Download or read book De-Escalation and Safety Intervention in Mental Health Crisis written by Rebecca N Mitz and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The aims of this CNL Internship Project are to decrease the number of incidents in which patients are escorted out of the clinic via staff or SFPD due to violent/aggressive behavior, are put on a 5150 hold, or who are absent without official leave (AWOL) or leave against medical advice (AMA) by 70% within 12 months of initiating an evidence-based staff training program on therapeutic communication and de-escalation techniques and implementing a de-escalation and safety intervention protocol and to achieve 100% improvement in staff perception of preparedness to manage escalating patient events and maintain safety. This project is being implemented in a psychiatric urgent care clinic San Francisco, where rest and rehabilitation is provided for individuals experiencing an exacerbation of a mental illness. Staff education and training in-service sessions were conducted regarding de-escalation techniques and the utilization of an evidence-based, standardized de-escalation and safety protocol. Results from a Likert-type scale survey administered before and after training in-service sessions and implementation of the De-Escalation and Safety Intervention protocol revealed significant improvement in staff perception of preparedness individually and as a team to safely manage escalating patient crises as well as in usefulness of the protocol. Results from a post-teaching effectiveness survey revealed 100% of staff feel strongly (5/5) that the de-escalation techniques taught and the implementation of the standardized protocol are effective methods to incorporate into practice. Results regarding 70% decrease in adverse patient discharges are still pending as post-implementation patient discharge data collection is in progress until April 2018.