Quality Improvement and TCI Training
Our Quality Improvement team works to support programs and staff by providing a wide range of essential staff training, monitoring practices against regulatory standards to ensure compliance and collecting and utilizing data to strengthen practices toward the Agency's commitment to continually improve the quality of services provided to the children and families.
To view or download our HIPAA or Corporate Compliance policies, please click here.
For more information about Quality Improvement, please contact Nanette Conney at 315.235.7786 or email at firstname.lastname@example.org.
A Child in Crisis Needs Help
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 set back. 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.
The ability of the entire organization to respond effectively to staff and young people in crisis situations is critical in establishing not only a safe environment, but also one that promotes growth and development.
The skills, knowledge, and professional judgment of staff in responding to crises are critical factors in helping young people learn constructive and adaptive ways to deal with frustration, failure, anger, rejection, hurt, and depression.
What Is the Therapeutic Crisis Intervention System?
The purpose of the TCI system is to provide a crisis prevention and intervention model for residential child care organizations that will assist in:
—Preventing crises from occurring
—De-escalating potential crises
—Effectively managing acute crises
—Reducing potential and actual injury to children and staff
—Learning constructive ways to handle stressful situations
—Developing a learning circle within the organization
How Was TCI Developed?
In 1979 with a grant from the National Center of Child Abuse and Neglect (NCCAN) staff of the Family Life Development Center (FLDC) at Cornell University undertook a study of child abuse and neglect in New York State group care institutions. The purpose of this study was to assess the nature and extent of child abuse and neglect when it occurs in the institutional setting, and to identify those factors associated with its incidence. Factors associated with the incidence of abuse and neglect included the inappropriate use of discipline, isolation and restraint, and poor management practices. FLDC staff spent many months researching other crisis intervention curricula, meeting with child care experts, and visiting child care agencies in order to develop a comprehensive training program that addressed the issues outlined in the research. TCI training was developed and pilot-tested at approximately eight facilities from the study sample of sixteen. Concurrently, the entire sample was involved in the testing of a model response system in reporting and investigating child abuse. From 1981 to 1982, child abuse reports (not instances of abuse) in those facilities that had pilot-tested the Cornell curriculum decreased by forty percent. In those sample facilities, which were not exposed to the new training materials, reporting increased by more than two hundred percent. (Note: By virtue of being in the sample, all of these agencies were much more sensitive to reporting issues and were, therefore, more likely to make a report.)
Evaluation of TCI Effectiveness
From 1994-1997, the RCCP and child caring agencies in the Northeastern United States and the United Kingdom conducted joint evaluation projects that introduced TCI into residential treatment settings and evaluated its effect on the organizations. Throughout the life of this project, critical incidents were collected and an advisory group from the agencies met with Cornell staff. Other data collection methods were pre-/post-tests, surveys, and interviews with staff supervisors and young people. All levels of residential child care personnel attended TCI training and supervisors attended additional training, to assist them in monitoring and supporting the model. Results from the project included a decrease in physical restraint episodes, fighting incidents, physical assaults, runaways, and verbal threats. Results also indicated that after attending TCI training staff felt more confident in their ability to manage any crisis situation, work effectively with co-workers, and help young people learn to cope more successfully with crisis. Staff was less afraid to manage crisis situations and was more focused on the young people. They also reported an increase in knowledge about agency policy and procedures for crisis management.
To find out more about this service for your organization, please call Nan Conney at 315.235.7786 or email her at email@example.com.