Transcript Tough Kids: Practical Behavior Management

+The Mandt System®
David Mandt & Associates©
Revised: January 1, 2006
Presented by Karen Kuplicki and Natalie Wahmhoff
University of Utah
Department of Educational Psychology
School Psychology Program
US Office of Education 84.325K
H325K080308
+ The Mandt System:
A Brief Description

The Mandt System is a training program that has 3 major
components: Relational, Conceptual, and Technical.

Relational Skills: focuses on teaching relationship,
communication, and conflict resolution skills.

Conceptual Skills: focuses on teaching positive behavior
supports, liability and legal issues, and medical risks of
restraint.

Technical Skills: training in providing physical assistance,
separation, evasion, and restraint techniques
+ Philosophy of the Mandt System
“Excellence, Efficiency, and Effectiveness”



The focus of the Mandt system is learning how to reduce or eliminate
violence in the workplace by “supporting people, not just their
behaviors”.
The Mandt system revolves around building the positive relationships of
people in an organization in order to create an overall healthy
environment.
One main goal is to teach people how to effectively manage a situation
by regulating their emotions, response, and behaviors to positively
interact with others.
+
Certification Requirements and
Cost

For Trainers

Relational, 2 day: $465-$625

Relational/Conceptual, 5 day


Relational/Conceptual/Technical, 5 day


$710-$925
$910-$1,2225
Relational/Conceptual/Technical Advanced Level, 5 day

$1,310-$1,8880

For Students, the cost varies and length depends on which
components are taught. They can last from 1/2 day to 3 day
workshops.
+ Competencies
To become certified in Mandt procedures students must:

Attend 100% of the trainings

Score 100% proficiency (or 100% adjusted proficiency) on
written tests

Demonstrate all physical techniques with 100%
proficiency (or 100% adjusted efficiency)

Recertification must be completed annually and can be
done by completely retraining, passing a written exam,
or skill verification through demonstration
+
Competencies

The competencies selected by The Mandt System, Inc. are derived
from Public Law 106-310, Section 595, Parts H and I, commonly
known as “The Children’s Health Act of 2000. A set of standards are
presented in the law requiring training in “the prevention and use of
restraint” in the following areas:

“the needs and behaviors of the population served, relationship
building, alternatives to restraint and seclusion, de-escalation
methods, avoiding power struggles, thresholds for restraints and
seclusion, the physiological and psychological impact of restraint
and seclusion, monitoring physical signs of distress and obtaining
medical assistance, legal issues, position asphyxia, escape and
evasion techniques, time limits, the process for obtaining approval
for continued restraints, procedures to address problematic
restraints, documentation, processing with children, and follow-up
with staff, and investigation of injuries and complaints Satisfactory
completion of training is based on achievement of all specified
competencies.” (6)
+
Some of the proposed benefits of
using the Mandt System®

Improve staff relationships and therapeutic environment

Builds self-efficacy and reduces fear when responding to crisis
situations

reduces the frequency of physical restraints and the duration of
physical restraints

reduces need for physical interactions overall and reduction in
crisis incidents

teaches and trains in skills needed to maintain a safe and respectful
workplace

Aligns with Positive Behavior Support
+
Training Outline


Relational Skills

Building Healthy Relationships (2.5-3.5 hours)

Building Healthy Communication Skills (2.5-3.5 hours)

Building Healthy Conflict Resolution Skills (2.5- 3.5 hours)
Conceptual Skills

Trauma Informed Services (2-3 hours)

Positive Behavior Supports (2.5-3.5 hours)

Liability and Legal Issues (1-2 hours)

Medical Risks of Restraint (1-2 hours)
+
Training Outline cont’d

Technical Skills

Assisting and Supporting Skills (2-3 hours)

Separating Technical Skills (2-3 hours)

Restraining (standing or sitting) Skills (2-3 hours)
+
Legal Liabilities and Risks of
Restraint
 One
chapter in the Conceptual Skills
section is devoted to Legal Liability and
Legal Issues
 The
last chapter in the Conceptual Skills
section is devoted to Medical Risks of
Restraints
+
Legal Liabilities

brochure states that the Mandt System ® meets or exceeds
major accreditation requirements:

Joint Commission on Accreditation of Healthcare Organizations
JCAHO

The Commission on Accreditation of Rehabilitation Facilities
CARF

the Council on Accreditation
COA

Creating Excellence Together/Striving for Quality
CET/SFQ
+ Website
www.mandtsystem.com
+
Types of Interventions
On a continuum from least to most restrictive:

Understanding stress, the crisis cycle, and working with emotions

Understanding the process of communication and developing
nonverbal, verbal, and vocal skills, assertive and authentic
communication

Conflict resolution techniques

SODAS

Help the person

Identify the Situation (define conflict)

Develop Options (generate solutions)

Discover Advantages and Disadvantages (evaluation options)

Select Solutions
+
Interventions, cont’d

Responses to each stage in the crisis cycle

Stage 1 (trigger): removal of or from stress or stimuli

Stage 2 (escalation): offer options and set limits

Stage 3 (Crisis): use least amount of interaction necessary for safety

Stage 4 (De-escalation and Recovery): Structured cooling off

Stage 5 (Stabilization): Active Listening

Stage 6 (Post-Crisis): Observation and Support

Antecedent-Behavior-Consequences

Briefly and vaguely discuss reinforcement and punishment but do
not give specific examples
+
Types of Intervention, cont’d

Body positioning in relation to others (providing or
preventing exit, walking and accompanying others, touch
prompts)

Physical assisting techniques when someone cannot support
themselves

Separating and physical release (finger holds, clothing holds,
biting, hair pulling)

Monitoring and observing during a restraint
+
Types of Intervention, cont’d

Specific Restraints

One person standing side body

Two person standing side body

Hug restraint

One person, one arm restraint

One person, two arm restraint

2 person, one arm and side body hug

Moving restraint with one or two people

Child restraint

One person kneeling child restraint

Restraint of a person of short stature
+
Media Components
 Certified Trainees
receive a CD-ROM that includes
a student manual, power points for each section,
certificates, resource articles, and email support
 There
is no video, DVD, or online training available
for students or trainers
+
Research

An evaluation of four programs for the management of
aggression in psychiatric settings. Archives of Psychiatric
Nursing, 17, 146-155.

Helmuth, R. (1994). Nursing staff educational preparation and
patient inflicted injuries in a 160 bed psychiatric hospital,
Alaska Medicine, 36, 189-192.
+ Leadership Program
The Mandt System also provides one day
leadership events in the following subject

Building Healthy Workplace Environments

Effective Communication

Navigating Conflict for Positive Outcomes

Recruiting and Retaining Quality Personnel

The Dynamics of Leadership

Creating Productive Teams
areas:
+
Leadership Program

Coaching, Mentoring, and Supporting Emergent Leaders

Supporting All Stakeholders

Creating and Fostering an Inclusive Learning Organization

Fostering Culture Change

The Profitability of Diversity

Gaining and Keeping Trust

Managing Change

Managing Workplace Stress
+
Leadership Program

Motivating and Engaging People

Bully Proofing Your Workplace

Well-Being and Work: Promoting Emotional, Psychological, and
Physical Safety

SWOT Analysis: Strengths, Weaknesses, Opportunities and Threats

Understanding My Mix for Our Team