Therapeutic Crisis Intervention Exam Study Guide
(TCI- 7th Edition)
What is a setting condition? - ANSWER Anything that makes challenging behavior
more or less likely to occur.
True or False
An example of a setting condition that makes challenging behavior more or less
likely to happen is organizational culture. - ANSWER TRUE
What does ICMP stand for? - ANSWER Individual Crisis Management Plan
The goals of crisis intervention are to _______ and ________. - ANSWER Support &
Teach
Stress Model of Crisis - ANSWER 1. Baseline
2. Triggering Event
3. Escalation Phase
4. Outburst Crisis
5. Recovery
What are the four questions that we ask ourselves before intervening in a potential
crisis? - ANSWER 1. What am I feeling now?
2. What does this child feel, need, or want?
3. How is the environment affecting the child?
4. How do I best respond?
Behavior Support Techniques (need to know 4) - ANSWER 1. Managing the
environment
2. Prompting
3. Caring gesture
4. Hurdle help
5. Redirection and distractions
6. Proximity
7. Directive statements
8. Time away
What are the three goals of emotional first aid?
**Be able to write these out - ANSWER 1. Co-regulation (provide immediate help
and support to reduce emotional intensity)
2. Resolve the immediate crisis
3. Re-enter the child back into the program
Strategies for Emotional First Aid
, **Need to know terms and be able to write them out - ANSWER 1. Drain off
emotions
2. Clarify events
3. Maintain the relationship and lines of communication
4. Remind the child of expectations and mediate the situation if necessary
Conflict Cycle - ANSWER 1. Stressful situation/incident
2. Young person's feelings
3. Young person's behavior
4. Adult's response
Avoid the conflict cycle by:
**Know at least four of these and be able to write them out! - ANSWER 1. Listen and
validate the child's feelings
2. Manage the environment
3. Give the young person choices and the time to decide what to do next.
4. Redirect the young person to another positive activity
5. Appeal to the young person's self interest
6. Drop or change the expectation
7. Use positive self-talk
Reactive vs. Proactive Aggression - ANSWER Reactive Aggression
-emotions are dominant
-loss of control and emotional flooding
-eg. impulsive, angry, loud, highly aroused emotions
Proactive Aggression
-cognitions are dominant
-goal oriented
-eg. impassive, staring, smiling/smirking, firm, calm
What are the four elements of a potentially violent situation? - ANSWER 1. Trigger
2. Target
3. Level of Stress
4. Weapon
True or False
The goal in crisis intervention is to lower the stress and risk by providing emotional
and environmental support? - ANSWER TRUE
Nonverbal crisis co-regulation Help Me Help Myself strategies to help a potentially
violent child.
(NEED TO KNOW 4) - ANSWER 1. Deep breath
2. Protective stance
3. Step back
4. Give the situation time
5. Sit down (if appropriate)
(TCI- 7th Edition)
What is a setting condition? - ANSWER Anything that makes challenging behavior
more or less likely to occur.
True or False
An example of a setting condition that makes challenging behavior more or less
likely to happen is organizational culture. - ANSWER TRUE
What does ICMP stand for? - ANSWER Individual Crisis Management Plan
The goals of crisis intervention are to _______ and ________. - ANSWER Support &
Teach
Stress Model of Crisis - ANSWER 1. Baseline
2. Triggering Event
3. Escalation Phase
4. Outburst Crisis
5. Recovery
What are the four questions that we ask ourselves before intervening in a potential
crisis? - ANSWER 1. What am I feeling now?
2. What does this child feel, need, or want?
3. How is the environment affecting the child?
4. How do I best respond?
Behavior Support Techniques (need to know 4) - ANSWER 1. Managing the
environment
2. Prompting
3. Caring gesture
4. Hurdle help
5. Redirection and distractions
6. Proximity
7. Directive statements
8. Time away
What are the three goals of emotional first aid?
**Be able to write these out - ANSWER 1. Co-regulation (provide immediate help
and support to reduce emotional intensity)
2. Resolve the immediate crisis
3. Re-enter the child back into the program
Strategies for Emotional First Aid
, **Need to know terms and be able to write them out - ANSWER 1. Drain off
emotions
2. Clarify events
3. Maintain the relationship and lines of communication
4. Remind the child of expectations and mediate the situation if necessary
Conflict Cycle - ANSWER 1. Stressful situation/incident
2. Young person's feelings
3. Young person's behavior
4. Adult's response
Avoid the conflict cycle by:
**Know at least four of these and be able to write them out! - ANSWER 1. Listen and
validate the child's feelings
2. Manage the environment
3. Give the young person choices and the time to decide what to do next.
4. Redirect the young person to another positive activity
5. Appeal to the young person's self interest
6. Drop or change the expectation
7. Use positive self-talk
Reactive vs. Proactive Aggression - ANSWER Reactive Aggression
-emotions are dominant
-loss of control and emotional flooding
-eg. impulsive, angry, loud, highly aroused emotions
Proactive Aggression
-cognitions are dominant
-goal oriented
-eg. impassive, staring, smiling/smirking, firm, calm
What are the four elements of a potentially violent situation? - ANSWER 1. Trigger
2. Target
3. Level of Stress
4. Weapon
True or False
The goal in crisis intervention is to lower the stress and risk by providing emotional
and environmental support? - ANSWER TRUE
Nonverbal crisis co-regulation Help Me Help Myself strategies to help a potentially
violent child.
(NEED TO KNOW 4) - ANSWER 1. Deep breath
2. Protective stance
3. Step back
4. Give the situation time
5. Sit down (if appropriate)
