Bringing the TCI System To Your Organization

Courses and Programs Procedures for Sponsoring

Timelines Certi�cation

Bringing the TCI System To Your Organization

RESIDENTIAL CHILD CARE PROJECT | BRONFENBRENNER CENTER FOR TRANSLATIONAL RESEARCH | CORNELL UNIVERSITY

Dear Colleague,

This brochure provides information on how to bring our Therapeutic Crisis Intervention (TCI) Program to your organization. Our goal is to disseminate model techniques in the prevention of institutional child abuse and neglect by preventing and de-escalating aggressive behavior in residential child care facilities. Residential child caring agencies have been able to reduce the need for physical restraint by effectively implementing our Therapeutic Crisis Intervention system. Implementation of TCI has resulted in an increased ability on the part of staff to manage and prevent crises. Implementation studies have also shown an increased knowledge and skill on the part of all staff to handle crisis episodes effectively and a change in attitude regarding the use of physical restraint.

If TCI is to be an effective crisis management system for your organization, you need to address six general criteria: (a) leadership and program support, (b) child and family inclusion, (c) clinical participation, (d) supervision and post crisis response, (e) training and competency standards, and (f) critical incident monitoring and feedback.

Many larger organizations request on-site training-of-trainers in order to train large numbers of trainers in a cost effective manner.

The TCI certification program is designed to develop, maintain, and strengthen the standards of performance for individuals who have successfully completed the requirements of the TCI training-of-trainers. This process affirms our commitment to ensure that TCI is implemented in child caring agencies in a manner that meets the developmental needs of children, and the safety of both children and staff. Please note that all participants must pass the certification requirements during the training in order to train TCI. Attendance alone does not qualify them to be TCI trainers.

If you need any other additional information, please contact: Andrea Turnbull at [email protected]

Sincerely,

Martha J. HoldenSenior Extension AssociateProject DirectorResidential Child Care Project

THERAPEUTIC CRISIS INTERVENTION PROGRAM ON-SITE: Residential Child Care Project, Cornell University 1

Module One: Crisis Prevention

Therapeutic Crisis InterventionEdition 6

Bringing TCI to Your Organization

Residential Child Care ProjectBronfenbrenner Center for Translational ResearchCollege of Human EcologyCornell University, Ithaca, NY USA ©Residential Child Care Project, 2021

Contents

TCI On-Site Regional Contacts 3

TCI Programs Offered On-Site 4

Preplanning Considerations 6

Comprehensive TCI Assessment and Implementation Program 8

Sponsoring TCI-On-Site Training 9

Timeline For Sponsoring On-Site Training 10

Responsibilities Of The Sponsoring Organization 11


Organizations may arrange, on a fee-for-service basis, to offer TCI/TCIS/TCIF Train the Trainer (TxT) or Update training to their staff or member organizations on-site at their organization.

The on-site TxT training option includes a 5-day TCI TxT along with a separate one-day assessment and planning meeting.

The on-site update training option provides organization TCI/TCIS/TCIF trainers an opportunity to receive new training content and renew their trainer certification.

The Residential Child Care Project, in collaboration with organizations in other countries where TCI is being implemented, offers the option to bring TCI to your organization via on-site training. To learn more, organizations may contact their nearest on-site TCI training representative below:

UNITED STATESAlissa Medero, RCCP Program AssistantWebsite: http://rccp.cornell.eduE-mail: [email protected]

EUROPEThe Listening PostE-mail: [email protected]

AUSTRALIATACTWebsite: http://www.tacttraining.org.au

EASTERN CANADASafeguards TrainingWebsite: https://www.safeguards-training.netE-mail: [email protected]

TCI On-Site Regional Contacts

WESTERN CANADAOak Hill RanchWebsite: https://www.oakhillranch.caE-mail: [email protected]

The TCI System | ON-SITE PROGRAMS OFFERED


Comprehensive TCI Implementation Package

The Residential Child Care Project is prepared to bring TCI to your organization as part of a system-wide implementation (the most comprehensive plan) or through training-of-trainers programs, as described below. Please contact your local representative for any pricing information that is not shown below.

System-Wide Implementation

Pricing

Contact the RCCP [email protected]

Includes

• Assessment• Technical assistance• TrainingRCCP staff work with the facility to implement the TCI system over 18 months

Program

TCI Training-of Trainers (TxT) Program

Train-the-Trainer Implementation

Pricing

US20 participants $34,500 10 participants $20,000 UK20 participants £37,000Ireland20 participants €39,000

Includes

• Initial assessment and planning meeting

• 5-day training-of- trainers program

Requirements

Limited to 10 or 20 participants based on the organization’s needs

TCI for Families (TCIF)TxT Program

US20 participants $34,500 UK20 participants £37,000Ireland20 participants €39,000



Limited to 20 participants

TCI for Schools (TCIS)TxT Program

US20 participants $34,50010 participants $20,000 UK20 participants £37,000Ireland20 participants €39,000



Limited to 10 or 20 participants based on the organization’s needs

TCI Programs Offered On-Site


The TCI System | ON-SITE PROGRAMS OFFERED

*Organizations with both TCI trainers who are eligible for 2-day updates AND trainers who are eligible for 1-day updates, the RCCP is offering 1-day and 2-day combined updates. Participants are limited to 25. The cost of these 1-day updates is $17,500.

VIRTUAL TCI Update:

Revisions to the Curriculum, Edition 7

TCI Updates

Pricing

US18 participants $10,000

Includes

3 virtual half-day sessions

Requirements

• Trainers must submit a video of their physical skills demonstrations for recertification in physical interventions

• Limited to 18

Updates are open to anyone who has completed a TCI/TCIF/TCIS Train-the-Trainer Program. NOTE: to maintain their certification status, TCI trainers are required to attend and successfully complete a TCI update every 2 years in North America, Bermuda, and Australia, and every year in the United Kingdom, Ireland, and in the New York State Office of Children and Family Services agencies.

VIRTUAL TCIS Update: Blended Training During the COVID-19 Crisis




• Limited to 18

VIRTUAL TCIS Update: Relevant Refreshers




• Limited to 18

US*25 participants $12,100UK*20 participants £11,000. Ireland 20 participants €12,000

2-day session • Limited to 25 in the US; 20 in the UK

IN-PERSON TCI/TCIF/TCIS 2-Day UpdatesGo to www.rccp.edufor a list of updates and schedules

US*25 participants $6,500UK*20 participants £5,500. Ireland 20 participants €6,250.

1-day session • Trainers must have successfully completed two 2-day updates, preferably Designing Refresher Training Update and Post-Crisis Response

• Limited to 25 in the US; 20 in the UK

IN-PERSON TCI/TCIF/TCIS 1-Day UpdatesGo to www.rccp.edufor a list of updates and schedules

Program

The TCI System | PRE-PLANNING CONSIDERATIONS


TCI System Theory of Change

In order to implement and sustain TCI, organizations need to embed fully the TCI concepts and strategies within practice, as well as provide robust organizational support and accountability. Figure 1 summarizes the TCI System Theory of Change, including the pathways that lead to improved child

outcomes.

The TCI System

TCI is not just a training program. It is an integrated trauma-informed therapeutic crisis prevention and management system. The TCI system identifies roles and tasks as well as desired practice at all levels of

the organization that, when implemented, create a consistent approach to crisis prevention and management within a therapeutic, nurturing, safe, and predictable environment. Through TCI training and technical assistance, these tasks and practices are learned and applied by leadership, supervisors, and direct caregivers.

In his book, The Fifth Discipline, The Art and Practice of the Learning Organization, (1990, p. 3) Peter Senge defines learning organizations as:

…organizations where people continually expand their capacity to create the results they truly desire, where new and expansive pat- terns of thinking are nurtured, where collective aspiration is set free, and where people are continually learning to see the whole together.

TCI Theory of Change

1

The Goal of TCITo create safe, developmentally appropriate, non-confronta:onal, trauma-sensi:ve environments that are supported at all levels of the organiza:on

CornellTrain and cer:fy TCI trainers – Provide technical assistance

Organiza2onConduct self-assessment – Train staff in TCI

Train and support supervisors – Support use of individual crisis support plans (ICSPs)Monitor incidents – Create data-informed feedback loops

Include families and children in reviewing and evalua:ng policies

Supervisors:Know and apply TCI concepts and strategies

Respond to staff’s strengths and individual needs

Understand transfer of knowledge to prac:ce

Coach staff in TCI strategies

Engage in reflec:ve supervision

Use post crisis response strategies

Caregivers:Know and apply TCI concepts and strategies

Recognize children’s pain-based behavior

Respond to children’s needs

Use rela:onships to help children regulate emo:ons and build on strengths

Use ICSPs to prevent, de-escalate, and manage crises

Engage in reflec:ve prac:ce

Include families and children in planning and day-to-day ac:vi:es

Child Outcomes:

Trust and use adults to help regulate emo:ons

Demonstrate increased emo:onal regula:on skills

Use adap:ve behaviors in response to stressful events

Develop ability to learn through reflec:ng on experiences

Organiza2onal OutcomesReduc:on of assaults, figh:ng, runaways, and restraints

Predictability and stability in the milieu

➡ ➡ ➡

Children:

Perceive adults as trustworthy and helpful

Experience success at managing emo:ons

Use adap:ve coping strategies

Feel worthwhile and capable

Figure 1. TCI Theory of Change

Pre-Planning Condsiderations

©2021 Residential Child Care Project. Use of this image without express permission from Cornell University is forbidden.


The TCI System | PRE-PLANNING CONSIDERATIONS

Organizations can only learn when the people that make up the organization learn. For TCI to be an effective crisis management system, the following six general domains need to be addressed: (a) leadership and program support, (b) child and family inclusion, (c) clinical participation, (d) supervision and post crisis response, (e) training and competency standards, and (f) critical incident monitoring and feedback. See Figure 2.

Agencies that have implemented TCI have documented benefits including reduced incidents of aggression and decreased use of high-risk interventions. (For details, download the TCI System Bulletin from the RCCP website’s “Resources” section at http://rccp.cornell.edu.)

Preparing Participants for the TCI Experience

There are factors that organizations will need to consider prior to hosting a TCI Training-of-Trainers (TxT) or TCI Update course. These courses are in-tensive and rigorous. They are TCI trainer certifica-tion courses that require study and preparation prior to attending the inhouse training.

It is the responsibility of the sponsoring organiza-tion to make participants aware of the preparation requirements immediately upon registering them for the course. Attendance alone does not guarantee certification as a TCI trainer. Certification is grant-ed upon successful completion of all aspects of the course. Successful completion is defined as:

1. Complete attendance.

2. Successful completion of the TCI training and evaluation requirements. Successful completion is defined as:a. complete attendance and a passing score on

a written test and on skill demonstrations in key competency areas

b. agreement by the participants to practice in accordance with TCI principles and follow the guidelines for training and implementing TCI

The nature of TCI courses is such that there will be role plays conducted at various levels of intensity.

Benefits to Successful Participation in TCI Courses

The 5-day TCI Training-of-Trainers (TxT) course provides organizations with the opportunity to de-velop an in-house training capacity in the TCI cur-riculum. The organization will then continue to enhance and improve that capacity when certified trainers complete the TCI Updates to maintain their certification.

Effective preparation on the part of the organization will allow participants to focus on the knowledge and skill development necessary to become success-ful as TCI trainers. This will only enhance the orga-nization’s TCI implementation experience.

Participants who are better prepared will develop deeper knowledge, better skills, and attitudes in the TCI curriculum necessary to deliver the training to staff in their organizations

Figure 2. Six Domains for an Effective TCI Management System

Training,Competency

Standards

Documenta-tion, Incident Monitoring, Feedback

Clinical Participation

Leadership, Program Support

Child and Family

Inclusion

Supervision, Post-Crisis Response

Course Offerings | SPONSORING ON-SITE TRAINING


Comprehensive TCI Assessment and Implementation Package

The Residential Child Care Project (RCCP has developed a comprehensive implementation package for residential child care agencies. An organization can expect an increased ability to prevent and manage crisis situations, including fewer physical restraint episodes, fewer injuries to children and staff, increased knowledge and skill levels on the part of all staff to handle crisis episodes effectively, and an overall change in the organizational culture.

Over a 24-month period, staff from Cornell University’s RCCP will work closely with the residential agency to implement the TCI model of crisis prevention and management. This includes:

• an assessment of the current crisis prevention and management system • a plan to implement TCI tailored for the organization• ON-SITE training-of-trainers program• ON-SITE technical assistance to implement the comprehensive TCI system

Assessment PhaseRCCP staff will meet with agency staff to administer surveys and to conduct interviews (all surveys and interviews are confidential and anonymous); observe child-staff interaction; and review agency policies, procedures, and critical incident reports. The assessment process focuses on the six critical organizational domains: leadership and program support, child and family inclusion, clinical participation, supervision and post crisis response, training and competency standards, and critical incident monitoring and feedback. At the end of the phase, RCCP staff will conduct an assessment and planning meeting with key agency staff.

Training PhaseUsing a train the trainer approach, RCCP staff will instruct selected supervisory and training staff to deliver TCI in-service training to all levels of residential child care staff. The selection of candidates for the TCI train the trainer program is critical to the success of TCI in your organization. Given the nature of their responsibility to play a key role in implementation, the training participants should have “hands on” experience in supporting children in crisis. If they are effective role models for new and experienced care workers they can instill positive and supportive values to child care staff and can coach and give corrective feedback to staff more effectively. The participant should be committed to conducting ongoing training for staff for a period of two years. It will be helpful to have training responsibilities written into the job description.

Technical Assistance PhaseAn agency implementation team will meet with RCCP staff throughout the project to help facilitate the process and to tailor the model to meet the organization’s specific needs. Technical assistance and training will be ongoing and available throughout the life of the project.

Special Features of the TCI System

Organizational capacity to maintain the TCI system• On-site training and technical assistance • Selected agency staff trained as trainers in TCI • Training materials to conduct 30-32 hours of in-service training

For further discussion of this project, please contact Andrea Turnbull at [email protected].


Course Offerings | SPONSORING ON-SITE TRAINING

The process for bringing the TCI Training-of-Trainers program to your agency is as follows:

1. Organizations will work with their local representative to determine a mutually convenient week during which this program could be offered.

2. At a date decided by you and a your local representative, an assessment and planning meeting will be scheduled for your organization to prepare for implementing TCI.

3. The completed applications (provided separately) of all training candidates must be received by the RCCP 30 days prior to the training. If the applications are not sent to us by the designated date, the training will be cancelled. Upon receipt of the applications, the RCCP will send information and assignments to the candidates to be completed before the training. Substitutions may be made up to two weeks prior to the training. Substitutes must receive materials mailed prior to training from the person they are replacing.

4. If you wish to open the training to other agencies, please let us know. We must have prior review of any materials that will be sent out to other organizations promoting the training. We also require that the tuition fee remain at:

$2,375./£1,800./€1,980. per participant in the 5-day TCI Training-of-Trainers program

$910./£880./€970. per participant in the 2-day in-person and 3-session virtual TCI Update trainings

$570./£445./€500. per participant in the 1-day in-person and 2-session virtual TCI Update trainings

The tuition fee requirement in Canada and Australia will be determined by the local representative.

5. At the completion of the training, RCCP will billed the organization for the cost of the program.

Sponsoring On-Site Training

Course Offerings | TIMELINE FOR SPONSORING ONSITE TRAINING


Before Training Occurs

16-20 weeks The sponsoring agency and the RCCP set a training date; the agency contact person is established.

12-16 weeks The agency contact person works with Alissa Medero, RCCP Project Assistant or local representative, to secure an appropriate training site and lodging for TCI instructors. The agency distributes information and applications for training. (Any materials to be distributed that are not Cornell University originated must be reviewed by the RCCP before distribution).

6 weeks Training site details are confirmed with the RCCP.

5 weeks The agency sends completed candidate applications to the RCCP. Training will be cancelled if applications are not received 30 days prior to training. The RCCP sends confirmation letters and reading assignments to candidates. If there are substitutions, the substitute candidates must receive the information two weeks prior to training from the person they are replacing. Travel arrangements are confirmed.

1 week RCCP finalizes details with agency. Materials are sent to the site.

One Month Before orAfter Training Occurs Assessment and Planning Day: This meeting, held from 9:00 am to 4:00 pm,

involves assessing the current crisis management system according to TCI criteria and developing a plan to fully implement TCI. RCCP staff will meet with key staff members of your organization to present TCI implementation criteria, facilitate your staff in assessing your present system of crisis management, and help develop a plan specifically tailored for your agency to successfully implement TCI. There is no maximum number of participants in the assessment and planning meeting. The members of the group should have the authority to carry out the implementation plan. This work group should be carefully selected to represent various expertise, disciplines, and programs.

Timeline for Sponsoring On-Site Training


Course Offerings | RESPONSIBILITIES OF THE SPONSORING ORGANIZATION

Training Room Requirements

1. The training room must be available as follows

TCI Train the Trainer Programs: 8:00 am until 6:00 pm Monday - Thursday 8:00 am until 5:00 pm Friday

TCI Updates: 8:00 am until 6:00 pm daily

2. The training room must be at least 1500 sq. feet (140 sq meters) with no obstacles (i.e., columns).

3. Set up should be a “U-shaped” arrangement of standard size banquet tables at least 30 inches (76 cm) wide. Place chairs on the outside of the “U,” and 8-10 extra chairs in the room.

4. There should be an extra table to the side for organizing training materials.

5. Coffee, tea, fruit, and/or snacks (e.g., pastry, muffins, bagels) should be set up first thing in the morning and available to participants at their leisure. Beverages should be replenished at 10:30 am.

6. Cold beverages should be set up between 2:30 pm and 3:00 pm.

7. There must be one flip chart stand with flip chart paper and markers.

8. There must be equipment capable of projecting a PowerPoint™ presentation.

9. There must be a screen/monitor and/or projector (capable of playing audio/visual material and running Microsoft PowerPoint™). If a computer cannot be provided, contact RCCP immediately.

Registering Training ParticipantsThe agency is responsible for collecting application forms from candidates. RCCP provides a blank application form for this purpose. All completed applications must be received by the RCCP 30 days prior to the training. If the applications are not received by this date, the training will be cancelled. Upon receipt of the applications, the RCCP will

send reference material for pre-course reading. This reference material can be sent to the on-site organization, or to individual candidates. Candidates must read pre-course reference material prior to attending the training to be completed before the training. Substitutions may be made up to two weeks prior to the training.

FRONT of TRAINING ROOM

Seat

ing

— 8

Cha

irs

Seating — 8 Chairs

Seating — 4 Chairs

Extra Table

Extra ChairsExtra

Tab

le

Small Table for Laptop/Projector

Screen

Responsibilities of the Sponsoring Organization

RESIDENTIAL CHILD CARE PROJECT | ITHACA, NY USA | WWW.RCCP.CORNELL.EDU

Bringing the TCI System To Your Organization

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