Questions and Answers (2026) | Comprehensive
Updated Review and Rationales | Grade A+
• TCI . Answer: Therapeutic Crisis Intervention
• AOD . Answer: Administrator on Duty Report
• IR . Answer: Incident Report
• TCI Theory of Change . Answer: 1) Supervisors
2) Caregivers
3) Children
4) Child Outcomes
• TCI: The Six Domains . Answer: 1) Child & Family Inclusion
2) Clinical Participation
3) Supervision & Post-Crisis Response
4) Training & Competency Standards
5) Documentation, Incident Monitoring & Feedback
6) Leadership & Program Support
• Therapeutic Milieu . Answer: A safe, nurturing environment in which children can heal
and continually learn and practice important life skills.
• Milieu . Answer: Made up of people, emotions, attitudes, and physical objects and is
about the physical, social, cultural, emotional, and ideological space where children and
staff live and work.
• Setting Conditions . Answer: Anything that makes challenging behavior and traumatic
stress responses more or less likely to occur.
(S-Social): Programs & Activities, boring, no activities, over-stimulation, too many
activities and expectations, inadequate staffing, change in routine.
(P-Physical): Physical Setting, room too hot or too crowded
(I-Ideological): Culture & Climate of the Organization, valuing control over relationships,
unrealistic expectations of management or staff
(C-Cultural):
(E-Emotional): traumatic stress the child has experienced, medication related problems,
physical discomfort
• SUDs . Answer: Subjective units of distress scale
• 5 Therapeutic Milieu Spaces . Answer: 1) (S) Social
2) (P) Physical
3) (I) Ideological
, 4) (C) Cultural
5) (E) Emotional
• Asphyxia . Answer: the deprivation of oxygen to living cells
• Self-Awareness . Answer: An understanding of how one's values, beliefs, perceptions,
and thoughts influence one's interactions with children.
• Self-Regulation . Answer: The ability to regulate one's behavior, emotions, and
thoughts in order to achieve a longer-term goal.
• Skills we Need to Self-Regulate . Answer: 1) The ability to consciously focus attention
2) Awareness of one's own physical and emotional state
3) The ability to manage one's own emotions and behaviors
4) The ability to draw on memory and experience to adapt effectively in the present
situation
• What is the foundation for helping a child grow, develop, and thrive? . Answer: A
warm, trusting, responsive, developmental relationship.
• What do we need to develop warm, trusting, responsive, developmental relationships?
. Answer: 1) Listen and engage the child
2) "Tune in" to what the child is saying and feeling
3) Be aware of the feelings that are being evoked
4) Respond to the child
5) Be attuned to how the child is experiencing us
• Attunement . Answer: Being aware of a child's emotions and responding with words
and actions based on the child's emotional state.
• Self-Care . Answer: Monitor our own levels of stress, maintain a healthy lifestyle, use
reflective supervision to keep our professional perspective.
• Stress Reduction Techniques . Answer: Methods that promote physiologic comfort and
emotional well-being. Exercise, cry, relax, problem solve, listen to music, and talk to
friends.
• What is the Triune Brain? . Answer: 1) Survival Brain (Brain Stem)
2) Emotional Brain (Limbic System / Amygdala)
3) Thinking Brain (Neocortex)
• Pain Based Behaviors . Answer: 1) Impulsive outbursts
2) Aggression
3) Running away
4) Self-injury
5) Defiance