CPI Behaviour Management

Policy and Procedures

For

Children Detention Schools

Reviewed December 2012

Implementation Date

4th April 2011

Signed off by BoM 2nd July 2010

Policy Name / Number

CPI Behaviour Management Policy and Procedures for Children Detention Schools

Prepared by

CPI Coordination Group (IYJS and CDS)

Contact Details

tony_o’donovan@dcya.gov.ie

Behaviour Management Working Group – Date of Establishment

June 2007

Date Final Draft Approved by Behaviour Management Working Group

October 2009

Date of Sign off by BOM

2 July 2010

Date Circulated to Directors of CDS

July 2010

Review History

Dec 2012 - Reviewed and Updated by Board of Management

Table of Contents 1. Policy Rationale ................................................................................1

1.1. Introduction.......................................................................................................... 1 1.2. Background.......................................................................................................... 1 1.3. Policy Scope ........................................................................................................ 1

2. Definitions ........................................................................................2

3. Prevention of Violent and Assaultive Behaviour ...............................3 3.1. Individual Crisis Management Plans ................................................................... 3

4. 'Best Practice Guidelines in the Use of Physical Restraint' ...............4

5. The Use Of Physical Interventions In Children Detention Schools...5

6. A Team Approach to Behaviour Management ..................................6

7. CDS Behaviour Management Training..............................................6 7.1. Provision of Training - CPI Certified Instructors ................................................ 6 7.2. Staff Training....................................................................................................... 7 7.3. Staff Certification ................................................................................................ 8 7.4. Skill Retention of Certified Staff ......................................................................... 8 7.5. Training Documentation...................................................................................... 8 7.6. Injuries which occur during training sessions...................................................... 8

8. Debriefing following a Behaviour Management Incident ..................9

9. Documenting Behaviour Management Incidents ...............................9 9.1. The CPI Form ..................................................................................................... 9 9.2. Further Documentation........................................................................................ 9

10. Review of Policy and Procedures ....................................................10 10.1. Review Group Progress Report ......................................................................... 10

11. Commitment to Quality...................................................................10

12. Conclusion ......................................................................................11

References .............................................................................................12

Appendices ............................................................................................13 Appendix A - Responsibility............................................................................................... 14 Appendix B - Standards Required....................................................................................... 15 Appendix C - Documentation Required for CPI Training .................................................. 16 Appendix D - CPI Training Injury Form ............................................................................ 17 Appendix E - CPI Form ...................................................................................................... 21 Appendix F - Policy Review Group.................................................................................... 26

1

1. Policy Rationale

1.1. Introduction

There are currently three Children Detention Schools (CDS) where a child can be

detained by the Courts. These are Oberstown Boys School, Oberstown Girls School

and Trinity House School. The schools are for the detention of children sentenced to a

detention order by the Courts on foot of a criminal conviction. All three schools are

also designated as remand centres for the remand in custody of a child charged with a

criminal offence. The management, principles and operations of the children detention

schools are governed by the Children Act 2001, as amended.

The detention school model is one of individualised care, education and rehabilitation

to reduce the risk of re-offending and promote the positive reintegration of each child

back into his/her community. A safe, secure and care focused environment is provided

while simultaneously addressing the offences committed by the child.

It is imperative to have a Children Detention School wide model of intervention that

promotes a coordinated response to behaviours exhibited by the young person while

maintaining the safety of all young persons, staff and others. The model must promote

a therapeutic process and adhere to the principals set down by the Standards and

Criteria for Children Detention Schools (IYJS, 2008).

1.2. Background

A review of behaviour management systems was conducted by the IYJS in

consultation with the schools between June 2007 and May 2008. This included a

review of the system in use in the schools and recommended the implementation of a

system that has international recognition, is accredited and has a child based

philosophy. This review was followed by an open tendering process for a behaviour

management programme which adhered to these recommendations. Following the

tender process the contract was awarded to the Crisis Prevention Institute of

Milwaukee, Wisconsin (European HQ: Cheshire, UK ).

1.3. Policy Scope

The purpose of this policy is to ensure that all processes and procedures relating to the

management of behaviour in young persons detained in the Children Detention

Schools are carried out to the highest safety standards, promoting care, welfare, safety

and security for all young persons and staff.

This policy encompasses behaviour management of the young person from early

intervention strategies through to physical interventions and debriefing techniques.

Matters such as separation, time-out and notifiable incidents are not covered by this

policy but are often associated with violent and aggressive behaviour and as such the

individual policy documents must be read in conjunction with this policy.

2

2. Definitions

Applied Physical Training (APT) This programme focuses on the use of Non-violent Physical Crisis Intervention in

emergency situations. It brings the learner through the physical moment to the

important postvention process. Participants examine the philosophy, psychology,

physiology, and physics of physical intervention. Through lecture, role-play, practice

and competency based testing, this programme provides extensive opportunities to

problem solve and adapt CPI classroom models to special circumstances and

emergency situations.

Assaultive behaviour is a visible attack that could result in aggressive physical

contact with a staff member, young person or other person. The degree of severity of

the attack may vary significantly, as may any resultant injury.

CPI Behaviour Management Programme This refers to the programme developed by CPI in conjunction with the IYJS

incorporating the Non-violent Crisis Intervention, Enhancing Verbal Skills and

Applied Physical Training programmes which are individually defined in this section.

Certified instructor means a CDS staff member who is deemed to be qualified, by

reason of experience, specialised training and expertise to conduct training in the

prevention and management of violent and assaultive behaviour. "Certified" means

that the staff member is presently authorised by CPI and the IYJS to conduct the

intended programme.

CPI means the copyrighted, proprietary model of therapeutic interventions with

violent and assaultive young persons developed and marketed by the Crisis Prevention

Institute of Milwaukee, Wisconsin. The CDS function as a licensee in the training and

application of principles, concepts, and techniques developed by CPI.

Enhancing Verbal Skills (EVS) Programme This advanced programme focuses on enhancing communication skills including non-

verbal and verbal interaction, de-escalation strategies, debriefing methods, and

reclaiming interventions. It expands the knowledge of postvention process and offers

new and effective strategies for communicating with difficult individuals and

breaking the cycle of conflict.

An Incident in this document is defined as any occurrence that results in injury,

property loss or damage, use of physical force or restraint, involving staff members,

visitors or young persons. Please refer to the Children Detention Schools Notifiable

Incident Policy for further details.

Individual Crisis Management Plan (ICMP) is a written, individualised plan for a

young person, which identifies any potential difficulties and crises and outlines the

most appropriate course of action staff and managers should take to reduce harm.

IYJS stands for Irish Youth Justice Service. IYJS is an executive office of the

Department of Justice and Law Reform with responsibility for leading and driving

reform in the area of youth justice.

3

Non-violent Crisis Intervention (NCI) Programme This programme provides a solid foundation to structure prevention and intervention

approaches based on a philosophy of providing the best possible Care, Welfare,

Safety and Security for staff and young persons - even during crisis situations.

Non-violent Physical Crisis Intervention is used only as a last resort when a person is

a danger to self or others. This involves the use of safe, non-harmful control and

restraint positions to safely control an individual until s/he can regain control of

his/her behaviour.

Physical restraint is holding a young person to restrict their movement. In this policy

we refer to physical restraint as holding them to prevent harm.

Threatening behaviour means an action by a young person that leads another person

to be reasonably in fear of physical injury by means of a verbal statement, body

posture, gesture or intrusion by proximity.

Verbal Intervention is a technique used by staff to defuse a volatile situation and

avoid it escalating.

3. Prevention of Violent and Assaultive Behaviour

Positive and respectful relationships between staff and the young persons are of

primary importance and are central to good care. The relationships between carers and

young persons are the medium through which most difficulties are resolved. These are

key to prevent incidents of violent and assaultive behaviour in young persons.

All frontline staff who are certified in the CPI programme are trained to watch for

early warning signs of disruptive behaviour. They are trained in strategies for early

intervention, de-escalation and interruption of escalating behaviours. Staff are trained

to use physical intervention only as a last resort and when all other alternatives have

been exhausted.

3.1. Individual Crisis Management Plans

Individual Crisis Management Plans (ICMP) are in place for each young person

detained in a Children Detention School. The ICMP is a written, individualised plan

which identifies any potential difficulties and crises and outlines the most appropriate

course of action staff and managers should take to reduce harm. The aim of the ICMP

is to draw up guidelines regarding the best approach in managing a young persons

behaviour. These plans are designed to avoid the use of physical restraint. The plans

are systemic and benefit from multi-disciplinary input. The ICMP should reference

the Placement Plan.

4

4. 'Best Practice Guidelines in the Use of Physical Restraint'

The Best Practice Guidelines in the Use of Physical Restraint which were updated by

the Children Act Advisory Boards (CAAB) in 2009, inform best practice in residential

child care along with other recognised standards and legislation. In addition to

guidelines on the use of physical restraint this provides short 'best practice' guidelines

on absence without permission, damage to property, moving a young person,

physically escorting a young person, carrying a young person and acting in

exceptional circumstances.

The agreed definition for Physical Restraint is that it is the use of trained staff to hold

a child or young person to restrict their movement in order to prevent serious harm. It

is important that “An effective Systems Approach results in a clear congruence or

correspondence between ethos and policy as well as the actual practices of the

residential unit”(Section 4.3).

In relation to what a policy should contain the guidelines state that the Children

Detention Schools should “clearly specify which method of physical restraint is

approved and mandated for use”(Section 5.10).

It is important that there are “written policies and procedures, giving comprehensive

guidance on the use of physical restraint” (Section 5.12). These policies and

procedures cannot be followed unless management can “Ensure care staff are

appropriately trained to competently implement the system and that refresher training

is provided on a regular basis”(Section 5.24).

The desire in any confrontational situation is to avoid physical intervention through

the use of a robust de-escalation process. However, as outlined in section 7.1: “There

are some occasions when the use of physical restraint is the most appropriate and/or

only means of managing a risk of serious harm. This guidance applies to situations

where it has been assessed that the safest and least harmful way to manage the

presenting behaviour is to intervene to restrain a child physically”.

Any time a young person has to be restrained physically there are inherent risks. It

must be noted that “failure to restrain a child where there is a serious risk of harm

could amount to a failure in the duty of care”(Section 7.5).

When making a judgement about whether to physically restrain a young person, care

staff and managers need to take account of relevant factors such as:

• Is there an alternative strategy that carries fewer risks than physical restraint,

such as, supervision of the young person from a safe distance or distraction or

diversion?

• Are there medical, psychological or other safety warnings to avoid the use of

physical restraint with the child in question?

• Is this intervention appropriate to the developmental stage of the young

person?

• What has been learned from previous experience, if any, of physically

restraining this young person?

(Section 10.3)

(SRSB 2006, Updated by CAAB 2009)

5

5. The Use Of Physical Interventions In Children Detention

Schools

In all instances of physical intervention the CPI principles of Care, Welfare, Safety

and Security are paramount. As there are inherent risks associated with the use of

physical interventions, they shall be used only as a last resort. Considerations shall be

given to factors that will make the process as safe as possible for everyone involved,

particularly for the young person needing physical intervention. While safety is

always the priority, the following points should also be considered:

• Preserving the dignity of the young person.

• Physical interventions are never to punish or coerce.

• Non-physical interventions are always preferred.

• Physical interventions are intended to be pain free.

• Physical interventions are never used as a convenience for staff.

• The least amount of force necessary should be used, and for the least amount

of time necessary.

• Physical intervention should be combined with other approaches that will help

the young person learn more adaptive behaviour. This will help diminish the

need for physical interventions in the future.

The following points shall always be observed when it has been deemed appropriate

to conduct a physical intervention:

• Staff members are not to use any physical intervention for which they have not

been trained.

• The use of physical interventions that are contrary to the principles of CPI and

are not specifically authorised by the organisation may be grounds for

disciplinary action.

• If the young person is not in danger to him/herself or others while on the floor,

staff may decide to move away and give direction. If it is decided that

disengaging is not a safe alternative and the young person brings him/herself

to the floor, it is vital that the authorised technique is used to correct this.

• Physical interventions which compromise safety or impair the young persons

ability to breathe should not be used.

• During the use of physical interventions, staff must closely monitor the well-

being of the young person.

• Following the use of physical intervention, the individual should be monitored

for injury or psychological distress and monitored for 24 hours following the

incident.

• Following a restraint the young person shall be offered medical treatment if

required. They shall be assisted and supported to recover in full and afforded

the opportunity to reflect, learn and recover from the experience (CAAB,

Updated 2009).

6

6. A Team Approach to Behaviour Management

Using a team approach to prevent and intervene in crisis situations is the best method

of ensuring care, welfare, safety and security for everyone involved.

This section is subject to policy at local level in each Children Detention School

and shall be inserted by each individual school. It is subject to change and must

answer the following questions:

• Who will respond to requests for help when a situation is escalating?

• How will the Team Leader be determined and identified?

• Under what circumstances should An Garda Síochána be contacted? See

agreed procedures outlined in the CDS Notifiable Incident Policy.

7. CDS Behaviour Management Training

It is imperative that staff members responsible for prevention and intervening in crisis

situations are well trained. Training should emphasise proactive and early intervention

strategies and skills so that the use of physical intervention is minimal.

The behaviour management system in the Children Detention Schools is the bespoke

integration of the NCI/EVS and APT programmes which has been developed by and

is certified by the Crisis Prevention Institute (CPI) in conjunction with the IYJS.

The philosophy of this programme is to provide the best care, welfare, safety and

security of individuals who may become involved in a disruptive incident in the

Children Detention Schools. All certified staff are taught to recognise the verbal and

non-verbal signs which will often precede an aggressive episode and how to react

quickly, efficiently and effectively before the situation escalates.

7.1. Provision of Training - CPI Certified Instructors

All behaviour management training is conducted by Children Detention School staff

who have been certified by CPI as competent to provide training in the bespoke

programme (NCI/EVS/APT). In order to maintain this certification instructors must

adhere to the following:

• Teaching Hours: Each year, Certified Instructors must complete a minimum

of two formal training sessions for staff, totalling at least 18 training hours.

• Written Examination: Once every two years, Certified Instructors must

demonstrate their comprehension of key concepts of the NCI programme

through successful completion of a competency-based written examination.

7

This examination can be completed as part of participation in a qualifying

instructor training course or can be taken online at the CPI website.

• Ongoing training and practical testing: Once every four years, Certified Instructors are required to attend and

complete a qualifying CPI instructor training course, which will include both

written and practical testing. Instructors may choose any one of the following

options:

a) Pass the three day NCI/EVS Instructor Certification Programme.

b) Pass the two day APT Instructor Certification Programme.

c) Pass a three-day course in Advanced Training Strategies for NCI Instructors.

If a Certified Instructor is unable to meet any of the above requirements and the

certification lapses, s/he is eligible to recertify by attending a NCI/EVS/APT

Instructor Certification Programme.

7.2. Staff Training

There shall be an effective programme for all staff which promotes an understanding

of what actions are appropriate in the prevention of assaultive behaviour. This

training shall be presented in a uniform and consistent manner across the Children

Detention Schools, allowing for learned interventions to be transferable across

disciplines.

All CDS staff members shall receive the proportionate amount of training required for

individual roles as laid out below:

• All current frontline staff (e.g. Unit Manager, Residential Care Worker, Night

Supervising Officer, Teacher, Social Worker, Psychologist) shall receive a

minimum of 18 training hours of the NCI/EVS programme, to be followed by

12 training hours of APT programme.

• All frontline staff employed after 1st April 2010 shall receive a minimum of

18 training-hours in the NCI/EVS programme. This shall be followed by 12

training-hours in the APT programme. This should be completed within 6

months of their first day of reporting for frontline duties as part of their

Induction Training.

o Adaptations to the teaching of the CPI classroom model by Certified

Instructors is appropriate when the following criteria exist:

i. After the CPI classroom models are practiced and staff have

demonstrated an increased skill level.

ii. If the situation has actually happened and continues to be

ongoing issue.

iii. When documentation and risk-assessed in the individual’s plan.

iv. When problem solving is based on CPI classroom models and

is consistent with Care, Welfare and Security.

v. When taught and monitored by an APT Certified Instructor.

8

• Staff performing duties in routine proximity to young persons but who are not

in direct care roles eg. general operatives and administrative staff etc. shall

receive 4 training hours.

• CDS Directors shall receive a 1 day overview of the programme.

7.3. Staff Certification

CPI gives complete discretion to the Certified Instructor in determining whether a

participant has passed the programme, as long as the Certified Instructor conducts the

training in accordance with their signed Instructor Certification Agreement as well as

the guidelines outlined in the instructor manual. Please refer to appendix B for

guidelines provided by CPI.

7.4. Skill Retention of Certified Staff

It is essential, if retention of intervention skills with violent and assaultive young

persons is to be maintained after initial training, that a system of mandatory skill

updating and practice is established. This shall take place in the form of refresher

training and practice/drill sessions.

Refresher Training - Formal refresher training shall be completed by all

certified staff to update and refresh skills once a year at a minimum. Refresher

course may be up to 12 training hours but must be a minimum of 3 training

hours.

Practice/Drill Sessions - It is recommended that once staff become certified in

the bespoke programme, they should have ongoing opportunities to review and

practice the skills they have learned. These practice/drill sessions shall be

conducted by Certified Instructors. A record of these sessions shall be

maintained by each CPI co-ordinator in the staff records.

7.5. Training Documentation

Official training documentation must be submitted following all formal training

sessions. Details of this can be found in appendix C.

7.6. Injuries which occur during training sessions

If a participant sustains an injury or is involved in an accident at a training session the

" CPI Training Injury Form" (Appendix D) must be completed by the certified

instructor and sent to the IYJS for the attention of the CPI administrator as well as the

CPI Co-ordinator in the Detention School where the injured participant is employed

within 48 hours. The certified instructor must also retain a copy for their own records.

Once informed, it is the responsibility of the CPI co-ordinator to ensure the employee

injury policy at local level in each Children Detention School is adhered to.

9

8. Debriefing following a Behaviour Management Incident

The time following any intervention is an opportunity for everyone to learn from the

situation. Staff must use the debriefing techniques taught in the behaviour

management programme. Three types of debriefing must take place following an

incident:

• Staff Debriefing: This is a time to examine different perspectives on the

situation and evaluate the strategies implemented. It involves exploring

options for earlier detection and earlier interventions, as well as identifying

effective and ineffective patterns of interventions with this young person or in

this type of situation. It is an opportunity to plan and prepare for the future and

to become more skilled at providing interventions.

• Debriefing with acting-out person: This is a time to re-establish

communication and identifying alternative behaviours in the future. The young

persons Individual Crisis Management Plan (ICMP) may need to be reviewed

and revised with input from the individual.

• Witness Debriefing: Witnesses to the incident, such as other young persons,

staff, visitors etc. also need closure. Without a source of support during this

time subsequent escalations may follow.

9. Documenting Behaviour Management Incidents

One of the most powerful tools in the prevention of violence and assaultive behaviour

in the Children Detention Schools is the use of incident reports as a means to assess

risk factors, recognise and monitor trends, and identify training needs. The incident

report form is designed to strengthen the framework of this policy and serve as a

valuable tool for staff.

9.1. The CPI Form

Following any behaviour management incident, a CPI Form shall be completed by the

person deemed to be Team Leader of the incident (See appendix E). Each applicable

section of the form must be completed. Any extra information such as statements

from key participants may be part of a comprehensive incident report and may be

attached to the form. Sign off by the On-call Duty Manager must be completed within

48 hours.

9.2. Further Documentation

If the incident could be classified under any other policy e.g. Notifiable Incident

Policy, those policies and procedures must also be followed.

10

• The Team Leader shall also consult the Notifiable Incident Policy in Children

Detention Schools to assess what further action, if any, need to be taken in line

with this policy.

• Any injuries which may occur during the course of a physical intervention

shall be documented in the current policy in place in each Children Detention

School.

10. Review of Policy and Procedures

A review group (see appendix F) will be established to review the operation of this

policy on an ongoing basis. This group will monitor changes to relevant legislation

and standards. It will provide a progress report to the IYJS and the Board of

Management and Directors on an annual basis who will consider any

recommendations for change submitted by the review group.

10.1. Review Group Progress Report

The terms of reference shall address how post incident analysis has been implemented

and use this to recommend improvements and describe any limitations that come to

light. The review group shall also consider the following facts when drafting the

report:

• Staff can only follow policies and procedures when they know what they are.

• Staff are more inclined to follow policies and procedures when they

understand it is their professional responsibility. Failing to follow policies and

procedures can result in undesirable outcomes for the organisation, the staff

and young persons.

• Staff must be trained to apply the theory of written policies and procedures to

real-life circumstances. It must be demonstrated and role modelled.

• Staff need considerable practice applying policies and procedures in a safe

learning environment. This will improve their understanding and skill. This

practice will also give them confidence to utilise the procedures in real life and

allow for problem solving.

11. Commitment to Quality

IYJS and the Children Detention Schools are committed to adhere to the principles set

down by the Standards and Criteria for Children Detention Schools (IYJS, 2008) and

Best Practice Guidelines in the Use of Physical Restraint (CAAB, Updated 2009) and

as such are committed to providing a wide model of intervention that promotes a

coordinated response to behaviours exhibited by the young person while maintaining

the safety of all young persons, staff and others.

11

12. Conclusion

Training staff in the safe management of violent and aggressive behaviour is an

ongoing process which must be updated with practice sessions and formal refresher

programmes. It must be also understood that this training, while important, is only a

single component of what is needed to maintain an overall intervention programme

for young people. It is vital to have clearly defined policy and procedures as laid out

in this document. It is important that all staff are well versed in both policy and

procedures in order for them to be successfully implemented across the Children

Detention Schools.

12

References

IYJS (Updated 2009), "Notifiable Incident Policy, 2008", IYJS

IYJS (2008), "Standards and Criteria for Children Detention Schools 2008", IYJS

SRSB (Updated 2009), "Best Practice Guidelines in the Use of Physical Restraint",

SRSB

The Stationary Office (2001), "Children Act, 2001", Houses of the Oireachtas

The Stationary Office (2006), "Criminal Justice Act, 2006", Houses of the Oireachtas

13

Appendices

14

Appendix A - Responsibility

Responsibility The table below outlines the responsibility of those involved in this Policy. This is a

general guide and not exhaustive.

IYJS

• Ensure a sufficient number of Certified Instructors are fully

trained.

• Budget for training and resources for initial and refresher

CPI training.

• Provide all relevant training documentation to CPI.

• Provide Certified Instructors and qualified staff members

with CPI certificates.

• Chair the Policy and Procedure Review Group and lead on

the review process.

CPI • Provide services as per contract with IYJS, signed and

dated 27th March 2009.

BoM • Provide sign off on the Policy and Procedure documents.

• Manage and oversee allocated CPI training budget.

Directors

• Ensure staff receive the appropriate level of training as per

Policy and Procedures.

• Ensure instructors and staff certification is up to date.

• Request required funding from IYJS through the BoM for

CPI training.

• Ensure staff have the opportunity to do the training

appropriate to their role.

CPI

Co-ordinators

(1 per CDS)

• Report to each Director on issues relating to behaviour

management.

• Coordinate instructor and staff training for each CDS.

• Ensure Certified Instructors and staff certification is up to

date.

• Form part of the Policy and Procedure Review Group and

be available to take part in the review process.

Certified

Instructors

• Ensure instructor certification is up to date.

• Ensure availability to conduct CPI training courses.

• Provide practice/drill sessions for staff.

• Completion and submission of all relevant CPI training

documentation to IYJS.

Staff

• Ensure availability to attend CPI training.

• Ensure certification is up to date.

• Maintain skills through practice/drill sessions.

• Use skills learned during CPI training as required.

15

Appendix B - Standards Required

Standards Required to Achieve a Pass on the CPI Training Programme

As long as a Certified Instructor conducts training in accordance with the Certification

Agreement that they sign at their certification programme and the guidelines outlined

in the Non-violent Crisis Intervention Instructor Manual, CPI gives complete

discretion to the Certified Instructor in determining a participant has passed the

course.

CPI does recommend the following as general guidelines for determining whether a

person participating in the programme has passed the course:

Attendance and participation - each participant must attend and actively participate

in all portions of the course.

Philosophy - each participant must demonstrate that they are willing and able to use

the concepts and skills taught in the NCI training programme in accordance with its

philosophy of Care, Welfare, Safety and Security for all involved in a crisis.

Competency - through participation in the exercises, role-plays and discussions, each

participant must demonstrate an understanding of the key concepts of the programme

and an ability to apply those concepts to dynamic crisis situations.

Test - each participant must complete the post-test. CPI 80% correct answers as a

passing grade on the post-test.

16

Appendix C - Documentation Required for CPI Training

The following table details the documentation which must be submitted following formal training sessions:

Documentation completed at

training session

Quantity

From Instructor

To

IYJS Administrator

From Instructor

To

CPI Co-

ordinator

From

Instructor To

Participants

Line Manager

From

IYJS Administrator

To

CPI Office

Individual Evaluation Sheet -

Signed by Instructors

1 per

participant *

Participant Registration Form -

Signed by Participant

1 per

participant *

EVS Post test and evaluation

1 per

participant *

*

APT Post test and evaluation

1 per

participant *

*

Sign-in sheet for group

1 per

session *

Participation Evaluation 1 per

session

*

CPI Training Rosters -

Separate form to be completed for

NCI/EVS and APT

1 per

session

*

*

Injury Form -

A copy of this form must also be sent

to the CPI co-ordinator in the school

of the injured person.

Per person

injured in a

training

session

* * *

17

Appendix D - CPI Training Injury Form

Version 4 13/05/2010

CPI Training Injury Form

Notice of employee sustaining injury or involved in an accident at CPI Training

IMPORTANT: To be completed by Certified Instructor and copies to be

sent to:

• IYJS CPI Administrator

• CDS CPI Co-ordinator

• Employees Line Manager

1. Name of injured participant

2. Address of injured participant

3. Date and time of accident

____ /____ /20____

a.m./p.m.

4. Address and place where accident happened

5. Did the accident happen at a place where the injured

participant was authorised to be for the purpose of his/her

training?

6. Exact nature of training upon which the injured participant

was engaged at the time of the accident?

7. Was the injured participant doing something authorised or

18

permitted to be done for the purpose of his/her training?

8. Between what hours was the injured participant expected to

attend training on the day of the accident?

_______a.m./p.m. & _______a.m./p.m.

9. (a) Did the injured participant do any training on the day of

the accident after it happened?

(b) If so, please state;

(i) the time when he/she actually ceased training

_______a.m./p.m.

(ii) the period for which the injured participant trained after

the accident

a.m./p.m. & _______a.m./p.m.

(iii) what was the nature of this training

physical or academic

10. When did the injured participant report the injury to the CPI

Certified Instructor?

11. Duration of training missed as a result of the injury

12. Duration of period off work as a result of the injury

13. Has the injured participant resumed regular employment?

If so, give date

14. Has the injury been recorded in the injured participants place

of employment?

If so, by whom?

15. Exact nature of the injury sustained

16. The injured person's assessment of how the accident happened

19

17. Name(s) of any witness(es)

18. Additional comments by witness(es)

19. Name of employee's Line Manager

20. Details of any treatment given following the accident

21. Was the person admitted to hospital?

If so, please specify the following:

(i) Whether as an inpatient (casualty)

(ii) Date of hospital attendance

(iii) Name of hospital

(iv) Treatment given

22. Was the accident wholly or partly caused by any want of care

by the injured employee? Give details, if appropriate.

20

23. Have any steps been taken to prevent a similar accident

occurring in the future?

24. If not, specify why no action has been taken.

Participant Signature

CPI Certified Instructor Signature

Date

21

Appendix E - CPI Form

Version 1 - 13/05/2010

Behaviour Management Form for Children Detention Schools This form should be completed by the person deemed to be Team Leader of the Incident

Day of Incident Mon Tues Wed Thurs Fri Sat Sun

Date and time of Incident ____ /____ /20____ a.m./p.m.

Name and title of person writing this report

Grade of incident (Please refer to Notifiable Incident Policy for grading

structure) 1 2 3

Category of Incident (More than one option may be selected) Assault

Self harm

Physical Restraint

Other, please specify ____________________________________________

Names and contact details of acting-out persons:

22

Names/ titles of staff involved:

Names and contact details of witnesses:

List of key participants and their relationship to one another (Please ensure all persons listed below are clearly identified as staff, young

persons, visitors, etc):

Names and contact details of injured persons (if any) as well as details of injuries sustained:

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Exact location where incident occurred (Please include unit name, hallway, bedroom, etc):

Conditions in the location (Please include lighting, wet floor, weather, if outside, etc):

Events leading up to the incident (precipitating factors):

What verbal interventions were attempted?

24

What physical interventions were attempted?

How was the incident resolved?

Were emergency services contacted? If so, provide details.

25

When were you alerted to the incident?

Persons verbally notified of incident:

Persons contacted By whom Date Time

Incident Report submitted to:

Report Writers Signature:

On-call Manager Signature:

Date:

Log Book Page Reference:

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Appendix F - Policy Review Group

Membership of the Policy Review Group are as follows:

Tony O'Donovan(Chair) Child Welfare Advisor Irish Youth Justice Service

Damien Hernon CPI Co-Ordinator Trinity House School

Jackie Leonard CPI Co-Ordinator Oberstown Boys School

Marina McGarry CPI Co-Ordinator Oberstown Girls School

Representative number of CPI Certified Instructors