TBRI Coach Consult Referral Guidelines and Form - Child Advocates of Montgomery County

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TBRI Coach Consult Referral Guidelines and Form

TBRI Coach Consult Referral Guidelines

TBRI Coach will meet with caregiver and child on an as needed basis. The CASA Advocate must be present at all visits. The TBRI Coach visits with the child will not be counted as the face-to-face contact for casework minimum standards.
The Coach will teach TBRI to caregiver and will assess skills learned in visits.
Specialist will observe parent/child visits if parents are still involved on an as needed basis.
Child needs to be placed within an hour from the office to be considered.
Caregiver/Parent and CASA Advocate must be willing to be involved in the process.
The CASA Supervisor must notify the CPS Caseworker that the case has been chosen to be a TBRI consult case. Make sure it is clear that this is not a therapy type service.
Consult with the Program Director before sharing TBRI notes with any party in the legal suit.

TBRI Coach Consult Referral Form

Child Information
Date*
MM slash DD slash YYYY
Case Name:*
Child(ren) and Age(s):*

For example: Jane Doe, 5 yrs; John Doe, 6 mos
Placement Type:*
Placement City:*
Permanency Goal:*
Months since removal:*
Number of placements since removal:*
Has the Advocate had TBRI Training?*
- Yes
- No
Caregiver's willingness to learn TBRI and participate in consults on a weekly to bi-weekly basis:*
Please summarize caregiver's participation willingness here.
Summary of removal and known history of trauma:*
Known trauma of caregivers:*
Behaviors*
Please explain behaviors in detail. The TBRI Coach will evaluate specific behaviors with the caregiver and child once accepted as a TBRI Consult case.
Known triggers for behaviors:*
Referral made by:
Name*
First Last
Date*
MM slash DD slash YYYY
For office use only:
Phone
This field is for validation purposes and should be left unchanged.