Therapeutic Crisis Intervention
Exam Study Guide (TCI- 7th
Edition)
A Therapeutic Milieu - Correct Answer - The combination of people, emotions, attitudes, and objects that create a sense of safety, respect, belonging, care, and accountability
A Trauma Informed Organization - Correct Answer - Supports and facilitates trauma informed care through: policies, procedures, and practices
Goals of Crisis Intervention - Correct Answer - 1) Support: provide immediate emotional and environmental support to reduce stress and risk and increase child's sense of safety
2) Teach: help children learn and practice ways to regulate their emotions and behaviors
Trauma Driven Perception - Correct Answer - Triune Brain, Potential Danger, Emotional Brain, Survival Brain, Panic Trauma Informed organization ensures that staff... - Correct Answer - 1. Understand what trauma is and how it impacts everyone within the system
2. Recognize behaviors and patterns that reflect past or present trauma
3. Respond in ways that avoid re-traumatization
How do I best respond? - Correct Answer - 1. Exercise self control over feelings the situation may evoke (STAY IN CONTROL)
2. Engage child and defuse pain-based behavior (PROVIDE EMOTIONAL SUPPORT)
3. Manage the environment to neutralize potential triggers (PROVIDE ENVIRONMENTAL SUPPORT)
4. Assess impact of the response on the child and the situation (DECREASE LEVEL OF STRESS)
Reflective Responses - Correct Answer - Connect with child's feelings
"You look upset", "You seem fed up about something", "you sound angry"
Empathic Responses - Correct Answer - Connect with the child's experience
"This is really hard for you isn't it", "It must be awful to feel like that", "You are having a tough time at the moment, aren't you" Pain Based Behaviors - Correct Answer - Behaviors that are a result of emotional and psychological pain 1. Impulsive outbursts 2. Aggression
3. Withdrawn
4. Self-injury
5. Defiance
6. Inflexibility
7. Trauma re-enactment
8. Inability to regulate emotions
9. Overreaction to situations (aggression)
A crisis occurs when: - Correct Answer - A child's fight, flight or freeze response is activated and they are unable to regulate their emotions and behaviors
The Triune Brain (3) - Correct Answer - 1. Thinking Brain
2. Emotional Brain
3. Survival Brain
"What am I Feeling Now"- An Amygdala Hijack - Correct Answer - 1. Anger or fear triggers a fight, flight, or freeze response (an emotional and physical state)
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