Therapeutic Crisis Intervention Study Guide
/. a trauma-informed organization supports and facilitates trauma-informed care through
- Answer-policies, procedures, and practices
/.a trauma informed organization ensures that staff: (3) - Answer-1. understand what
trauma (chronic and ongoing, acute) is and its impacts on the system (everyone in a
child's life)
2. recognize behaviors and patterns reflecting past and present trauma
3. respond and avoid retraumatization
/.developmental relationships are characterized by: (4)
PcARB - Answer-1. attachment (bonds/connections)
2. reciprocity
3. progressive complexity (development over time)
4. balance of power (mutual respect, support kid decision making)
/.effective TCI implementation includes (6) - Answer-1. child and family inclusion
2. clinical participation
3. supervision and post crisis response
4. training, competency standards
5. documentation, incident monitoring, feedback
6. leadership and program support
/.spaces within the therapeutic milieu (SPICE) - Answer-1. social: attachments, structure
and flexibility, opportunities to participate
2. physical: lighting, public/private, noise, objects, people
3. ideological: philosophy of care
4. cultural: competency, understanding, supporting family connections, diversity
5. emotional: consideration of the effects of trauma, emotionally competent
/.a setting condition - Answer-anything that makes challenging behavior or traumatic
stress responses more or less likely to occur
/.foundations of the intentional use of self - Answer-self awareness, self-regulation,
relationship skills and attunement, self-care
/.self-awareness - Answer-- knowing our own attitudes and beliefs towards children and
how they influence our behavior
- cultural fears, values, beliefs
- how do our experiences influence our current behavior
- beliefs about trauma and pain based behavior
/.self-regulation - Answer-- conscious focus of attention
, - aware of personal physical and emotional state
- skills to manage emotion and behavior
- using memory and previous experiences to inform current actions
/.relationship skills and attunement - Answer-in order to build developmental
relationships:
- listen and engage
- tune in to feelings and words
- be aware of own feelings
- respond to the child
- attuned to how the child experiences adults
/.self-care - Answer-- monitor personal levels of stress
- maintain healthy lifestyle
- use reflective supervision: what's going well v. not well/needs to be changed
/.the three parts of the triune brain - Answer-1. thinking: neocortex; rationality, planning,
language, reasoning, abstract thought
2. emotional: amygdala; fear/threat response, emotional reactions
3. survival: brain stem; autonomic functioning
/.pain based behaviors definition - Answer-behaviors that are the result of emotional and
psychological pain
/.pain based behaviors (8) - Answer-- inability to regulate emotions
- self injury
- withdrawal
- defiance/oppositionality
- flight/running away
- trauma re-enactment
- inflexibility
- overreaction to situations
/.a crisis occurs when - Answer-a child's fight/flight/freeze response is activated and
they're unable to regulate emotions and behaviors
/.the goals of crisis intervention - Answer-1. teach: help children learn and practice ways
to regulate
2. support: immediate emotional and environmental support to reduce stress/risk,
increase sense of safety
/.the stress model of crisis - Answer-baseline, triggering event, outburst, recovery
/.baseline - Answer-normal, regular behavior
- may not be stable, not the same for everyone
/. a trauma-informed organization supports and facilitates trauma-informed care through
- Answer-policies, procedures, and practices
/.a trauma informed organization ensures that staff: (3) - Answer-1. understand what
trauma (chronic and ongoing, acute) is and its impacts on the system (everyone in a
child's life)
2. recognize behaviors and patterns reflecting past and present trauma
3. respond and avoid retraumatization
/.developmental relationships are characterized by: (4)
PcARB - Answer-1. attachment (bonds/connections)
2. reciprocity
3. progressive complexity (development over time)
4. balance of power (mutual respect, support kid decision making)
/.effective TCI implementation includes (6) - Answer-1. child and family inclusion
2. clinical participation
3. supervision and post crisis response
4. training, competency standards
5. documentation, incident monitoring, feedback
6. leadership and program support
/.spaces within the therapeutic milieu (SPICE) - Answer-1. social: attachments, structure
and flexibility, opportunities to participate
2. physical: lighting, public/private, noise, objects, people
3. ideological: philosophy of care
4. cultural: competency, understanding, supporting family connections, diversity
5. emotional: consideration of the effects of trauma, emotionally competent
/.a setting condition - Answer-anything that makes challenging behavior or traumatic
stress responses more or less likely to occur
/.foundations of the intentional use of self - Answer-self awareness, self-regulation,
relationship skills and attunement, self-care
/.self-awareness - Answer-- knowing our own attitudes and beliefs towards children and
how they influence our behavior
- cultural fears, values, beliefs
- how do our experiences influence our current behavior
- beliefs about trauma and pain based behavior
/.self-regulation - Answer-- conscious focus of attention
, - aware of personal physical and emotional state
- skills to manage emotion and behavior
- using memory and previous experiences to inform current actions
/.relationship skills and attunement - Answer-in order to build developmental
relationships:
- listen and engage
- tune in to feelings and words
- be aware of own feelings
- respond to the child
- attuned to how the child experiences adults
/.self-care - Answer-- monitor personal levels of stress
- maintain healthy lifestyle
- use reflective supervision: what's going well v. not well/needs to be changed
/.the three parts of the triune brain - Answer-1. thinking: neocortex; rationality, planning,
language, reasoning, abstract thought
2. emotional: amygdala; fear/threat response, emotional reactions
3. survival: brain stem; autonomic functioning
/.pain based behaviors definition - Answer-behaviors that are the result of emotional and
psychological pain
/.pain based behaviors (8) - Answer-- inability to regulate emotions
- self injury
- withdrawal
- defiance/oppositionality
- flight/running away
- trauma re-enactment
- inflexibility
- overreaction to situations
/.a crisis occurs when - Answer-a child's fight/flight/freeze response is activated and
they're unable to regulate emotions and behaviors
/.the goals of crisis intervention - Answer-1. teach: help children learn and practice ways
to regulate
2. support: immediate emotional and environmental support to reduce stress/risk,
increase sense of safety
/.the stress model of crisis - Answer-baseline, triggering event, outburst, recovery
/.baseline - Answer-normal, regular behavior
- may not be stable, not the same for everyone
