Behavioral Institute for Children and Adolescents © 2019 All Rights Reserved.
BICA uses a three-phase model of training that promotes durable and sustainable outcomes for youth and maintains high levels of treatment fidelity (i.e., ensuring that interventions are implemented accurately over time).
The first phase of training involves providing participants with a rationale, understanding, and knowledge of training techniques and procedures. This knowledge is delivered using a variety of formats including didactic instruction, modeling, small group problem-solving activities, and simulations.
During the second phase, training involves trainees receiving practice in the learned skills. The skills are reviewed and modeled by the trainer(s). Then, specific scenarios are presented and trainees practice implementing learned skills. Corrective feedback is provided by the trainer(s). In addition, other trainees, using the fidelity check sheets, rate each other on the thoroughness and correctness of implementation. This practice is an important first step toward building sustainability and treatment fidelity after training is eventually completed. Also during this phase, trainees generate case studies of youth displaying challenging behaviors. Trainees share these cases in small groups with a trainer serving as facilitator. The group brainstorms solutions for each case based on the skills learned. The facilitator provides feedback and more in-depth training on specific techniques when necessary.
During the final phase, trainees develop goals, objectives, and plans in conjunction with the trainer(s) for implementing the techniques. Using the fidelity check sheets, the trainer(s) observes the trainee implementing the techniques. The trainer shares the results of the check sheets with the trainees. The first several observations are scheduled and preplanned. However, an important component for sustainability is ensuring trainees use the techniques consistently and correctly. Therefore, subsequent observations by the trainer(s) occur randomly and spontaneously. In addition, all staff are taught to use the fidelity check sheets to ensure continued use of the techniques and procedures.