54. Supervision10 - Choices, Breaks, Support Center, Physical Intervention
Release Date: 05/27/2025
71. (Archival) Ep18 After Processing Suicidal Ideation
Becoming Centered
Today’s episode is from the archives that are available at . It’s a re-cast of Episode 18, addressing how counselors can stabilize kids after an incident involving suicidal ideation or gestures. The role of a counselor is fundamentally different than the role of a therapist in these situations. The counselor’s focus is on helping the client see the suicidal ideation or gesture as a symptom and then helping the client cope with that symptom. It’s not about understanding where the symptom comes from – leave that for the individual sessions with a therapist. ...
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70. (Archival) Ep17 Suicidal Ideation
Becoming Centered
This is an archival episode that re-releases Episode 17 on Suicidal Ideation. Episodes 17 and 18 explore how to counsel residents who experience suicidal ideation. Residential children and youth are part of a high-risk group for having thoughts of suicide and, often times, it will fall upon residential staff to provide effective counseling, typically late at night. Learn how to effectively process suicidal ideation with your clients and what sort of follow-up interventions can help keep your clients safe.
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69. Expectation Systems & Contracts
Becoming Centered
Episode 69 of the Becoming Centered Podcast, building off of the previous two episodes, presents listeners with a powerful tool for residential treatment programs – Expectation Contracts. Episode 67 presented the underlying conceptual difference between using point systems, behavior contracts, and other “behavioral” change techniques to impact performative surface behaviors versus impacting inner systemic change. Both have their place. Episode 68 expanded on these distinctions by introducing the idea of a “behavior-management” system versus a...
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68. Behavior-Management vs Feedback-Incentive Systems
Becoming Centered
Episode 68 of the Becoming Centered Podcast expands on the topic of how to design interventions targeted at changing performative surface behaviors versus interventions designed to inspire inner systemic changes in how kids manage their emotions, adopt self-regulating beliefs and values, and consciously manage relationships with others. The key design difference is whether or not a point system, coupon system, token economy, or other forms of behavior contracts track observable behaviors or try to track the kids’ efforts at self-directed change. This episode examines the profound...
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67. Performative vs Systemic Change
Becoming Centered
Becoming Centered Podcast 67, “Performative vs Systemic Change” lays the groundwork for understanding how to design effective behavior-focused program structures that are intended to shape the behaviors of children and youth in residential treatment programs. The key to effective design of these structures is understanding when and how to focus on performative behaviors versus when and how to focus on inner systemic change. “Performative behavioral change” are changes in the kids’ surface behaviors while they are at the treatment program. “Inner systemic change”...
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66. House Meeting6 - Parts & Treatment Objectives
Becoming Centered
This episode of the Becoming Centered Podcast presents four major parts to a residential treatment program’s House Meetings (a regularly scheduled meeting of staff and clients). Each part, (1) check-ins, (2) announcements, (3) group discussions / agenda items, and (4) wrap-up provides a forum for promoting resilience, self-regulation, social skills, and team-building. Regardless of the specific content of any single meeting, staff focus on four aspects of resilience, four aspects of self-regulation, and four aspects of “meeting behaviors” or social skills. Resilience is...
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65. House Meeting5 - Storming and Purpose
Becoming Centered
Skillful facilitation of House Meetings is one of the most challenging, but also most impactful, aspects of providing a treatment experience. Developing a group of troubled kids into a high-performing team, that absorbs each other’s misbehaviors and promotes maturation, is a difficult task. Storming behaviors are common among kids in residential treatment. In House Meetings, a significant number of kids will deeply struggle with inappropriate meeting behaviors – ranging from aggressively menacing the whole room to simply not paying attention or actively distracting...
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64. House Meeting4 - Emotional Sensitivity
Becoming Centered
Running a residential unit for children and youth that goes beyond providing quality Care to also delivering an impactful Treatment experience requires staff to constantly focus on team-building. It’s as a high-performing team that the kids develop their own self-regulation and resiliency; through helping their team-mates manage their daily emotional, cognitive, and behavioral challenges. One of the best structures in which to develop a residential unit into a team is the, at least weekly, House Meeting. House Meetings have several parts, such as announcements, group...
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63. House Meeting3 - Check-ins
Becoming Centered
Episode 63 of the Becoming Centered Podcast focuses on how to facilitate Check-ins as part of a residential treatment program’s House Meetings. Check-ins are an excellent way to start House Meetings. Literally, people take turns giving a brief report on how they are doing that day. Structured effectively, the practice of conducting Check-ins can become a foundational technique for a program providing a treatment experience for the kids. When used in a group setting, Check-ins are steered by the facilitator to focus not so much on the kid doing the check-in, but on how everyone...
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62. House Meeting2 - Phases of Team Development
Becoming Centered
Episode 62 of the Becoming Centered podcast is the second episode in an arc focused on House Meetings. In my experience, House Meetings are the single most effective group structure in the residential week for promoting team-building and for developing the kids into a high-performance team. When that happens the entire residential experience shifts from having to spend an excessive amount of time on behavior management to a treatment environment that promotes mental health. Developing that kind of positive peer and staff culture takes time. It also takes solid strategy...
info_outlineEpisode 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 consequence for any misbehaviors. That, in turn, supports the development of self-regulation over their own impluses and emotional-reasoning. These techniques are also a very effective way to help kids who struggle with taking responsibility for their own feelings, thoughts, and especially behaviors to mature. They are also excellent techniques for ending pointless control-battles between a staff person and a client.
Centering Breaks are similar to Time Outs, however, they add structures to the time that move the intervention beyond simply removing a client from an over-stimulating or triggering situation. These structures are individualized to the needs and abilities of individual kids, but are strategically intended to help each child or youth become emotionally, cognitively, behaviorally, and physiologically centered.
The Support Center structure and intervention is used by many multi-unit residential programs and schools to completely separate misbehaving kids from their peers. Typically, separate counselors staff the Support Center, providing a change of face as well as a Change-of-Environment. Ideally, Support Center counselors also Process the incidents that resulted in a child or youth being separated from the group. A structured approach to Processing is presented in prior podcast episodes.
Physical Interventions, including physical restraint, are techniques used in residential treatment programs to safely de-escalate or contain extreme behaviors. Processing afterwards is key for moving these interventions beyond behavior management to supporting the development of self-regulation in kids.