A Systematic Process for Selection of a Crisis Prevention/De-Escalation Training Program in the Hospital Setting

The current de-escalation program utilized in this organization was not adequately meeting the needs of all the pediatric populations served. Identify a de-escalation program, which is evidenced-based and able to be effective across all sizes and ages of patients served at this organization. The work described in this article displays the thorough systematic process used to select a new behavioral health crisis prevention/de-escalation training program within a large children's hospital. Fourteen de-escalation programs were initially identified, nine of them were further analyzed based on curriculum, cost, training requirements, emphasis on verbal de-escalation, ability to address needs of those with Autism Spectrum Disorders, and overall fit for this organization. One final program was selected for implementation after a robust selection process. The team used a comprehensive approach during program selection to attempt to decrease or limit potential resistance to change from affected employees.