Tci

Question 1

A Trauma - informed organisation

Answer 1

Policies
Procedures
Practices

Question 2

Where can a trauma - informed organisation be found

Answer 2

People HR
Power app

Question 3

Developmental relationships are characterised by

Answer 3

Attachment
Reciprocity
Progressive complexity
Balance of power

Question 4

Effective TCI implementation includes

Answer 4

Young person and family
Clinical participation
Supervision and post crisis response
Training standards
Documentation and incident monitoring
Leadership and programme support

Question 5

The TCI system assists organisations to

Answer 5

Prevent crisis
De escalate crisis
Manage physical behaviour
Reduce injury to young people and staff
Teach emotional regulation skills and coping strategies
Develop a learning organisation

Question 6

TCI theory of change

Answer 6

Cornell
Organisation
Organisation outcomes
Young person outcomes
Young people
Carers
Supervisors

Question 7

What is a therapeutic Milieu

Answer 7

Combination of people,emotions, attitudes and objects that create a sense of safety

Question 8

Spaces within the therapeutic milieu

Answer 8

Ideological
Physical
Cultural
Social
Emotional

Question 9

Setting conditions

Answer 9

Anything that makes challenging behaviour or traumatic stress responses more or less likely to occur

Question 10

What are the internal use of self

Answer 10

Self-awareness
Self-regulation
Relationship skills and attunement
Self-care

Question 11

3 parts of the triune brain are

Answer 11

Thinking
Emotional
Survival

Question 12

Pain based behaviours

Answer 12

Cant regulate emotions
Overreaction
Outbursts
Trauma re-enactment
Defiance
Inflexibility
Running away through anger or fear
Self injury
Withdrawal

Question 13

When does a crisis occur

Answer 13

When a child is in fight, flight or freeze and cant regulate their emotions

Question 14

Goals of crisis intervention

Answer 14

Support
Teach

Question 15

Recovery phase outcomes

Answer 15

Higher
No change
Lower

Question 16

What 4 questions do we ask ourselves in a crisis situation

Answer 16

What am I feeling now
What does the young person feel
How is the environment
How do I respond

Question 17

How do I best respond in a crisis

Answer 17

Stay in control
Emotional support
Environmental support
Decrease level of stress

Question 18

Non verbal techniques

Answer 18

Silence
Facial expression
Eye contact
Tone of voice

Question 19

What is reflective response

Answer 19

Connect with the child’s feelings

Question 20

What is the empathetic response

Answer 20

Connect with the child’s experience

Question 21

Active listening does the following

Answer 21

Helps children express their thoughts and feelings
Reduces opposition
Promotes change
Helps children to talk out not act out

Question 22

What are the behaviour support techniques

Answer 22

Environment
Prompting
Caring gesture
Hurdle help
Redirection and distraction
Proximity
Directive statement
Time away

Question 23

Goals of emotional first aid

Answer 23

immediate support to reduce emotions
Identify and resolve the concerns causing stress
Keep child in the activity

Question 24

Strategies for emotional first aid

Answer 24

Co-regulate emotions
Maintain relationship
Plan and anticipate

Question 25

How do you avoid a power struggle

Answer 25

Drop the rope Listen and validate feelings Manage environment Give choices Change expectation

Question 26

Effects of anger

Answer 26

When we are at our angriest We are at out stupidest

Question 27

Non verbal messaging

Answer 27

Eye contact Body language Personal space Heigh and gender Sensitivity to cultural issues

Question 28

Elements of a violent situation

Answer 28

The spark The target The weapon Stress level

Question 29

Objective of co-regulation

Answer 29

Provide support that will reduce stress and decrease child's risk of safety

Question 30

What to think(self talk)

Answer 30

Ask yourself the 4 questions Use positive self talk

Question 31

What to do (non verbal strategies)

Answer 31

Take a deep breath Give child space and time Use silence Step away Neutral face expression

Question 32

What to say ( verbal strategies)

Answer 32

Very little Calmly Understand responses Tone of voice

Question 33

What do do when its over

Answer 33

Discuss situation in LSI Debrief

Question 34

Post crisis multi level response timeline

Answer 34

Immediate response LSI with child Incident report Incident review with staff Incident review with team

Question 35

Life space interview LSI is

Answer 35

A verbal process that helps turn crisis events into learning experiences

Question 36

Goals of LSI

Answer 36

Provide emotional safety Help clarify events for adult and child Repair relationship help regulate emotions Enter child back into routine

Question 37

Steps to LSI IESCAPE

Answer 37

Identify a place and time to talk Explore childs point of view Summarise feelings and content Connect trigger to feelings and behaviour Alternate responses to feelings discussed Plan/ practice Enter child back into routine

Question 38

Who carries out the steps to LSI

Answer 38

Adult who was supporting child through the event

Question 39

The goal of physical intervention

Answer 39

To reduce risk

Question 40

What is physical restraint

Answer 40

Trained staff members to hold a child to contain physical behaviour

Question 41

Acute physical behaviour is

Answer 41

Behaviour that can result in injury

Question 42

Options to handle physical violence

Answer 42

Restraint techniques Leave situation for assistance Keep safe distance Eliminate one of the elements - SPARK

Question 43

Physical restraint is not used to

Answer 43

Demonstrate authority Enforce compliance Cause pain or harm Punish or discipline