Therapeutic Options™ is a comprehensive and sensible approach to reducing violence and the use of restraint and seclusion in behavioral health care, health care, habilitation, and education settings. The program provides the tools to keep people safe while maintaining their commitment to positive approaches in serving individuals whose behavior sometimes poses danger to themselves or others.
Therapeutic Options™ is:
Evidence Based The curriculum draws extensively on the research literature from psychology, behavioral neuroscience, psychiatry, behavior analysis, education, traumatology, rehabilitation, kinesiology, and advocacy.
Person Centered Supports are strength-based and respectful of individuals' needs, interests, preferences, and goals as they move toward increased independence or recovery.
Relationship Driven Therapeutic Options™ stresses the vital importance of the helping relationship as the vehicle through which services are provided, as supports individuals to expand and deepen their social networks.
Prevention Focused The program employs a public health model, emphasizing global primary prevention strategies as well as secondary and tertiary prevention in the form of communication-based de-escalation and emergency management skills.
Trauma Informed The curriculum incorporates insights from research on the widespread incidence and neuro-behavioral consequences of trauma in people receiving mental health and developmental services.
1. To learn primary, secondary, and tertiary strategies for preventing aggression.
2. To understand the essential role of human relationships in supporting people with psychiatric, intellectual, and developmental disabilities.
3. To understand fundamental principles of mindfulness in helping and how they influence the way services and supports are provided.
4. To understand and apply the basic principles of positive behavior support to encourage healthy growth, development, and relationships.
5. To understand the basic principles of learning and how they affect the behavior of both service recipients and providers.
6. To understand the nature and consequences of trauma in people receiving services and how to provide trauma-informed supports.
7. To understand instrumental and reactive aggression and how to prevent and intervene in both.
8. To learn communication strategies for supporting someone whose behavior may be escalating to violence.
9. To learn a set of emergency behavior support and physical violence-containment skills to ensure the safety of service recipients and providers.
10. To understand the two goals of any physical intervention are to keep everyone safe and to preserve the helping alliance.
All physical interventions are engineered for maximum safety for both people receiving services and for people providing services. Therapeutic Options™ offers a unique approach to teaching physical skills that promotes learning and facilitates skill retention, focusing on developing a small set of perceptual, postural, and positional habits and gross motor skills that participants quickly incorporate into their behavioral repertoire, rather than presenting a host of techniques that may be difficult to remember and execute.
The standard Therapeutic Options™ training, which includes all the preventive material as well as the personal protection and physical containment skills, is two full days for a group of 6 or more participants. Training time may be reduced if an agency elects to omit the physical violence containment skills or if the training group is smaller than six people. Please note that the physical skills MAY NOT be taught in the absence of the preventive material. There are some other circumstances in which the training time may be shortened. Contact us for more information.
The conceptual and preventive material is organized into a PowerPoint presentation. Instructors receive a manual, teaching guides to both the preventive (verbal) and physical skills curriculum, and have access to all other training materials at no cost through the instructor section of our website. These materials include the PowerPoint, tests, skill check-off sheets, and handouts for participants that follow the PowerPoint.
Therapeutic Options, Inc. offers a four-day Train-the-Trainer workshop leading to instructor certification. Certified instructors are authorized to provide Therapeutic Options™ training to staff of their sponsoring agency and its affiliates. An affiliate is an agency that provides services to some of the same people or who, in some way, share resources or staff. Instructors may not charge for their training of affiliate agencies. Please contact us with any questions.
The Train-the-Trainer course includes two days of curriculum demonstration and two days of structured practice teaching, feedback, and coaching from a Master Instructor. Participants learn how to deliver both the Therapeutic Options™ verbal-conceptual curriculum components and the physical skills curriculum, receiving guidance on teaching style and delivery, organization of information, and problem solving during training.
Certified Instructors have access to ongoing consultation from a Therapeutic Options™ Master Instructor via phone and e-mail. The cost for this consultation is included in the program fee.