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Cornell University

TCI Update: Non-Suicidal Self-Injury: Understanding and Effectively Responding

Note: This update is only open to qualified applicants who have successfully completed two 2-day TCI updates, preferably Designing Refresher Training and The Post-Crisis Response.

One goal of the Residential Child Care Project is to disseminate model techniques in the prevention
of institutional child abuse and neglect by preventing and de-escalating high risk behavior in residential care facilities. Although non-suicidal self-injury has always been reported in connection
with individuals who struggle with serious mental health challenges, its increasing prevalence among youth with fewer or no significant psychiatric challenges is new. As a result, incidents of
non-suicidal self-injury have increased in all settings where youth live or are served, including
but not limited to residential care centers. As a result, effectively addressing the behavior in ways
that do not inadvertently worsen it is imperative. To do this, staff need to understand the function
of the behavior, the ways in which it differs from suicide, and to develop institutional protocols for
responding in a compassionate but effective way.

Program Objectives

Participants will be able to:

  • Provide direct care workers with a positive, practical, and evidence-based understanding of non-suicidal self-injury.
  • Assist staff in achieving greater understanding of the numerous functions at work when someone self-injures
  • Enhance skills for assessing risk of serious damage
  • Develop plans for reducing and managing self-injurious behavior among its residents

Program Outline

This one-day program will focus on assisting TCI trainers in training their staff to detecting non-suicidal self-injury and using appropriate interventions in residential settings.  Techniques used include discussion, small group activities, and case studies. All participants are tested with written and competency based tests in order to apply for re-certification.


Participants who successfully complete the update receive an Non-Suicidal Self Injury: Understanding and Effectively Responding reference guide, an activity guide, a corresponding student workbook and the PowerPointâ„¢ presentation to use in their direct traininng.

Eligibility Is Restricted: Please Read Carefully

This one-day update is ONLY available to qualified applicants who have successfully completed two, two-day updates, preferably "Post-Crisis Response" and "Designing Refresher Training."

Schedule and Application

Click here to access a schedule of all TCI programs.

If you would like to sign up for this program, click here to access the RCCP's Registration Center.


To Get Information About: (email is preferred to phone call)
TCI Training Dates Click here
TCI Registration Process Click here
Individual TCI Registration or Payment Issues - USA Alissa Burns Medero
Individual TCI Registration or Payment Issues - UK/Ireland Angela Stanton-Greenwood
Bringing TCI to Your Agency via Onsite Training or TCI System Implementation Alissa Burns Medero
Individual TCI Trainer Certification Status or Other Certification Issues Kris Carlison
Holly Smith
Implementing TCI Training for Your Staff Andrea Turnbull