Its not a new concept but its becoming more injected into mental health care setting, but when the phd's get into the mix there is an unrealistic expectation from nursing staff and MHT staff. Its one of those avenues that sounds great with power point slides, but when the code goes down going back to the chart and referencing that one sheet on admission of "what helps you calm down" NEVER happens. Sorry folks the "i feel when you say" statements work great in group but when the individual is punching you from behind that TIC gets flicked.
I've worked now through the lifespan as it comes to mental health and I've been attacked through the life span as well. I watch RN come in get trained then never come back because they don't feel safe in the field of acute psychiatry. Its gotten to the point i laugh at the residents looking to me a 300lb RN to come follow them to feel safe...sorry i'm not your teddy of protection. Nothing has changed over eight years of dealing with this.
One facility for adolescents completely removed restraints for youths along with seclusion and required staff to do physical holds following the TIC model. It was counter productive since more staff was getting hurt doing holds (RN/MHT) because times would require >30 minute physical holds and transitioning would cause and opening for attacks. Those that were gun-ho on the TIC model of care were never around and always seen closing their door not giving two TICs about the patient or those on the floor doing the physical hold. BTW they got shut down for a while by the fed because of ..“has caused, or is likely to cause, serious injury, harm, impairment or death”. Not saying TIC was the cause but it sure didnt help, but physical holds are not better than mechanical restraints (feel free to to discuss).
Another facility took TIC to a new level of "woke" from pretty much banning anything that might "trigger" a patient. No news programs, movies went to a committee to be determined if ok for a patient to view basically making the individual avoid everything only to have reality hit again on discharge. The TIC Phd wanted to decrease seclusion and restraints. Staff being attacked left and right, management frowned on the attacked but not the attackers, and again that TIC phd closed their door at the first sign of trouble which again left RN/MHT to do the physical work with them coming out afterwards to critic the entire process, yet never lift a finger when they knew the fudge was flying.
If you're going to remove reality from the equation and attempt to make a utopia situation in a world that is avoided by the majority of society (USA) you're not going to even come close to getting to the gates of Disneyland.
None these facilities ever changed physically (safety environment which is stated a lot in the literature), policy (more removal of actual policies and no addition of reflective policies of this model except for the removal of reality from the unit e.g. local news), or care (addition of EMDR or other evidence based care).
Its mostly talk of administration office workers or people that run the other way when codes happen...TIC is a pipe dream.
Side note i do think a lot of the core concepts should be fundamental in pediatric and young adult, but as the age increases and the diagnosis become more complex its not; especially when care quality does not change in a medical model. Majority of psychiatric hospitals do not work on nursing committee style of policy making fairy tale they follow the you have a boss and clock in model.