TCI - Therapeutic Crisis Intervention Test Review 2024 Questions and Answers 100% Pass

TCI - Therapeutic Crisis Intervention Test Review 2024 Questions and Answers 100% Pass TCI - 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: - Answer- - attachment - reciprocity (ex: throwing a ball back and forth) - progressive complexity (ex: the medal system) - balance of power a trauma informed organization: - Answer- - supports and facilitates trauma-informed care through: - policies - procedures - practice a trauma informed organization ensures that staff: - 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: - 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 competencies - 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 - 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 - 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 - Answer- anything that makes challenging behavior/traumatic stress responses more or less likely to occur foundations for intentional use of self - 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 - Answer- - practiced process - co-regulation techniques (neocortex) 1.) the thinking brain - reasoning, higher functioning, thinking 2.) the emotional brain (limbic system) emotions and motivations 3.) the survival brain - (brain stem) heart rate, breathing, automatic pain-based behavior - 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 - Answer- - child's behaviors (top of the iceberg - visible/surface level) - child's feelings and needs/memories/thoughts (under the surface iceberg) assessing behavior - 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 - Answer- reduces stress and anxiety (diagram) - baseline - triggering even (agitated) - escalation (aggression) - outburst (violence) - recovery (band aid affect) recovery phase outcomes - Answer- - create a healing environment trusting relationships, sense of safety, practice new skills - higher - no change - lower a crisis occurs when - Answer- a child's fight, flight or freeze response is activated and they are unable to regulate their emotions/behaviors - consistent and caring - what staff needs to be for youth - move into pain based behaviors (fight, flight or freeze) goals of crisis intervention - Answer- - support - provide immediate emotional and environmental support to reduce stress and risk and increase child's sense of safety