TCI (Therapeutic Crisis Intervention)
Seventh Edition Solved
4 Foundations for intentional Use of Self - ANSWER-1. Self awareness
2. Self Regulation
3. Relationship skills and attunement
3. Self Care
4 Questions We ask Ourselves in a Crisis Situation - ANSWER-1. What am I feeling
now?
2. What does this child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond?
A Crisis Occurs When: - ANSWER-A child's flight, fight, and freeze response is
activated and they are unable to regulate their emotions and behaviors.
A Trauma -Informed Organization Ensures that Staff - ANSWER-Understand-
Understand what trauma is and how it impacts everyone in the system.
Recognize- Recognize behaviors and patterns that reflect past and present trauma.
Respond- Respond in ways that avoid re-traumatization
A Trauma-informed organization - ANSWER-Supports trauma-informed care through:
Policies
Procedures
Practices
Active Listening - ANSWER-Helps children express their thoughts and feelings
Reduce defensiveness and opposition
Promotes Change
Communicates we understand and have a desire to help
Helps Children learn to self-soothe as we model ways to respond (Co-Regulation)
Helps children "Talk out rather then act out"
Adults can be a source of strength for children by: - ANSWER--Seeing the situations
from the child's point of view
(empathetic response)
-Lending enough support (emotional and environmental) to help bring the situation
within the child's ability to manage.
-Celebrating the child's efforts and success
, Adults need to know - ANSWER-*Safety Concerns including contradictions to restraint
*Child's triggers to a stress response
* Child's High -risk behavior
* Strategies for preventing a crisis (setting conditions)
*Strategies for responding to reduce the child's stress in the triggering escalation, and
outburst phases of the crisis.
*How to help the child recover and return to normal functioning after crisis.
Assessing a Crisis Situation - ANSWER-Accurately assessing a potential crisis situation
and choosing strategies that will provide the emotional and environmental support the
child needs to navigate through the event.
Assessing Behavior - ANSWER-- All behavior has meaning
-Behavior reflects emotions and needs
-Trauma affects children's ability to manage feeling and behaviors.
Avoid the Weapon By - ANSWER-- Discreetly removing objects
-Maneuvering away from weapons
-Staying a safe distance away.
Baseline Behavior - ANSWER-Every child has a normal state of functioning and arousal
level that is specific to that child.
Basic Principles of Physical Intervention - ANSWER-A maximum amount of care with a
minimum amount of force and the goal of de-escalating the situation by reducing
stimulation.
Behavior Support Techniques - ANSWER-Redirection and Distractions
Managing the Environment
Prompting
Proximity
Direct Statements
Caring Gesture
Time Away
Hurdle Help
Caveat - ANSWER-*Participate only if physical and medically able
*Offer no resistance in the role of the child(unless the trainers instruct you otherwise)
* Remove objects that might cause injury
*Be appropriately dressed
*Practice only the techniques demonstrated
Criteria For Using Direct Statements - ANSWER--The Child has a trusting relationships
with the adults
-The expectation is important enough to risk escalating the situation.
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