For the the safety of your staff
For the safety of those your serve

You need proven tools and strategies to...

Safely and Effectively De-escalate Disruptive and Potentially Dangerous Behavior

BASIC PHILOSOPHY

• Maintain and maximize the dignity and safety of all involved throughout the continuum of care.

• Create relationships that are inherently nurturing, and free of coercion and violence

The Dynamics of Non-Violent Care emphasizes concepts that prevent incidents from occurring, or using de-escalation techniques to help people manage their own behavior so staff members do not have to physically intervene to keep people safe. It emphasizes the therapeutic relationship. Physical techniques for personal safety and managing behavior that is a danger to self or others may be included.

This program was designed, based on its developer’s experience as a certified trainer with a number of nationally known programs, and trainer for in-house developed programs in long-term and acute care hospitals, residential treatment, and psychiatric care facilities, and community based social service agencies.

This program is intended for human service workers, health care providers, customer and public service workers, receptionists, and youth & juvenile workers. This program can be customized to meet your specific needs or application.

Personal safety and the ability to effectively response to situations of escalating aggression require a hierarchy of emotional, cognitive and physical skills.

COMPETENCIES

Personal safety and the ability to effectively response to situations of escalating aggression require a hierarchy of emotional, cognitive and physical skills that must be demonstrated in order to verify initial competency, and must be practiced in order to maintain ongoing competency

Knowledge and Understanding

• Participants will be able to describe the nature of aggressive behavior in terms of neuro-physiological and psychosocial dynamics, and Trauma Informed Care models.

• Participants will be able to describe components of a non-violent and non-coercive environment

• Participants will be able to demonstrate self-awareness, and self-management skills in relations to situation of escalating aggression

• Participants will be able to recognize and describe the stages of danger

• Participants will be able to describe their professional role in along the continuum of care and in relation to aggressive behavior

Nonverbal Skills

• Participants will be able to demonstrate the application of the principles of Proxemics/positioning, Kinesics and Paraverbal skill in assessing, and responding along the continuum of care.

Verbal

• Participants will be able to demonstrate Empathic listening using the Nonviolent Communications model

• Participants will be able to demonstrate Directive, Non-coercive communication using the Nonviolent Communications model

Physical

• Participants will be able to demonstrate non-violent techniques to maintain personal safety in situations of physical aggression

• Participants will be able to demonstrate non-injurious physical holds that minimize risks to those involved.

This curriculum was developed with reference to the following regulations, standards, best practice statements and position papers were reviewed. To the best of our knowledge, Dynamics of Nonviolent Care is in compliance with the following regulations and standards:

* The Children's Health Act of 2000

* The Joint Commission on Accreditation of Health Care Organizations

* CARF - The Accreditation Commission

* The Council (on Quality and Leadership in Services to People with Disabilities)

* The Center for Medicare and Medicaid Services ( formerly known as HCFA): 42 CFR 483.450: Client Behavior and Facility Practices (ICF/MR regulations) 42 CFR Parts 481 and 483: Use of Restraint and Seclusion in Psychiatric / Residential Treatment Centers Providing Inpatient Psychiatric Services to Individuals Under Age 21

* The National Alliance for the Mentally Ill (NAMI) Position Paper on Seclusion And Restraints

* The Child Welfare League of America - National Best Practices Standards for Behavior Management

* The National Association of State Mental Health Program Directors

• Reducing the Use of Seclusion and Restraint: PARTI, II and III 2000-2002

• Medical Director's Council Paper: Reducing the Use of Seclusion and Restraint

• Creating Violence Free and Coercion Free Mental Health Treatment Environments for the Reduction of Seclusions and restraints, Best Practices Symposium 2004

• RESTRAINT AND SECLUSION: A Risk Management Guide 2006

• Violence and Coercion in Mental Health Settings: Eliminating the Use of Seclusion and Restraint Summer/Fall 2002

* Council on Accreditation of Services for Families and Children, Inc.

United Kingdom Central Council for Nursing, Midwifery and Health The Recognition, Prevention and Therapeutic Management of Violence in Mental Health Care, A consultation Document, No Date

* National Association of Therapeutic Schools and Programs Behavior Support Management in Therapeutic Schools, Therapeutic Programs and Outdoor Behavioral Health Programs: Addendum to the NATSAP Principles of Good Practice,

* Practice Parameter for the Prevention and Management of Aggressive Behavior in Child and Adolescent Psychiatric Institutions, With Special Reference to Seclusion and Restraint Journal of American Academy of Child and Adolescent Psychiatry, 2002, 41(2 Supplement):4S–25S

Addition resources used it the development of this program include

Choice Theory
Nonviolent Communication
Solution Focused Brief Therapy
Motivational Interviewing
This course was developed and is presented using principles of Accelerated Learning