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Outcomes for Crisis Management Efforts
April 27, 2010

In 2006 the Department of Public Welfare (DPW) issued a Special TransmittalStrategies and Practices to Eliminate Unnecessary Use of Restraint. This document and the continuing work of the Alternatives to Coercive Techniques work group represents a four-year collaboration between providers, state agencies, and advocates. The focus has been to support efforts to expand skills and approaches for preventing and managing behavioral crises and introduce trauma informed approaches. One element of these efforts has been the investment by DPW in testing the impact of the Sanctuary Model. More than 20 programs have participated. Current impact data for this project is now available. Outcome highlights include:

  • An overall reduction in the use of physical restraints,
  • Reduction in the use of prone restraint,
  • Increases in discharge to less restrictive settings, and
  • Reduced discharges to more restrictive settings.

In addition to the introduction of the Sanctuary Model in residential programs, community providers have introduced this and several other approaches to trauma informed care, crisis reduction, risk management, and therapeutic environment models across the state. June will see the full implementation of the state ban on prone restraint in many service settings. The June 15 Children’s Committee meeting will focus on member efforts to improve the ability to implement trauma informed services and prevent and manage behavioral crises. Agencies or programs that have implemented a successful strategy or model are invited to share that experience. Please contact Connell O’Brien to discuss this further.

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