Therapeutic Crisis Intervention Exam Study Guide (TCI-
7th Edition)
Effective TCI Implementation includes... - ANSWER Leadership and program
support, Clinical participation, Supervision and post crisis response, Training and
competency standards, Documentation and incident monitoring and feedback
Setting conditions (definition) - ANSWER Anything that makes challenging behavior
more or less likely to occur
Setting conditions (examples) - ANSWER Organizational culture, environment,
program related, personal, relationship-based
Positive organizational culture - ANSWER - 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 organization
Calming physical environment - ANSWER - Makes good use of space for personal
and public use
- Is clean, orderly, inviting
- Has soft lighting and reasonable calming noise levels
- Is furnished and decorated approrpriately for the age group living there
Programs, activities, and routines should - ANSWER - Balance structure and
flexibility to meet individual needs
- Provide for thoughtful transitions
- Be consistent and satisfying
- Have goals, structure, and be designed to help children develop skills
- Be adequately resourced
Treat each child as an individual with - ANSWER - Individual baseline behavior
- Different strengths and abilities
- Specific effects of trauma
- Underdeveloped co-regulation and self-regulation skills
- Possible physical discomfort
- A need for an ICMP
Encourage positive relationships by - ANSWER - Meeting children's basic needs and
building attachments
- Building culturally competent staff members
- Emotional competence and self-awareness
- Teaching relationship skills
- Providing team building experiences
, Emotional competence means - ANSWER - Being aware of personal goals, values,
and beliefs
- Understanding cultural and ethnic differences
- Demonstrating self-regulation skills
- Knowing personal triggers
Crisis - ANSWER A crisis occurs when a young person's inability to cope results in a
change in behavior
Goals of TCI are - ANSWER - SUPPORT environmentally and emotionally to reduce
stress and risk
- TEACH children better ways to cope with stress
Stress Model of Crisis - ANSWER
Recovery phase options - ANSWER - Higher (educateur)
- No change (fire fighter)
- Lower (abuser)
Skills Building Pyramid - ANSWER 1. Self-Awareness/Four Questions
2. Active Listening/Crisis Communication
3. Behavior Support Techniques
4. Emotional First Aid
5. Crisis Co-Regulation
6. Life Space Interview
Four Questions - ANSWER 1. What am I feeling right now?
2. What does this young person feel, need or want?
3. How is the environment affecting the young person?
4. How do I best respond?
How do I best respond? - ANSWER - Provide environmental support by managing
the environment to neutralize potential triggers
- Provide emotional support by engaging the young person
- Exercise self-control over own feelings
Identifying a young person's needs - ANSWER - What is this individual child's
baseline behavior? Is this typical?
- Is this normal for a young person of this age?
- Does this behavior reflect the child or family's worldview?
- Is this a pain-based behavior related to past trauma?
- What feeling is the child expressing?
Examine the physical setting for - ANSWER - Possible weapons
- Stimulating lights or noise levels
- Crowding
- Chaotic, messy, disorganized messages
Are the activities/routines - ANSWER - Causing frustration, boredom, or anger?
7th Edition)
Effective TCI Implementation includes... - ANSWER Leadership and program
support, Clinical participation, Supervision and post crisis response, Training and
competency standards, Documentation and incident monitoring and feedback
Setting conditions (definition) - ANSWER Anything that makes challenging behavior
more or less likely to occur
Setting conditions (examples) - ANSWER Organizational culture, environment,
program related, personal, relationship-based
Positive organizational culture - ANSWER - 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 organization
Calming physical environment - ANSWER - Makes good use of space for personal
and public use
- Is clean, orderly, inviting
- Has soft lighting and reasonable calming noise levels
- Is furnished and decorated approrpriately for the age group living there
Programs, activities, and routines should - ANSWER - Balance structure and
flexibility to meet individual needs
- Provide for thoughtful transitions
- Be consistent and satisfying
- Have goals, structure, and be designed to help children develop skills
- Be adequately resourced
Treat each child as an individual with - ANSWER - Individual baseline behavior
- Different strengths and abilities
- Specific effects of trauma
- Underdeveloped co-regulation and self-regulation skills
- Possible physical discomfort
- A need for an ICMP
Encourage positive relationships by - ANSWER - Meeting children's basic needs and
building attachments
- Building culturally competent staff members
- Emotional competence and self-awareness
- Teaching relationship skills
- Providing team building experiences
, Emotional competence means - ANSWER - Being aware of personal goals, values,
and beliefs
- Understanding cultural and ethnic differences
- Demonstrating self-regulation skills
- Knowing personal triggers
Crisis - ANSWER A crisis occurs when a young person's inability to cope results in a
change in behavior
Goals of TCI are - ANSWER - SUPPORT environmentally and emotionally to reduce
stress and risk
- TEACH children better ways to cope with stress
Stress Model of Crisis - ANSWER
Recovery phase options - ANSWER - Higher (educateur)
- No change (fire fighter)
- Lower (abuser)
Skills Building Pyramid - ANSWER 1. Self-Awareness/Four Questions
2. Active Listening/Crisis Communication
3. Behavior Support Techniques
4. Emotional First Aid
5. Crisis Co-Regulation
6. Life Space Interview
Four Questions - ANSWER 1. What am I feeling right now?
2. What does this young person feel, need or want?
3. How is the environment affecting the young person?
4. How do I best respond?
How do I best respond? - ANSWER - Provide environmental support by managing
the environment to neutralize potential triggers
- Provide emotional support by engaging the young person
- Exercise self-control over own feelings
Identifying a young person's needs - ANSWER - What is this individual child's
baseline behavior? Is this typical?
- Is this normal for a young person of this age?
- Does this behavior reflect the child or family's worldview?
- Is this a pain-based behavior related to past trauma?
- What feeling is the child expressing?
Examine the physical setting for - ANSWER - Possible weapons
- Stimulating lights or noise levels
- Crowding
- Chaotic, messy, disorganized messages
Are the activities/routines - ANSWER - Causing frustration, boredom, or anger?
