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2023 NCH TCI Training

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2023 NCH TCI Training

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TCI (Therapeutic Crisis Intervention) Exam
What is a setting condition? - Ans>>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. - Ans>>TRUE

What does ICMP stand for? - Ans>>Individual Crisis Management Plan

The goals of crisis intervention are to _______ and ________. - Ans>>Support & Teach

Stress Model of Crisis - Ans>>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? - Ans>>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) - Ans>>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 - Ans>>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 - Ans>>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 - Ans>>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! - Ans>>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 - Ans>>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? - Ans>>1. Trigger

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