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+The Mandt System®David Mandt & Associates©Revised: January 1, 2006
Presented by Karen Kuplicki and Natalie WahmhoffUniversity of Utah
Department of Educational PsychologySchool Psychology Program
US Office of Education 84.325KH325K080308
+ 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
+
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.
Philosophy of the Mandt System“Excellence, Efficiency, and Effectiveness”
+Certification Requirements and Cost
For Trainers Relational, 2 day: $465-$625 Relational/Conceptual, 5 day
$710-$925 Relational/Conceptual/Technical, 5 day
$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 areas:
Building Healthy Workplace Environments
Effective Communication
Navigating Conflict for Positive Outcomes
Recruiting and Retaining Quality Personnel
The Dynamics of Leadership
Creating Productive Teams
+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
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