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Brief Summary of

Therapeutic Crisis Intervention

Rosario m. Velazquez

Therapeutic Crisis Intervention (TCI)

References

TCI Components

Activity

Life Space Interview

Nunno, M. A., Holden, M. J., & Leidy, B. (2003). Evaluating and monitoring the impact of a crisis intervention system on a residential child care facility. Children and Youth Services Review, 25(4), 295-315.

  • 1980's Cornell University developed TCI as a preventative intervention system for residential care organizations.
  • This professional training was developed as part of the Residential Care Project (RCCP) and the Family Life Development Center's (FlDC) mission

Thank you for Participating

in Advance

TCI Modules work together in an effort to reduce the risk for High Risk Inteverventions. Instead of restraint and seclusion the modules emphaize the exploration of respect, kindness, safety, and education.

Modules

Note: During the Phases of Stress Ideally the goal is to redirect during the "Triggering event" and/or "Escalation Phase."

Life

Space

Interview

Phases of Stress

During the "Outburst" phase of stress utlize the Life Space Interview as a crisis intervention. LSI is key in assisting the young person to learn from this crisis experience.

TCI

Crisis

Co-Regulation

Outburst

Crisis

Emotional

First Aid

Escalation

Phase

1

5

#5 Goal: Teach new coping skills

Crisis Prevention

Safety Interventions

Triggering

Event

#1 Goal: Return the person to baseline

Behavior

Support

Techniques

Recovery

Baseline

2

3

4

Crisis As an Opportunity

De-Escalating the Crisis

Managing the Crisis

Active

Listening

Crisis

Communication

Holden, M. J., & Mooney, A. J. (2009). Therapeutic Crisis Intervention: A Crisis Prevention and Management System. Student Workbook. Family Life Development Center, College of Human Ecology, Cornell University.

Self-Awareness

Four Questions

Time Duration

#6. Goal: Reintegrate the young person pack into the program

Skill Building Pyramid

#2 Goal: Clarify the events

Goals of Crisis

Objective of TCI Training

Care Worker's Role

The Conflict Cycle

Incorporate Self Awarness as an intervention in effort to avoid repeating the conflict cycle

Ask yourself:

1. What am I feeling now?

2.What does this young person feel, need, want?

3. How is the enviornment affecting the young person?

4. How do I best respond?

1

To help young people develop new responses to stress

Stressful Situation

  • Prevent/De-escalate a crisis
  • Safely and Therapeutically manage a crisis
  • Help young people improve coping strategies
  • Provide immediate emotional and behavioral support in a way that reduces stress and risk
  • Teach effective ways to deal with stress or painful feelings

4

2

Adult Response

#3 Goal: Repair and restore the relationship with the adult

Young Person's

Feelings

When in doubt remember: I ESCAPE

Crisis = Teaching moment

3

Isolate the conversation - find a quiet place to talk

Young Person's

Behavior

Explore the young person's point of view - let them vent

Summarize the feelings and content the young person shared

Connect how their feelings influenced their behavior

#4 Goal: Teach new coping skills

Alternatives actions/behaviors can be examined

Plan & Practice a constructive manner to respond to the situation with the same feelings

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