http://fornits.com/phpbb/viewtopic.php? ... 31#p337831Ken Huey of CALO stated "Theme 2—Why Positive Control Systems and why do holds at all? Response to theme 2--Positive Control Systems uses bent wrist controls if a situation escalates to the extent that a hold is needed. We tried numerous other de-escalation systems before deciding permanently on PCS. We have administration trained in MANDT, CALM, NCI, and one other private facility system that is not publicly available. We moved to PCS because it was nationally certified and recognized, it could be initiated by one staff member in a pinch at the outset (a second staff joins the first staff), it was less traumatizing for our population, and it had a much better track record than other systems. Compared to other de-escalation systems, the statistics bear out that PCS is a much safer intervention. Injuries per hold were much better with PCS. As for the re-traumatization issue, we were not impressed with systems that called for 3 or 4 staff to restrain a kid. Chest compressions can become a problem and just the sheer number of staff involved is frightening. We saw flashbacks with other systems that we do not see with PCS. Our holds are done for safety. When a teen is a threat to self or others, we de-escalate first and then progress to a hold if necessary. The holds are all documented and are now debriefed with the CEO for training. If you know of a de-escalation system that is superior to PCS I would be very glad to know of it. I mean that sincerely."
1. You used three de-escalation systems before you switched tp PCS [Positive Control Systems]. PCS, a de-escalation system that utilizes bent wrist control methods with sub variations, causes compliance through pain. Please answer the following questions.
a. You stated "one other private facility system that is not publicly available." What private facility system are you referring to?
b. Do staff call a supervisor as a proactive measure to prevent the restraint?
c. What is the maximum time allowed per MO law a child can be in a physical restraint for?
d. What information is included in physical restraint reports?
e. Who writes physical restraint reports?
f. CALO is a secure facility. There are supervision issues amongst your staff if students are escaping. How do you plan on rectifying these supervision issues?
g. You stated "Injuries per hold were much better with PCS." What injuries are you referring to?
h. Are children at CALO allowed to discuss physical restraints with their parents via. telephone?
