Effective April 1, 2014, North Dakota’s Administrative Code Chapter 75-03-17 requires psychiatric residential treatment facilities for children in North Dakota to:
  • Provide annual staff training in safety measures such as therapeutic crisis intervention and crisis prevention.
    New staff members who are in the process of orientation may job-shadow a trained and experienced staff member, but may not work alone with children until they have completed the required training.
  • Create trauma-informed cultures of care.
    Facilities are required to promote respect, healing, and positive behaviors and to minimize the use of restrictive behavior management interventions.
  • Use physical restraints only in emergency situations and with extreme caution.
    Safety holds must be applied only as a last resort and only by staff who are certified in the use of safety holds and emergency safety interventions. Facilities must have policies and procedures in place regarding annual training for staff in special treatment procedures such as physical restraint.

    A restraint event must be documented in the child’s file and reported to the individual who lawfully acts on behalf of the child. A licensed health care professional who is trained in the use of safety and emergency interventions must assess the child’s mental and physical well-being within an hour of the initiation of restraint, and must document the assessment in the child’s file. Also required within 24 hours of a physical restraint event is a debriefing that includes both appropriate personnel and the child and:
  • Identifies the need for counseling or other therapeutic services related to the incident.
  • Identifies behavior causes and triggers and how to modify the child's individual, person-centered treatment plan.
  • Analyzes the incident and identifies needed changes to policy and procedures, staff training, or both.
Read Chapter 75-03-17: Psychiatric Residential Treatment Facilities for Children.
We Can Help You Comply With the Regulations!
Agencies around the globe use our Nonviolent Crisis Intervention® training program because it helps staff deepen their person-centered, trauma-informed approach to care. CPI training focuses on prevention and de-escalation techniques that help staff recognize and understand the roots of disruptive and assaultive behavior, and control their own responses to the behavior. The program’s techniques are also effective in both the prevention of and the safer, less-restrictive, last-resort use of physical restraint. Additionally, the program promotes viewing individuals who have experienced trauma through a different lens. It helps staff:
  • Understand behaviors
  • Interact effectively and empathically
  • Prevent disruptions
  • Reduce the need for physical intervention

Tailoring Training to Your Agency’s Needs
Our training can be tailored to your facility’s needs. With our train-the-trainer option, select staff can be certified to teach the program to other staff on a continuing basis. We have numerous public programs coming up in the US and Canada, and an on-site training option is also available.
Advanced Course
If you’re already a Nonviolent Crisis Intervention® Certified Instructor, you can share strategies with your staff from our advanced course, Trauma-Informed Care: Implications for CPI's Crisis Development ModelSM. This course dives deep into the influence of trauma on behavior and offers additional strategies to help you better serve kids who have experienced traumatic events. Locate an upcoming public program or have us bring the training to you.