Transport Intervention Training
New Start Transports' (NST) employees are trained in the New Start Transport Intervention (NSTI) process and certified in Positive Control Systems (PCS). NSTI combines a variety of crisis intervention tools and techniques and then applies these tools to the actual transport intervention process. PCS is an accredited crisis intervention program that encompasses both the physical and non-physical methods of intervention. Its primary emphasis is in non-physical approaches as most crisis situations can be handled without escalating to the physical level. PCS can be compared to other crisis prevention models such as: Nonviolent Crisis Intervention (NCI), Handle With Care (HWC), Integrated Crisis Response (ICR), and the Mandt System. PCS is also used by a variety of private and state treatment programs throughout the United States. Our employees must renew their training on an annual basis.
The following is a general list of what NSTI and PCS encompass:
- Crisis Prevention and Containment - Our team is trained to prevent a potential crisis from occurring. If the situation has already escalated to a crisis, team members are trained in methods to maintain containment of the crisis. Preparation and planning prior to an intervention help to facilitate this.
- Crisis and Anxiety Development - This allows our team to first identify the level of crisis a child and/or family members are experiencing; thus, helping staff know the appropriate approach and attitude of which to respond.
- Methods of Effective Communication - Our staff are trained in effective communication at the verbal and paraverbal levels. Our team is taught the importance of how "we say what we say." Communicating in this manner can have a significant impact on an anxious child. Additionally, team members are taught to understand and acknowledge the levels of verbal defensiveness and the appropriate verbal interventions at each level. Setting appropriate limits and empathetic listening are key examples of verbal intervention.
- Nonverbal Behavior - Our team is trained in understanding the importance of personal space, body language, and the appropriate support positions to take during a transport and how this can impact an anxious child.
- Precipitating Factors, Professional Detachment, and Staff Influence - It is important to understand that there are many internal and external factors that may cause a child to act out, for which we have little or no control. Having the ability to stay in control of our behavior without reacting or taking it personally is vital. We ensure that our team understands that their behaviors and attitudes can impact the child's behavior and attitude.
- Staff Fear and Anxiety - Our team is taught to understand the productive and non-productive results of fear and anxiety. We train our team to always respond positively.
- Child Fear and Anxiety - Our team is taught to understand and respond sensitively to the fear and anxiety of the child during the transport intervention. It is critical that staff know what methods may increase or decrease a child's anxiety.
- Parent and Family Fear and Anxiety - Our team is taught to understand the fear and anxiety of the parents and family members who may or may not be participating in the transport intervention.
- Safety and Prevention - We want our team to be aware of how to protect themselves if they are in a dangerous situation. Additionally, we want team members to take preventive steps to increase the safety for the child and family during the transport intervention.
- Physical Restraint and Prevention Positions - It is important for our team to understand how and when to intervene, if physical intervention becomes necessary. It is equally critical for staff members to know what positions can help to prevent a crisis from occurring or escalating.
- Team Intervention Approach - It is important for our team to understand the importance of a team approach, knowing the identity of the team leader, and understanding each team member's role and specific duties.
- Intervention Settings - Our team is trained to intervene in a variety of settings including: home, school, airport, car, etc.
- Effective Transitioning - The transport and intervention often result in a significant change to the child's living environment and location. Transitioning a child through this process is key to their initial perception of the change.
- Post Intervention Procedure - Our team is trained to effectively learn from the pros and cons of a given intervention. Noticing and processing problems are vital so similar issues can be prevented in the future.
In addition to NSTI and PCS, all NST employees participate in ongoing trainings of NST's policies and procedures, detailing how these measures can be integrated into the New Start Transport's intervention process.