Citation

Spears S, McNeely H. J. Am. Psychiatr. Nurs. Assoc. 2019; 25(4): 298-304.

Affiliation

Children's Hospital Colorado, Aurora, CO, USA.

Copyright

(Copyright © 2019, American Psychiatric Nurses Association, Publisher SAGE Publishing)

DOI

10.1177/1078390318794281

PMID

30132714

Abstract

INTRODUCTION: The current de-escalation program utilized in this organization was not adequately meeting the needs of all the pediatric populations served. AIMS: Identify a de-escalation program, which is evidenced-based and able to be effective across all sizes and ages of patients served at this organization.

METHOD: The work described in this article displays the thorough systematic process used to select a new behavioral health crisis prevention/de-escalation training program within a large children's hospital.

RESULTS: Fourteen de-escalation programs were initially identified, nine of them were further analyzed based on curriculum, cost, training requirements, emphasis on verbal de-escalation, ability to address needs of those with Autism Spectrum Disorders, and overall fit for this organization. One final program was selected for implementation after a robust selection process.

CONCLUSIONS: The team used a comprehensive approach during program selection to attempt to decrease or limit potential resistance to change from affected employees.

Language: en

Keywords

aggression management; change implementation; crisis prevention; de-escalation training; hospital staff training; injury prevention; safety