An Evaluation of the Effectiveness of the Group (SMG) Crisis … · An Evaluation of the...
Transcript of An Evaluation of the Effectiveness of the Group (SMG) Crisis … · An Evaluation of the...
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An Evaluation of the Effectiveness of the Safe Management Group (SMG) Crisis
Intervention Training Program
Dr. Bruce Linder, C. Psych, BCBA-DVice President, SMG
Presented to Ontario Shores 2012 Research DayMarch, 2012
© 2010
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Presentation Overview
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Staff Crisis Intervention Training
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103 Agencies ServicedAs at February 29, 2012
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23,414 Staff TrainedAs at February 29, 2012
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Ontario Shores & SMG
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MCSS Approval - 2003
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Ontario PSHSA Partnership 2010
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What is “crisis intervention”
training?Teaching skills in how to prevent
and
manage
patient verbal and physically aggressive behaviour
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Philosophical Basis of SMG
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Course Content
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Risk Management
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Relationship Management
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Behaviour Management
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Aggression Escalation Continuum
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Aggression Management
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Instructional Model
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Multi‐level Training System
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Classroom Training
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Online Training
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Advanced Training
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Safe Passage Program
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Specialized Certification (1‐Day)
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Training Program Assumptions
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If generic techniques don’t work! Individual Specialized Consultation
Individualized Risk Assessment and Recommended Physical Interventions
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How effective is SMG?
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Study Design
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Outcome Measure
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Subject’s Age & Gender
Mean Age = 33.6, SD = 10.7
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Subject’s Work
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Subject’s Level of Education
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Teaching Effectiveness (OnLine vs Classroom)
Educational differences that were correlated with Pretest scores
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Retention of Learning
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Online vs Classroom Ratings N = 30
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Performance By Unit
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Weakest Knowledge Areas (Questions < 50% Correct)
Question Unit Pretest
Coercion cycle (2) Relationship Mgnt 20%
Boundaries & Limits Relationship Mgnt 27%
Power & Equity Relationship Mgnt 29%
No data Behaviour Mgnt 31%
Empathy Relationship Mgnt 32%
Staff Stress (2) Risk Mgnt 33%
Poor Implementation Risk Risk Mgnt 35%
Order of Agg Esc Levels Excalation Continuum 41%
Subtle Stage Excalation Continuum 44%
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Summary
• SMG effective in teaching staff• Online teaches as well as
classroom• 70% retain knowledge for at
least 1 year• Online refresher is effective• Relationship & Behaviour
Management ‐
areas of greatest need for training
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Future Directions?
Assessing Performance Skills
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Future Directions?
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Questions
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Partners
Ontario Public Services Health & Safety
Association
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The End
345 Lakeshore Rd. East., Suite 506Oakville, Ontario L6J 1J5
Tel: 905-849-0967© 2010