It is possible to completely eliminate restraints and seclusion in developmental disability service systems. It takes good program design, safe and supportive environments, and proper training. For the past three years I have worked with HOPE4CHANGE, a service provider for our county's highest risk caseload. We have practically eliminated violent incidents, and never use restraints or seclusion.
Here are some snapshots of the de-escalation training I deliver every seven weeks to the people on staff. We use role play and problem solving. Staff suggests situations from daily life with our participants. The group works on strategies to keep people safe.
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