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51. Supervision7 - The Hierarchy of Interventions

Becoming Centered

Release Date: 03/25/2025

54. Supervision10 - Choices, Breaks, Support Center, Physical Intervention show art 54. Supervision10 - Choices, Breaks, Support Center, Physical Intervention

Becoming Centered

Episode 54 concludes a four-episode arc, within the Unit Supervision Pathway, that presents the 10 techniques that make up the Hierarchy of Interventions.  This episode focuses on how to implement these interventions in a way that goes beyond surface behavior management to supporting the development of self-regulation in children and youth.   This episode particularly focuses on the Forced-Choice and related Weighted-Choice techniques.  These interventions leverage a program's consequence system to help child-clients make choices that determine whether or not they receive a...

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53. Supervision9 - Change Environment and Limit Setting show art 53. Supervision9 - Change Environment and Limit Setting

Becoming Centered

Episode 53 reviews the first four tools and techniques that make up the Hierarchy of Interventions (Distraction, Engaging, Verbal Redirection, Labeling) and presents the next two steps in the Hierarchy, Changing the Environment and Limit Setting.  A major emphasis is placed on using these techniques to not only manage behaviors, but also to help clients develop their abilities to self-regulate. Behavior Management is a necessary component of providing Care to troubled children and youth.  All kids sometimes exhibit behavior problems.  However, kids in residential treatment,...

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52. Supervision8 - The Aspect Compass and Labeling show art 52. Supervision8 - The Aspect Compass and Labeling

Becoming Centered

This episode is the second in a three-episode arc that presents the Hierarchy of Interventions.  This grouping of 10 interventions forms a core curriculum of counseling skills used by residential staff to encourage the development of kids' self-regulation abilities.  Last episode focused on using Distraction, Engaging, and Verbal Redirection to interrupt and prevent kids from going down an off-track path toward increased emotional, cognitive, and behavioral dysregulation.  This episode introduces the Aspect Compass model of the human mind.  Understanding this metaphor for...

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51. Supervision7 - The Hierarchy of Interventions show art 51. Supervision7 - The Hierarchy of Interventions

Becoming Centered

This episode on the Unit Supervisor Learning Pathway moves away from a focus on managerial skills and switches to a focus on counseling skills to be taught to direct-care Child Care Counselors.  It presents 10 interventions, or techniques, for Counselors to use with kids when they become off-track, dysregulated, and uncentered.  Skillful use of this package of interventions starts with understanding the ways in which they can be thought of as forming a hierarchy.  That includes the higher up interventions being increasingly disruptive to the group environment of the residential...

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50. Supervision6 - Leader, Superior, Boss, Mentor show art 50. Supervision6 - Leader, Superior, Boss, Mentor

Becoming Centered

This episode is the sixth on the Unit Supervisor Learning Pathway.  It’s also the third of a three-episode arc that focuses on how to structure an individual supervision meeting.  It also goes beyond the supervision meeting and explores the seven different roles Unit Supervisors have with their Supervisees. As a Counselor, the Supervisor is concerned with the emotional well-being of their Supervisees. As a Teacher, the Supervisor keeps a checklist of subjects (primarily policies, procedures, practicies, and training topics) that are reviewed with each Supervisee over the course of...

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49. Supervision5 - Supervisor as Teacher and Coach show art 49. Supervision5 - Supervisor as Teacher and Coach

Becoming Centered

This episode continues to present a model for how to structure a supervision meeting.  Last episode focused on how a Unit Supervisor sometimes functions primarily as a Counselor.  In that  sub-role, the Supervisor is most concerned with the emotional well-being of their Supervisees.  Although that can fill the entire supervision meeting, generally, after five to ten minutes the meeting agenda will usually move on to the Supervisor sub-role of functioning primarily as a Teacher. Being an effective Teacher means having an organized curriculuum that typically draws from your...

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48. Supervision4 - Structuring the Supervision Meeting show art 48. Supervision4 - Structuring the Supervision Meeting

Becoming Centered

Today’s episode, which is the fourth on the Unit Supervisory Learning Pathway, focuses on a model for how to structure the typical supervision session. In the context of working on a residential treatment unit for children and youth, there are many sub-roles that define an effective relationship between a supervisor and their supervisees.  A Supervisor encompasses the roles of Counselor, Teacher, Coach, Leader, Superior, Boss, and Mentor.  This episode focuses on starting supervision meetings with the Supervisor focuses on the role of Counselor.  In that role, the Supervisor...

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47. Supervision3 - Delegating and Organizing show art 47. Supervision3 - Delegating and Organizing

Becoming Centered

This episode, the third in the Unit Supervisor Pathway, focuses on the essential managerial skills of effectively delegating tasks and projects and keeping organized.  I'm hoping that you've already followed advice in previous episodes and created clearly defined Unit Coordinator roles for all the residential staff on the unit.  Residential treatment is a team sport; and you need every member of your team to not only work directly with the kids, but to also help administer a quality program.  However, even with clear role descriptions outlining various administrative and...

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46.  Supervision2 - Giving Feedback show art 46. Supervision2 - Giving Feedback

Becoming Centered

Episode 46 of the Becoming Centered Podcast focuses on the essential managerial and coaching skill of giving feedback to others.  Individual supervision and individual coaching is, by far, the most effective way to inspire and guide the professional development of direct care child care counselors.  This individual attention is much more powerful than in-service training, articles, podcasts, or other ways to train staff.  The heart of coaching is being able to give feedback to supervisees in a way that effectively influences how a staff person thinks about their work, how they...

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45.  Supervision1 - Unit Coordinator Roles show art 45. Supervision1 - Unit Coordinator Roles

Becoming Centered

In residential treatment programs by far the most effective way to train direct-care staff in how to effectively care for the kids and to provide counseling is through on-the-job coaching and individual supervision.  However, there's a lot of very real barriers to providing quality supervision. The nature of the work, especially at more intensive programs, means that there is a high frequency of behavior-problems on the residential unit.  This drives staff toward a short-term focus on getting through the shift, or perhaps through the week, with as few safety issues as possible. ...

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This episode on the Unit Supervisor Learning Pathway moves away from a focus on managerial skills and switches to a focus on counseling skills to be taught to direct-care Child Care Counselors.  It presents 10 interventions, or techniques, for Counselors to use with kids when they become off-track, dysregulated, and uncentered.  Skillful use of this package of interventions starts with understanding the ways in which they can be thought of as forming a hierarchy.  That includes the higher up interventions being increasingly disruptive to the group environment of the residential unit, being an increasingly heavy-handed display of the staff being in charge, and requiring more judgement and skill from staff so that the intervention de-escalates the situation rather than causing an ecalation.  However, these ten interventions are not like a true hierarchy in that staff can start anywhere on the scale, can use the interventions in various combinations, and even that some of the interventions can be thought of as just examples of the other interventions. 

This episode goes on to take a closer look at three interventions at the bottom of the hierarchy: distraction, engaging, and verbal redirections.  Distraction is frequently the first intervention used for interrupting an emerging pattern of dysregulation.  Engaging is the most frequent intervention that should be used by residential staff in that it provides the kids with practice at co-regulating with a calmer and more psychologically and neurologically organized person.  Improved co-regulation skills leads to improved self-regulation skills.  Verbal Redirection is regularly used to support the development of kids' self-awareness, and is frequently used with having kids Practice or Over-Practice a desired behavior and in combination with Listening Checks.