There are several very effective positive crisis intervention models that we have used over the years. Therapeutic Crisis Intervention (TCI) is an approach we have used successfully in countless situations, with individuals and groups, children and adults. TCI focuses on prevention of escalation whenever possible, minimizing negative impacts if behavior does escalate and increasing understanding of how feeling can affect behavior.
Source: THERAPEUTIC CRISIS INTERVENTION SYSTEM: Residential Child Care Project, Cornell University TCI_7_SYSTEM BULLETIN.pdf (cornell.edu)
The TCI system assists organizations in preventing crises from occurring, de-escalating potential crises, managing acute physical behavior, reducing potential and actual injury to children and staff, teaching children adaptive coping strategies, and developing a learning organization. This model gives organizations a framework for implementing a crisis prevention and management system that reduces the need to rely on high-risk interventions. TCI addresses six general domains: 1. Leadership and program support 2. Child and family inclusion 3. Clinical participation 4. Supervision and post-crisis response 5. Training and competency standards 6. Documentation, incident monitoring, and feedback These domains are required to establish effective crisis prevention and management in a residential setting. These six domains are congruent with the six core strategies outlined by the National Association of State Mental Health Program Directors4 and the Child Welfare League of America.5 Many children who have experienced toxic stress and trauma have never learned effective emotional regulation skills and constructive ways of coping with or responding to internal or interpersonal stress, upset, or pain. The skills necessary to implement TCI are neither intuitive nor natural; staff must be fully trained and supervised in co-regulation skills and strategies that are based on self-awareness, active listening, behavior support techniques, emotional first aid, crisis co-regulation, and the Life Space Interview.
Life Space Interview
I Isolate the conversation (remove the audience)
E Explore upset person's point of view (what happened?)
S Summarize what you hear
C Connect feelings with behavior
A Discuss alternate ways of handling situation
P Practice new behavior (role play)
E Enter back into routine
Check out ST4T/HOPE JOURNEYS YouTube Channel for more great Positive Relationship Building videos https://www.youtube.com/channel/UC-GrPUmilTm_B8TUktGpi7w
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