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Wonder What's Possible With CPI Training?

Discover how orgs like yours use CPI to enhance care and safety for everyone.


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When training special education staff, bus drivers, administrators, regular ed staff, and even all employees in some schools, this district focuses on the core of CPI: Prevention. The results? A districtwide decrease in physical intervention, better problem-solving, stronger staff confidence, and less injury, turnover, and liability.

Fewer Suspensions and Physical Interventions

95% of this research study's participants agree that Nonviolent Crisis Intervention® training is effective.

Lowering Violence on a Psych Unit by 50%: Interview With Manager of Protective Services Don Costa

Restraint use has dropped by over 80% at Telecare’s in-patient evaluation and treatment center in Washington. And Toby Estler is also very happy about what’s been happening with at least 10 out of 16 clients.

Right after Manager of Protective Services Don Costa taught them verbal de-escalation skills, staff in this hospital's adolescent psych unit reduced restraint use by at least half.

Weekly training has resulted in dramatically reduced physical restraint. Jen and her fellow educators have also gone from 100 lost workdays last year to just 1 this year.

With CPI training, We now look for ways to get in front of potential issues, writes Behavioral Health Intervention Specialist D.C. Foster. Rather than just addressing each and every problem, we look to create conditions that support healthy behaviors in a healthy environment.

How St. David's South Austin Medical Center Reduced Code Purples by 23%: Interview With Chief Nursing Officer Dr. Sally Gillam

School District Results With CPI: Interview With Crisis Interventionist Carleen Doucet of the Lafayette Parish School System

Study Proves CPI Training Reduces Workplace Violence

How CPI Helped Us Reduce Violence: Interview With School Safety Director John Heiderscheidt of U-46

Fights were breaking out across the U-46 district outside Chicago. But since John Heiderscheidt implemented staff training, assaults and suspensions have decreased year after year.

Group practice manager Sandie Murphy of Alberta's Vantage Community Services mental health group home reports that CPI training has taught staff to intervene in escalating situations more quickly. “Staff confidence has increased greatly which has allowed them to intervene more quickly. Staff is better at recognizing signs when a client is showing signs of anxiety, and are able to intervene before a crisis develops more often. Clients are feeling staff listen more,” reports Sandie.

When the Washington, D.C. community mental health center So Others Might Eat wanted to improve staff confidence in working with challenging clients, they turned to CPI. According to therapist Aiysha Whittaker, the benefits of CPI training were apparent before and after crisis situations: “The training has provided staff with techniques that help them to feel equipped to prevent possible crises; has given staff the confidence to know how to protect themselves and those we serve should a crisis arise. The training has also given a guide and the language to effectively process crisis situations after they have been resolved."

“CPI teaches the staff on how to deal with challenging behaviors,” says Jennifer Bentancur, a nursing assistant with the State of Wisconsin mental health acute care division. Along with reducing challenging and disruptive behaviors by as much as 49% since implementing CPI de-escalation techniques, the organization has also achieved return on investment through reduced injuries and improved staff skills and confidence. 

CPI training acheived a triple-play for the San Marcos Treatment Center, an inpatient mental health facility. Through CPI training, the facility has decreased the use of physical restraint and seclusion by as much as 74%, reduced challenging and disruptive behaviors by as much as 39%, and reduced worker's compensation claims by as much as 39%. 

The Florence County Disabilities and Special Needs Board of South Carolina are enjoying multiple benefits of CPI training: the organization has reduced challenging and disruptive behaviors by as much as 49%, decreased the use of physical restraint and seclusion by as much as 99%, and slashed worker's compensation claims by as much as 39%. The organization also reports return on investment from the training through improved staff skills and confidence. 

AccessPoint RI director of education Daniel Moriarty says that CPI training gives their clients more options and choices while making the overall environment safer. Since implementing CPI training, the organization reports a decrease in physical restraint and seclusion as high as 99% and a reduction in challenging and disruptive behaviors by as much as 39%. 

“Crisis Prevention Institute training is the ONLY physical intervention/crisis de-escalation protocol approved in Oregon that is also an evidence-based practice,” says Frederick Feldhaus, an administrator with the mental health organization Family Solutions. Since implementing CPI training, Family Solutions has reduced challenging and disruptive behaviors by over 50% while decreasing the use of physical restraint and seclusion by as much as 74%.

“CPI has empowered staff to manage challenging behaviors safely and effectively. It has given staff the opportunity to change the culture of the program,” raves therapist Michael Brandli of New Hampshire's Valley Vista mental health facility. 

“CPI gives staff the confidence to deal with escalating situations appropriately,” reports staff liason Rachel Sanders of Nevada's Koinonia Family Services. Since implementing CPI training, the mental health organization has decreased the use of physical restraint and seclusion by as much as 99%. 

By helping staff reduce the use of restraint and seclusion by 100%, Nonviolent Crisis Intervention® training has had an enormous impact on nurse Pamela Brown and her colleagues. "It is a wonderful program that focuses on preventing and de-escalating violence within the workplace," she says. "CPI provides our staff with the tools and confidence to professionally control a crisis situation while ensuring safety for all involved." In addition to eliminating restraint use, staff have achieved ROI with CPI by reducing injuries, improving skills and confidence, and meeting regulatory compliance. And as staff have lowered patient violence, patient satisfaction has improved, reflected in a higher HCAHPS score.

Jill Sago, a therapist with Oklahoma's Muscogee Creek Nation Health System, reports "With CPI, staff are more confident in dealing with acting-out clients." CPI training has helped the mental health organization reduce challenging and disruptive behaviors by as much as 39% since implementation. 

Case manager Brant Vodehnal of Nebraska's South Central Behavioral Services agrees that the enhanced content in CPI training has made their training more relevant and interesting to staff, adding that the Decision-Making Matrix helps their staff analyze the degree, likelihood, and potential outcomes of risk behavior. 

In this behavioral health environment, all staff are trained to recognize escalating behaviorsand to de-escalate those behaviors before they can spin out of control. The results? Staff turnover is down and staff skills and confidence are up. Staff have also met Nova Scotia regulatory compliance, and reduced the use of restraint and seclusion by up to 99%. They've reduced challenging behaviors by up to 49%, and decreased liability. Their HCAHPS score is up as well, and adolescent case worker Karen Slawter adds: "CPI is a very professional organization, with applicable training, and supportive training staff."

According to case manager Kyle Duarte, CPI training " . . . has increased confidence and skills staff need to deal with challening clients and also had a great impact in reducing client's acting out." The mental health organization has acheived return on investment with CPI training by meeting regulatory compliance, reducing liability, and improving staff skills and confidence.  

Louisana's Liberty Health Care sought CPI training to:

  • Meet regulatory compliance
  • Reduce workplace violence rate
  • Reduce worker compensation claims
  • Improve organizational culture
  • Improve staff confidence in working with challenging clients
  • Improve staff skills in managing behaviors
and with the training they have achieved significant ROI by realizing them all, according to health unit coordinater Diane Bethea. 

“With staff having increased confidence and competence in de-escalating and managing challenging behaviors,” says group practice manager Tara Ralph, “we have seen the quality of life of our clients improve dramatically, with them involved in more meaningful and a wide range of community activities that they were not able to access prior to staff training.” As well as improving their confidence, staff have also achieved return on investment with CPI by meeting regulatory compliance.

The Jane Phillips Healthcare facility in southeastern Kansas sought CPI training to improve staff confidence and reduce their workplace violence rate. As a result of the training, the mental health organization has achieved ROI through reduced injuries and improved staff skills and confidence. The organization has reduced the use of physical restraint and seclusion by as much as 99% since implementing CPI training. 

This facility in Manitoba has achieved return on investment with CPI by reducing staff turnover and improving staff skills and confidence. “Holding staff accountable to the training has improved unit culture and made for better client outcomes,” says care team manager Pamela Gulay. “The CPI Crisis Development Model and the Verbal Escalation Continuum are important training elements that provide a framework in explaining behavior and corresponding staff attitudes and approaches.”

CPI training has produced a dual benefit for staff at Iowa's Concerned, Inc.: "Communication during challening times has improved. Staff feels more secure," reports developmental director Shilo Bladt. Improved communication and a greater sense of security have parlayed into a decrease in the mental health organization's use of physical restraint and seclusion by as much as 74%.

According to George Bush, a therapist with Hawaii Behavioral Health, CPI's Physical Skills Evaluation Framework helps their staff consider the safety, effectiveness, acceptability, and transferability of any physical intervention. Since implementing CPI training, the organization has decreased the use of physical restraint and seclusion by as much as 49%. 

Wade Jones, a therapist with the Delaware Deparment of Health & Human Services, succinctly describes the value of CPI support: “The support provided by CPI has allowed my organization to continuously modify implementation in real time – priceless.” Since implementing CPI training, the Deparment has decreased the use of physical restraint and seclusion by as much as 74%. 

 

Cyndi Williams, training manager at Neighbor to Family, is pleased by the difference that CPI has had on new staff. "New staff feel more confident that they will be able to handle any verbal or physical situation with the children," she says.

The Boys & Girls Club of Harrison was looking to manage difficult client behavior while increasing staff confidence. So Sarah Heath, mentoring adviser at the organization, took Nonviolent Crisis Intervention® training. Not only did the training reduce challenging behavior at the club by over 50%, but Sarah has also found that "CPI has given me the confidence and tools to do my job to the best of my ability."

Kristin Schwab, administrator at Mayors Youth Empowerment Program, is impressed with the level of confidence that Nonviolent Crisis Intervention® training has given staff when dealing with challenging behaviors—and how it has even given them "the skills to support a person BEFORE a situation has potential to rise to a crisis level." She says that the training helps make others "feel cared for, listened to, and supported."

“My staff are now more likely to consider all parties involved in a crisis. They are better equipped and more practiced at de-escalation. They have more confidence and feel a real willingness to share their experiences with each other to gain understanding and to improve all involved,” says administrator Sarah Plante.

"We share the same philosophy as CPI and approach situations in a similar manner. Our clients have come to expect the consistency CPI provides across the program," says Edward McCormick, an educator at St. Ann's Home. This consistency has improved staff skills and lowered challenging behaviors by over half.

Dean Jones, Oregon Youth Authority treatment manager, says that "CPI gave our agency a common language in dealing with behavioral issues with the youth we serve." A common language leads to better communication, and ultimately increased staff confidence, which Oregon Youth Authority experienced. In addition, injurious and disruptive behaviors were also reduced.

As a result of Nonviolent Crisis Intervention® training Our Home, Inc. saw injury and liability reduction. In particular, the organization reduced the use of force by over 50%. Educator Jackie Tomczak reflects on the training, saying, "CPI really drives home that you have so many options when working with someone who is escalating. You learn to look for a level of risk behavior."

"The CPI approach is strengths-based and uses collaborative problem-solving in its simplest form," says Georgine Clancy, an educator at Youth Villages. Using this CPI approach, the Youth Villages staff were able to reduce disruptive behaviors and the use of force by 50%.

"CPI has trained our staff to understand that the teenagers in our care have circumstances that we have no control of. Understanding these precipitating factors helped them to not take acting-out behaviors personally and has made them seek other positive methods and approaches to dealing with negative behaviors," says school administrator Patrick Cruz.

"I have been teaching for many years, and CPI is the only crisis prevention training my agency will use. It is effective and responsive to our needs," says social worker Sue Taylor. She adds that CPI gives staff the verbal skills needed to reduce challenging behavior and to de-escalate situations.

"CPI's philosophy is based on helping people in distress and recognizing behavior levels that require our attention," Alison Hodgkins, an educator at McMan Youth and Family Services, says. Following this philosophy and the training that comes with it has made the organization's staff more confident and skillful.

Civilian Student Training Program in Arkansas chose Nonviolent Crisis Intervention® training to expand staff skills for managing behaviors. They deepened both skills and confidence while decreasing disruptive behaviors and use of force by over 50%. Al Thomas, a life skills instructor, says that “violent behavior has become almost nonexistent” at the organization.
 

The people at The Children's Foundation came to CPI looking to reduce workplace violence and boost staff confidence and skills. After training, they were able to do just that, decreasing the use of force by over half, and increasing staff safety and skill. In addition, educator James Stumph has found that "this training has made a difference in the lives of our staff and clients by enhancing our continuity of care."