A Systematic Process for Selection of a Crisis Prevention/De-Escalation Training Program in the Hospital Setting

J Am Psychiatr Nurses Assoc. 2019 Jul/Aug;25(4):298-304. doi: 10.1177/1078390318794281. Epub 2018 Aug 22.

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.

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

MeSH terms

  • Crisis Intervention / education*
  • Crisis Intervention / methods*
  • Hospitals, Psychiatric
  • Humans
  • Personnel, Hospital / education*
  • Psychiatric Nursing / methods*
  • Workplace Violence / prevention & control*