The National Registry of Evidence-Based Programs and Practices (NREPP) has reviewed and posted on its site the Six Core Strategies to Prevent Conflict and Violence: Reducing the Use of Seclusion and Restraint.
The Six Core Strategies (6CS) were established by the National Technical Assistance Center of the National Association of State Mental Health Program Directors (NASMHPD). The 6CS form an evidence-based, clinical model designed to aid seclusion and restraint (S/R) reduction plans for mental health and substance use treatment organizations that serve children and adults in inpatient and residential settings.
The 6CS focus on crisis prevention and violence prevention, reducing the use of seclusion and restraint, implementing a trauma-informed culture of care, and providing person-centered care that focuses on including clients in the planning and administration of their treatment.
The NREPP’s review and posting of the 6CS affirms the dedication of numerous advocates who are committed to helping organizations increase safety for staff and consumers alike.
The author of the 6CS, Kevin Ann Huckshorn, RN, MSN, CADC, ICRC, the state director for the Division of Substance Abuse and Mental Health (DSAMH) for the state of Delaware and an international thought leader on mental health and substance use treatment, was a keynote speaker at CPI’s International Instructors’ Conference in 2006.
CPI Can Help You Meet the Six Core Strategies!
Our Nonviolent Crisis Intervention® training program parallels the six strategies and the person-centered care approach they promote. The evidence-based techniques taught in our program have been shown to be effective in both the prevention of and the safe use of physical restraint and seclusion. We provide training in identifying the underlying causes of the consumer behaviors that can lead to restraint or seclusion, and in recognizing that staff behavior affects consumer behavior, and vice versa. Our training centers on prevention and de-escalation techniques and other alternatives to restraint and seclusion, as well as information on evaluating risk of harm; monitoring for signs of distress; documenting incidents; and safe, less-restrictive physical interventions to be used only as a last resort.
CPI and the Nonviolent Crisis Intervention® program support the Six Core Strategies in the following ways:
- Leadership Toward Organizational Change. Our training helps organizational leadership ensure that staff, policies, and procedures share a common language, that staff are empowered to safely and effectively de-escalate crisis situations, and that an organizationwide culture change is embraced.
- Using Data to Inform Practice. We work closely with organizations to help them develop data collection tools to measure the effectiveness of their training and their efforts toward reducing restraint, seclusion, and violence.
- Workforce Development. The Nonviolent Crisis Intervention® training program fosters a culture of collaboration and cooperation among staff and consumers. We support staff training as an ongoing process and offer numerous tools and resources to enhance ongoing training and program customization.
- Use of Restraint and Seclusion Reduction Tools. The central focus of the Nonviolent Crisis Intervention® program is staff using de-escalation techniques to prevent the need for restraint. We recommend that physical intervention be used only as a last resort, and that the least restrictive intervention be used at all possible times. We offer information on the risks of restraints, as well as resources on threat assessment. We also aid organizations with policy development.
- Consumer Roles in In-Patient Settings. Our program focuses on giving consumers choices to help them manage their own behavior. Empowering and listening to the consumer during a crisis is essential to person-centered care, and consumer involvement is an integral part of our debriefing process as well.
- Debriefing Techniques. The Nonviolent Crisis Intervention® program highlights the importance of re-establishing Therapeutic Rapport with an individual after a crisis. Debriefing is a vital tool for restraint and seclusion reduction. The debriefing model taught in the program is geared for use with both staff and consumers, and can be used for debriefing with bystanders as well.
Our training can be tailored to the unique needs of your facility. With our train-the-trainer option, select staff can be certified to teach the program to other professionals in your organization.
We offer training in more than 150 locations throughout the US. A convenient on-site training option is also available.
- Read more [PDF] about how the Nonviolent Crisis Intervention® program aligns with the Six Core Strategies to Prevent Conflict and Violence: Reducing the Use of Seclusion and Restraint.
- Read a summary of the Six Core Strategies on SAMHSA’s National Registry of Evidence-Based Programs and Practices (NREPP) site.
- Learn more about trauma-informed care.