I will be completing my certification on Therapeutic Crisis Intervention (TCI) training this coming Wednesday. I hope to use this web site to make notes and up discuss my thought on it.

I have so far complete 3 of my 4 days of training. This coming Wednesday, our class will review the material and take the test.

The TCI self protection component is very weak, but the restraining component is very safe and very well develop. I hope to blog more about it when I have time.

This Monday I will use some of my free time at work to study for the upcoming test.

A CHILD IN CRISIS NEEDS HELP!
What kind of help and how it is given make a crucial difference between the child’s learning from the experience or being setback. The Therapeutic Crisis Intervention training program for child and youth care staff presents a crisis prevention and intervention model designed to teach staff how to help children learn constructive ways to handle crisis.

Actions Speak Louder Than Words!
By their example, child and youth care staff shape the behavior and influence the growth of the young people in their care. At no time is this issue more important than during periods of crisis and upset. The skills, knowledge, and professional
judgment of staff in reacting to crises are critical factors in helping young people learn constructive and adaptive ways to deal with frustration, failure, anger, rejection, hurt, and depression. The ability of the entire organization to respond effectively to staff and young people in crisis situations is also critical in establishing not only a safe environment, but one that promotes growth and development.

WHAT IS THERAPEUTIC CRISIS INTERVENTION?
The purpose of the TCI project is to provide a crisis prevention and intervention model for residential child care facilities which will assist an organization in:
• Preventing crises from occurring
• De-escalating potential crises
• Effectively managing acute crisis phases
• Reducing potential and actual injury to children and staff
• Learning constructive ways to handle stressful situations
• Developing a learning circle within the organization

WHO CAN BENEFIT FROM TCI TRAINING?

Anyone working with children where kids may become escalated or agitated in large group settings can benefit from the skills taught in this training. Working with kids in group homes, residential childcare facilities, foster care, day care, youth groups and other group-type settings all can present circumstances where adequate crisis intervention skills and strategies are necessary.
COURSE CONTENT
DAY ONE

Crisis as Opportunity
Crisis is defined and ways that adults can prevent a crisis situation are identified. Participants are taught how to maintain self-control in preventing or handling a crisis through awareness of personal feelings and values, the young person’s needs and wants, and environmental effects on behavior.
Topics covered include:

* The stress model of crisis
* Intervention approaches
* Self-Awareness
* Awareness of the young person
* Awareness of the environment
* Assessing the situation

Triggering and Escalation
Verbal and nonverbal techniques for crisis prevention are presented. Participants are shown that if these techniques are used before an incident escalates to a crisis, the situation can be de-escalated and young people can be taught alternative behaviors to acting out.
Topics covered include:

* Verbal crisis communication
* Nonverbal crisis communication
* Behavior management
* Avoiding crisis strategies
* Protective interventions

DAY TWO

Escalation, Outburst and Recovery
Life Space Interviewing techniques are taught. The rationale for safety interventions is explained and situations when restraint should and should not be used are discussed. The use of various physical intervention techniques is discussed and practiced.

Topics covered include:

* Life Space Interviewing
* I ASSIST (non-confrontational limit setting)
* Safety interventions
* Team restraint
* Small child restraint
* Breaking up fights
* Standing hold
* Recovery process

DAY THREE

Outburst and Recovery
Participants practice Life Space Interviewing, are taught safety issues, and have opportunities to practice the use of various physical intervention techniques.

Topics covered include:

* Three person restraint
* Transferring control
* Responding to feelings versus behavior
* Crisis intervention role plays

Implementing the TCI System
Safety issues are explained, and documentation requirements and the elements of the TCI system are reviewed. All participants are tested for certification.

Topics covered include:

* Safety issues
* Recovery for staff
* Documentation
* TCI system
* Evaluation and testing

More to follow!!

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