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Provider Impact Assessment of Alternatives to Coercive Techniques
November 20, 2007

For nearly two years PCPA has worked with the Department of Public Welfare (DPW) as they have recognized and promoted the efforts of providers to find and implement effective ways to prevent and respond to behavioral crisis situations in residential settings. This restraint reduction effort began with the release of the DPW Special Transmittal in January 2006. PCPA is now collaborating with the department and other stakeholders to assess the impact of the Alternatives to Coercive Techniques (ACT) initiative in residential treatment, care, and detention settings across Pennsylvania.

The association has heard of many successful provider efforts of the past several years resulting in improved methods for preventing and managing behavioral crisis situations. PCPA has also been made aware of numerous predictable but unintended consequences of the ACT initiative. The association is now working with DPW and other stakeholders to survey the provider community to learn more about the impact of ACT on programs, services, staff, and facilities. It will be important to learn more about the changes in practice, admissions, staff retention, injury rates, etc.

As this survey is designed suggestions from members, based on changes programs have experienced, will be very helpful. Please email recommended survey topics to Connell O’Brien. PCPA will share these recommendations with DPW to inform the development of a brief survey of residential service providers. All recommendations and suggestions will be most useful in this process. For more information contact Connell O’Brien.

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