TCI Foundation
Knowing the Child
Effects of Trauma
Random
100

What are the 5 spaces that make up the therapeutic milieu?

Social

Physical

Ideological

Cultural

Emotional

100

What are the three parts of the triune brain?

Survival

Emotional

Thinking


100

What is a pain based behavior?

Behaviors that are the result of emotional and psychological pain

100

What are the two goals of crisis intervention?

1. support immediate safety

2. teach new regulatory strategies

200

What are setting conditions?

Anything that makes challenging behavior or traumatic stress response more or less likely to occur

200

What part of the brain includes the amygdala (threat detector)?

Emotional brain/limbic system


200

True or false, trauma affects children's ability to regulate their emotions and behavior? Give an example.

True


Trauma could cause youth to overreact to situations


200

What are the three possible recovery outcomes, post-crisis. 

1. higher (learn and support)

2. no change (support but no learning)

3. lower (unsupported and no learning)


300

Give an example of a setting condition that would increase challenging behavior AND an example of a setting condition that would decrease challenging behavior

1. increase challenging behavior could be something like loud noises in environment, overstimulating lights, yelling at youth etc.

2. decrease challenging behavior could be something like dimming the lights, removing an audience, giving child time and space

300

Trauma creates hypervigilance which means which part of the brain is overreactive?

Survival

300

Trauma can affect youth in care in different ways.

 Some youth will have greater difficulty with authority resulting in what pain based behavior?


Some youth will desire predictable routines and struggle when there are surprises or changes resulting in what pain based behavior?

1. defiance

2. inflexibility

300

What are the four questions staff should ask themselves before intervening in crisis?

1. what am I feeling now

2. What does the child, need, want, expect?

3. How is the environment affecting the situation?

4. How do I best respond?

400

Name three of the six domains essential to effective implementation of TCI

1. Child and Family Inclusion

2. Clinical participation

3. Supervision/post-crisis response

4. Training/competency standards

5. Documentation, incident monitoring, feedback

6. Leadership/program support

400

You can use active listening skills to encourage the child to be in which part of their brain?

Thinking brain

400

What do we call the pattern of thinking where the brain immediately goes into panic mode? Why is it different for youth with typical development?

Trauma-driven perception. Youth with typical development will be able to use their thinking brain to make a decision rather than act on impulse.

400

Name 6 of the 8 behavior support techniques AND give examples for 2 of them.

1. Proximity

2. managing the environment

3. caring gesture

4. hurdle help

5. prompting

6. directive statement

7. redirection and distraction

8. Time away

500

What are the skills necessary for intentional use of self? (4)

1. self-awareness

2. self-regulation

3. self-care

4. relationship skills and attunement

500

Developmental relationships are characterized by 4 skills...can you name at least three?

1. Progressive complexity

2. Balance of power

3. Reciprocity

4. Attachment

500

Name 8 pain-based behaviors

1. defiance

2. impulsive outburst

3. Inability to regulate emotions

4. Trauma re-enactment

5. Self-injury

6. Overreaction to situations

7. Withdrawal

8. Inflexibility

9. running away through fear or anger

500

Which is the empathic response and which is the reflective response?


"you seem angry"  "you are having a hard time right now"

you seem angry is reflective (connect to feeling)


you are having a hard time right now is empathic (connect to experience)

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