Trust Based Relational Interventions (TBRI)

Trust Based Relational Interventions (TBRI)

Developed by Dr. Karyn Purvis and Dr. David Cross at the TCU Institute of Child Development, Trust-Based Relational Interventions® (TBRI®) is an emerging intervention model for a wide range of childhood behavioral problems. It has been applied successfully in a variety of contexts, and with many children for whom numerous other interventions have failed (e.g., medications, cognitive-behavioral therapies.) TBRI® is based on a solid foundation of neuropsychological theory and research, tempered by humanitarian principles. It is a family-based intervention that is designed for children who have experienced relationship-based traumas such as institutionalization, multiple foster placements, maltreatment, and/or neglect. For the past ten years, Drs. Purvis and Cross have been implementing and evaluating TBRI® , and their strategies have proven extremely effective in creating healing environments for children who have come from “hard places.”

TBRI® is a holistic approach that is multidisciplinary, flexible, attachment-centered, and challenging. It is a trauma-informed intervention that is specifically designed for children who come from ‘hard places,’ such as maltreatment, abuse, neglect, multiple home placements, and violence. TBRI® consists of three sets of harmonious principles: Connecting, Empowering, and Correcting. These principles have been used in homes, schools, orphanages, residential treatment centers and other environments. They are designed for use with children and youth of all ages and risk levels. By helping caregivers understand what should have happened in early development, TBRI® principles guide children and youth back to their natural developmental trajectory.

Program Goals:

The overall goals of Trust-Based Relational Intervention® (TBRI®)  are:

  • Create an environment of physical, social, and psychological safety
  • Recognize and meet children’s physiological needs (e.g., hydration)
  • Structure experiences to enhance emotional and behavioral self-regulation
  • Enhance caregivers’ mindful awareness and mindful caregiving
  • Build and strengthen secure attachments between caregivers and children
  • Build and strengthen resilience in caregivers and children
  • Help caregivers master the use of proactive strategies for behavioral change
  • Help caregivers master the IDEAL Response© (Immediate, Direct, Efficient, Active, Leveled at behavior, not child)
  • Help caregivers master Levels of ResponseTM (Playful, Structured, Calming, Protective)

Links:

Texas Christian University Institute of Child Development

TBRI: A Systematic Approach to Complex Developmental Trauma

Decrease in Behavior Problems and Trauma Symptoms Among At-Risk Adopted Children, August 2015

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