Which of the following is an indication that the family is not ready to
participate in parent-child sessions? - ANSWERS-Caregiver shows a
high level of distress when discussing the child's traumatic experience
Caregiver readiness needs to be demonstrated by maintaining a
reasonably calm demeanor when listening to or talking about the
child's trauma.
Which of the following is NOT consistent with the rationale for
having parent-child sessions? - ANSWERS-These sessions provide
opportunities for caregivers to explain how they overcame their self-
blame
The focus of conjoint sessions should be on the child's progress and
mastery of the trauma, not the parents. Parents should receive
validation for their progress in parent sessions with the therapist.
Which of the following is true about conjoint parent-child sessions
where the Trauma Narrative is shared? - ANSWERS-The sessions
should be carefully planned ahead of time in order to reduce the
possibility of any unexpected reactions or problems.
A common mistake that novice TF-CBT therapists make is under-
preparing for conjoint sessions. Both the child and the caregivers
should know what to expect and be ready for these sessions.
How should safety planning address what to do when a child tells a
grown-up about a possible trauma, but the grown-up does not believe
,the child's story? - ANSWERS-The child should continue to tell
trusted adults from the safety plan until someone takes action.
This is a basic tenet of safety planning; tell until an adult takes some
kind of protective action.
During a conjoint session, a caregiver makes an inappropriate
comment. What is the best initial step to take? - ANSWERS-Reframe
the comment to prompt more appropriate behavior from caregiver, if
possible
Caregivers may need to be reminded about the purpose of the conjoint
session; if the behavior continues, however, terminating the session
may be necessary until additional preparation can be done.
Which of the following is NOT a goal of conjoint parent-child
sessions? - ANSWERS-To allow the child to understand the
caregiver's feelings about the traumatic events.
The caregiver's feelings about the trauma are important topics for the
therapist and caregiver to address, but they are not something the
child needs to be concerned about. The Conjoint Session is very much
focused on the child's emotional needs, not the caregiver's.
What are the most important keys to successful conjoint parent-child
sessions? - ANSWERS-Preparation and practice with both the child
and the caregiver prior to parent-child sessions.
Preparation is key; Conjoint sessions can be very powerful emotional
experiences, and it's important to try to minimize the possibility of
any unexpected or "surprise" reactions. This can be achieved with
practice.
, Which of the following is the main reason that discussion of safety
issues is conducted at the end of TF-CBT? - ANSWERS-Fully
processing the trauma narrative before talking about safety helps to
avoid confusion about self-blame
Generally, you want to avoid discussing risk reduction strategies until
the child has had an opportunity to work through any issues he or she
might have related to self-blame.
Which of the following statements about creating safety plans is true?
- ANSWERS-Safety plans should be discussed with and practiced by
youth and caregivers in session
Enacting safety behaviors in session should increase the child's (and
caregiver's) confidence that they can be acted on when needed.
The primary long-term goal of the Enhancing Safety module is
focused on: - ANSWERS-Minimizing additional risk for repeat
victimization
Repeat victimization is very common for trauma-exposed children,
and the main purpose of the module is to try to reduce the child's risk
for exposure to additional trauma.
Which of the following statements best explains why therapists are
instructed to praise children's responses to their previous traumas as
part of the enhancing safety component? - ANSWERS-Praising the
child's response reinforces the idea that the child was not responsible
for preventing the trauma