) the emotional brain (limbic system) emotions and motivations
, TCI - Therapeutic Crisis Intervention
Test Review
3.) the survival brain - (brain stem) heart rate, breathing, automatic
pain-based behavior ✔✔ correct answer (fight, flight, or freeze)
- behaviors that are the result of emotional and psychological pain
- inability to regulate emotions, overreaction to situations, outbursts, withdrawl, running away
through anger/fear/defiance (depends on emotions displayed
feelings/needs/behaviors ✔✔ correct answer - child's behaviors (top of the iceberg - visible/surface
level)
- child's feelings and needs/memories/thoughts (under the surface iceberg)
assessing behavior ✔✔ correct answer all behavior has meaning
- behavior reflects emotions/needs
- trauma affects children's ability to manage feelings and behaviors
("there's a bear in the room")
stress model of crisis ✔✔ correct answer reduces stress and anxiety
(diagram)
- baseline
- triggering even (agitated)
- escalation (aggression)
- outburst (violence)
- recovery
(band aid affect)
recovery phase outcomes ✔✔ correct answer - create a healing environment trusting relationships,
sense of safety, practice new skills
- higher
- no change
- lower
Test Review
TCI ✔✔ correct answer purpose:
- trauma informed care/de-escalate
- having physical presence
- this technique works for ages 5 and up (no one younger than 5)
- all feelings are valid, how you respond is what is important
developmental relationships are characterized by: ✔✔ correct answer - attachment
- reciprocity (ex: throwing a ball back and forth)
- progressive complexity (ex: the medal system)
- balance of power
a trauma informed organization: ✔✔ correct answer - supports and facilitates trauma-informed care
through:
- policies
- procedures
- practice
a trauma informed organization ensures that staff: ✔✔ correct answer - understand - understand
what trauma is/how it impacts everyone within the system
- recognize - recognize behaviors and patterns that reflect trauma (past or present)
- respond - respond in ways that avoid bringing up trauma
the TCI system assists organizations to: ✔✔ correct answer - prevent crisis from occurring
- de-escalate potential crises
- manage - acute physical behavior
- reduce - potential and actual injury to young people and staff
- teach - young people adaptive coping skills
- develop - a learning organization
,TCI - Therapeutic Crisis Intervention
Test Review
competencies ✔✔ correct answer 1.) be able to prevent and/or de-escalate a potential crisis
situation with a child/young person
2.) be able to safely and therapeutically manage a crisis situation
3.) be able to process with children - help improve their capacity to regulate their emotions and use
positive coping strategies
therapeutic milieu ✔✔ correct answer ("the living") the combination of people, emotions, attitudes,
and objects that create a sense of safety, respect, belonging, care and accountability
spaces within therapeutic milieu ✔✔ correct answer (these are the things that we can control - the
spaces)
- ideological - connection/programming
- physical - safe/clean environment
- cultural - diversity - accept/celebrate cultural differences
- social - attachments/relationships, develop skills
- emotional - safety/acceptance, effects of trauma
setting conditions ✔✔ correct answer anything that makes challenging behavior/traumatic stress
responses more or less likely to occur
foundations for intentional use of self ✔✔ correct answer - self awareness - knowing own attitudes,
beliefs, values (ready/willing/able - 'neutrality)
- self regulation - focus attention, awareness of physical/emotional state (regulate behaviors)
- relationship skills/attunement - listen/engage, "tune-in" respond to child, be aware of own feelings
(be present and aware)
- self care - monitor personal, levels of stress, healthy lifestyle/reflexive supervision
the triune brain ✔✔ correct answer - practiced process
- co-regulation techniques
(neocortex)
1.) the thinking brain - reasoning, higher functioning, thinking
2.) the emotional brain (limbic system) emotions and motivations
, TCI - Therapeutic Crisis Intervention
Test Review
3.) the survival brain - (brain stem) heart rate, breathing, automatic
pain-based behavior ✔✔ correct answer (fight, flight, or freeze)
- behaviors that are the result of emotional and psychological pain
- inability to regulate emotions, overreaction to situations, outbursts, withdrawl, running away
through anger/fear/defiance (depends on emotions displayed
feelings/needs/behaviors ✔✔ correct answer - child's behaviors (top of the iceberg - visible/surface
level)
- child's feelings and needs/memories/thoughts (under the surface iceberg)
assessing behavior ✔✔ correct answer all behavior has meaning
- behavior reflects emotions/needs
- trauma affects children's ability to manage feelings and behaviors
("there's a bear in the room")
stress model of crisis ✔✔ correct answer reduces stress and anxiety
(diagram)
- baseline
- triggering even (agitated)
- escalation (aggression)
- outburst (violence)
- recovery
(band aid affect)
recovery phase outcomes ✔✔ correct answer - create a healing environment trusting relationships,
sense of safety, practice new skills
- higher
- no change
- lower
