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• Therapeutic Crisis Intervention (TCI) -✓✓system is to reduce or eliminate the need for
high risk interventions and to provide adults with the skills and knowledge to become
the catalyst through which children and young people learn new skills, increase their
self-efficacy and thrive
• Developmental Relationship -✓✓characterized by attachment, reciprocity, progressive
complexity, and balance of power.
• Clinical participation -✓✓ICSP for children who exhibit high-risk behaviors is critical to
responding appropriately and therapeutically to a child in crisis.
• Training and competency standards -✓✓Comprehensive training program includes
prevention, de-escalation, and management of crises as well as child and adolescent
development, trauma-informed interventions, cultural competence, and individual and
group behavior support strategies
• Documentation, incident monitoring, and feedback -✓✓Data management includes the
documentation of staff supervision and training and the documentation and monitoring
of behavioral incidents
• Therapeutic Milieu -✓✓offers a safe, nurturing environment in which children can heal
and continually learn and practice important life skills. Grow, develop, thrive.
• Milieu -✓✓made up of people, emotions, attitudes, and physical objects and is about
the physical, social, cultural, emotional, and ideological space where children can live
and work
• Ideological Space -✓✓When children have opportunities and are encouraged to
participate in activities that promote normal growth and development, they learn positive
alternatives to patterns of self-destructive and inappropriate behaviors.
• Physical Space -✓✓Creating a trauma-informed physical setting promotes a sense of
safety, fosters healing, encourages play and relationship building activities, reduces
stress and anxiety, and provides a positive working environment.
• Cultural Space -✓✓Being culturally competent is a developmental process beginning
with self-awareness and leadid to the building of skills that result in culturally responsive
behavior
, • Emotional Space -✓✓Helping children to learn to manage their emotions and providing
them with a sense of safety, their stress responses are easily triggered resulting in
overwhelming feelings of fear, anger, and frustration in addition to volatile behavior
• Setting conditions -✓✓anything that makes challenging behavior and traumatic stress
responses more or less likely to occur
• Use Of Self -✓✓Self-awareness, self-regulation, relationship skills and attunement,
self-care
• Self-regulation -✓✓ability to regulate one's behavior, emotions, and thoughts in order
to achieve a longer-term goal.
• relationship skills and attunement -✓✓to develop the relationship we need to be able
to listen and engage the childe, tune in to what the child is saying and feeling, be aware
of the feelings that are being evokes, respond to the child, and be attuned to how the
child is experiencing us
• Attunement -✓✓being aware of a child's emotions and responding with words and
actions based on the child's emotional state
• Self-care -✓✓if we have good self-regulation skills and many productive and socially
appropriate ways to cope with stress, we can better take care of ourselves. These
stress-reducing strategies include exercise, cry, relax, problem solve, listen to music,
and talk to friends.
• Triune Brain Model (in order of labels) -✓✓Thinking, Emotional, Survival Brain
• Thinking Brain -✓✓neocortex and is responsible for higher functions such as
reasoning, language, creativity, and abstract thought
• Emotional Brain -✓✓limbic system and is the center for emotions, emotional behavior,
and motivation.
• Survival Brain -✓✓reptilian brain (brain stem) is responsible for survival functions such
as breathing heart rate, circulation, and most bodily functions that do not require
conscious thought
• Stress Response -✓✓fight, flight, or freeze
• Goals of Crisis Intervention -✓✓(support)to provide immediate emotional and
environmental support in a way that reduces the stress and risk through (teach) co-
regulation strategies and managing the environment;