Discussion Questions - Answer- 1. What is the child experiencing?
2. What thoughts and perceptions might this child have about adults? About the world in
general?
3. What behaviors might we expect from this child?
4. What will this child need to feel safe?
Trauma-Informed organization - Answer- Supports and facilitates trauma-informed care
through:
Policies
Procedures
Practices
Trauma-Informed Organization Ensures that staff - Answer- Understand- what trauma is
and how it impacts everyone in the system
Recognize- behaviors and patterns that reflect past or present trauma
Respond- in ways that avoid re-traumatization
Developmental relationships are characterized by: - Answer- attachment, reciprocity,
progressive complexity, balance of power
TCI system assists organizations to: - Answer- Prevent- crises from occurring
De-escalate- potential crises
Manage- acute physical behavior
Reduce- potential and actual injury to children and staff
Teach- children emotional regulation skills and coping strategies
Develop- a learning organization
Effective TCI implementation Includes - Answer- Leadership & program support, child &
family inclusion, clinical participation, supervision and post crisis response, training &
competency standards, documentation & incident monitoring & feedback
Goal of TCI - Answer- To create safe, developmentally appropriate, non-confrontational,
trauma-sensitive environments that are supported at all levels of the organization
Therapeutic Milieu - Answer- The combination of people, emotions, attitudes, and
objects that create a sense of safety, respect, belonging, care and accountability
Spaces within the therapeutic milieu - Answer- ideological, physical, cultural, social,
emotional
, Setting Conditions - Answer- Any thing that makes challenging behavior more or less
likely to occur
Ideological Space - Answer- -communicates a philosophy of care
-supports developmentally appropriate practice
-provides opportunities for children to participate successfully in activities
-involves children, families, and staff members in decision making
-encourages relationship building activities
-creates a learning environment
physical space - Answer- -makes good use of space for personal and public use
-Is clean, orderly, inviting
-Feels safe and nurturing
-Has soft lighting and reasonable calming noise level
-Is furnished and decorated appropriately for the age group living there
Cultural Space - Answer- -Develops culturally competent staff
- Accepts and celebrates cultural differences
supports family connections and involvement
-allows for culturally diverse staff-child interactions
social space - Answer- -values attachments and developmental relationships
-Balances structure and flexibility to meet individual and group needs
-creates opportunities to participate and contribute
-Has goals, structure, and is designed to help children develop skills
-Allows for practice of important life skills
emotional space - Answer- -takes into consideration specific effects of trauma
-facilitates an atmosphere of safety and acceptance
-encourages warm and responsive relationships
-requires emotionally competent staff
-allows for development of co-regulation and self-regulation skills
Foundations for Intentional Use of Self - Answer- Self-awareness, self-regulation,
relationship skills and attunement, self-care
Self-regulation - Answer- -ability to consciously focus attention
-awareness of our own physical and emotional state
-skills to manage our own emotions and behavior
-ability to draw on memory and experience to adapt effectively in the present situation
The triune brain - Answer- the thinking brain- neocortex
the emotional brain- limbic system
the survival brain- brain stem
Pain Based Behaviors - Answer- -Inability to regulate emotions
2. What thoughts and perceptions might this child have about adults? About the world in
general?
3. What behaviors might we expect from this child?
4. What will this child need to feel safe?
Trauma-Informed organization - Answer- Supports and facilitates trauma-informed care
through:
Policies
Procedures
Practices
Trauma-Informed Organization Ensures that staff - Answer- Understand- what trauma is
and how it impacts everyone in the system
Recognize- behaviors and patterns that reflect past or present trauma
Respond- in ways that avoid re-traumatization
Developmental relationships are characterized by: - Answer- attachment, reciprocity,
progressive complexity, balance of power
TCI system assists organizations to: - Answer- Prevent- crises from occurring
De-escalate- potential crises
Manage- acute physical behavior
Reduce- potential and actual injury to children and staff
Teach- children emotional regulation skills and coping strategies
Develop- a learning organization
Effective TCI implementation Includes - Answer- Leadership & program support, child &
family inclusion, clinical participation, supervision and post crisis response, training &
competency standards, documentation & incident monitoring & feedback
Goal of TCI - Answer- To create safe, developmentally appropriate, non-confrontational,
trauma-sensitive environments that are supported at all levels of the organization
Therapeutic Milieu - Answer- The combination of people, emotions, attitudes, and
objects that create a sense of safety, respect, belonging, care and accountability
Spaces within the therapeutic milieu - Answer- ideological, physical, cultural, social,
emotional
, Setting Conditions - Answer- Any thing that makes challenging behavior more or less
likely to occur
Ideological Space - Answer- -communicates a philosophy of care
-supports developmentally appropriate practice
-provides opportunities for children to participate successfully in activities
-involves children, families, and staff members in decision making
-encourages relationship building activities
-creates a learning environment
physical space - Answer- -makes good use of space for personal and public use
-Is clean, orderly, inviting
-Feels safe and nurturing
-Has soft lighting and reasonable calming noise level
-Is furnished and decorated appropriately for the age group living there
Cultural Space - Answer- -Develops culturally competent staff
- Accepts and celebrates cultural differences
supports family connections and involvement
-allows for culturally diverse staff-child interactions
social space - Answer- -values attachments and developmental relationships
-Balances structure and flexibility to meet individual and group needs
-creates opportunities to participate and contribute
-Has goals, structure, and is designed to help children develop skills
-Allows for practice of important life skills
emotional space - Answer- -takes into consideration specific effects of trauma
-facilitates an atmosphere of safety and acceptance
-encourages warm and responsive relationships
-requires emotionally competent staff
-allows for development of co-regulation and self-regulation skills
Foundations for Intentional Use of Self - Answer- Self-awareness, self-regulation,
relationship skills and attunement, self-care
Self-regulation - Answer- -ability to consciously focus attention
-awareness of our own physical and emotional state
-skills to manage our own emotions and behavior
-ability to draw on memory and experience to adapt effectively in the present situation
The triune brain - Answer- the thinking brain- neocortex
the emotional brain- limbic system
the survival brain- brain stem
Pain Based Behaviors - Answer- -Inability to regulate emotions
