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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
Presentation Overview
Staff Crisis Intervention Training
103 Agencies ServicedAs at February 29, 2012
23,414 Staff TrainedAs at February 29, 2012
Ontario Shores & SMG
MCSS Approval - 2003
Ontario PSHSA Partnership 2010
What is “crisis intervention”
training?Teaching skills in how to prevent
and
manage
patient verbal and physically aggressive behaviour
Philosophical Basis of SMG
Course Content
Risk Management
Relationship Management
Behaviour Management
Aggression Escalation Continuum
Aggression Management
Instructional Model
Multi‐level Training System
Classroom Training
Online Training
Advanced Training
Safe Passage Program
Specialized Certification (1‐Day)
Training Program Assumptions
If generic techniques don’t work! Individual Specialized Consultation
Individualized Risk Assessment and Recommended Physical Interventions
How effective is SMG?
Study Design
Outcome Measure
Subject’s Age & Gender
Mean Age = 33.6, SD = 10.7
Subject’s Work
Subject’s Level of Education
Teaching Effectiveness (OnLine vs Classroom)
Educational differences that were correlated with Pretest scores
Retention of Learning
Online vs Classroom Ratings N = 30
Performance By Unit
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%
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
Future Directions?
Assessing Performance Skills
Future Directions?
Questions
Partners
Ontario Public Services Health & Safety
Association
The End
345 Lakeshore Rd. East., Suite 506Oakville, Ontario L6J 1J5
Tel: 905-849-0967© 2010