A model for using time out as an intervention technique with families

Using time out to interrupt escalating conflict is an important first step in treating couples and families where physical and emotional abuse is present. Since a time out failure can jeopardize further treatment, developing effective methods for using time out is a therapeutic priority. By interpreting the family's failed attempts as skill deficits, their efforts can be reframed to facilitate their acceptance of new time out methods. These methods are integrated into a model which outlines six hierarchical levels of supplemental control needed to inhibit destructive behavior. The model provides guidelines and establishes incentives for developing a time out strategy appropriate to the family's current level of control. It is designed to guide therapists in helping families strengthen their skills and choose an alternative time out strategy when an initial method fails.