TCI 7th Edition Exam Questions and Answers 2024

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 -overreaction to situations -impulsive outburst -trauma re-enactment -defiance -inflexibility -running away through anger or fear -self injury -withdrawal A crisis occurs when - Answer- a child's fight, flight or freeze response is activated and they are unable to regulate their emotions and behaviors Goals of Crisis Intervention - Answer- Support & Teach goals of the stress model of crisis - Answer- -create a healing environment -develop trusting relationships -provide a sense of safety -practice new skills Stress Model of Crisis - Answer- Baseline, Triggering event (agitation), Escalation phase (aggression), Outburst crisis (violence), Recovery