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Safe & Positive Approaches is a three-part program designed to increase staff knowledge and competence in preventing, de-escalating and managing crises. Reflecting current trends and best practices, it provides a wide continuum of intervention based on a least-restrictive philosophical approach. Safe & Positive Approaches focuses on positive and preventive measures that reduce and eliminate the use of seclusion and restraint.
Curricular components include: Staff Effectiveness Training, Safety Techniques Training, and Personal Emergency Interventions Training. Each of these components offers a variety of strategies for staff use in preventing and minimizing crisis situations. These strategies promote the use of safe and effective interventions that reflect cultural competence, positive approaches and trauma-informed care.
Staff Effectiveness Training
Staff Effectiveness Training (SET) provides strategies to help prevent and limit crisis situations, methods of intervention using non-physical approaches, and an examination of staff behavior and its effect on the individuals served. Curricular components apply the concepts of positive behavior support and trauma-informed care. Core Program components include:
- Analysis of Staff Behaviors
- Guidelines for Positive Interactions
- Prevention of Crisis Situations
- De-Escalation Techniques
- Role Play Exercises
Safety Techniques Training
Safety Techniques Training (STT) presents safe and effective physical intervention techniques to be utilized in situations in which someone is being physically threatened or harmed and verbal intervention alone is ineffective. STT provides staff with passive and evasive movements that protect and minimize the risk of injury to both staff and the individual. Core program components include:
- Four Basic Principles
- Deflection Techniques
- Grab Releases
- Bite Releases
- Hair-pull Controlling Techniques
- Choke Releases
Personal Emergency Interventions Training
Personal Emergency Interventions Training (PEIT) provides staff with safe and effective control procedures to be utilized as a last resort in emergency crisis situations when less-restrictive options are neither effective nor applicable to the situation at hand. Safe & Positive Approaches defines crisis as a situation in which the individual poses a real and significant physical threat to the safety and welfare of him/herself and/or others. PEIT presents physical procedures, from least to most restrictive, but also focuses on the importance of preventive strategies that reduce and eliminate the use of physical restraint. Core program components include:
- Critical Issues in the Implementation of PEIs
Guidelines in the Use of PEIs
Signs of Distress & Injury
Guidelines for the Termination of Restraint
- Involuntary Escorts
Safety Escort
Two-Person Secured Escort
Two-Person Two-Arm Control Escort
- Assist Techniques
Safety Assist
Bear Hug Control
Two-Arm Control Assist
- Personal Restraints
Standing Restraint
Assist-to-the-Floor:
One Person Assist-to-the-Floor
Two Person Assist-to-the-Floor
Three Person Assist-to-the-Floor
Seated Floor Restraint
Supine Restraint
- Framework for the Reduction of Restraints
Primary Prevention Strategies
Secondary Prevention Strategies
Tertiary Prevention Strategies
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