“Beyond being extremely compatible with our applied behavior analytic approach to treatment, Safety-Care truly does provide the first evidence-based prevention and de-escalation system I’ve seen in a crisis prevention course.”
Dr. Terry Page
Norman Specialty Hospital (LTAC)
"Erin M did a great job with our re-Certification last week. She was very professional and she effectively built rapport in a very self-effacing manor, she created a very non-threatening atmosphere, her instruction and coaching consistently emphasized “errorless learning”, she effectively involved all of the class participants and used their experiences to give the discussion, the practice, and the role plays and very real world feel making skill transfer very probable."
George A Thompson, PhD
Our facility houses over 200 adults with intellectual and other disabilities; many of these individuals are also diagnosed with mental illness, seizure disorders and serious medical issues. We have used a variety of crisis management systems over the years until June of 2008 when Safety Care was implemented with our entire staff of over 1000. Since that time we have seen a sharp decrease in the number of restraints from an average above 30 per month to an average of six per month. An essential contributing factor to this decrease was embracing Safety Care as our crisis management system.
In addition to the excellent content and initial training provided by Quality Behavioral Solutions, they also provided top-notch customer service after the initial roll-out. A very significant milestone was reached in January of 2009: there were zero restraints facility-wide for the entire month! Staff and residents alike enjoyed the month and look forward to many more. And the staff of Quality Behavioral Solutions have every reason to share in that enjoyment because of the role they had in making it happen.
David D. Lanier, Ph.D.
Interim Psychology Director
To whom it may concern,
I am writing this letter to endorse the Safety-Care behavioral safety training course developed by QBS, Inc. My agency, Woodfords Family Services, uses Safety-Care in its preschools for young children with autism and other developmental disabilities, and due to the success of Safety-Care in these settings we are in the process of expanding the number and range of our programs that use it.
As a Board Certified Behavior Analyst, I am particularly pleased that Safety-Care is consistent with a behavior support approach throught every part of the course. Safety-Care trains staff int he basics of ABA principles such as functional analysis of challenging behavior, identification of antecedents and consequences, and differential reinforcement as methods for preventing or minimizing behavioral crises, and it does so without using confusing jargon. Staff are taught how to deal with potential crises by deccelerating antecdent behaviors without reinforcing dangerous challenging behaviors. Because the learning principles upon which it is based are universal, they can be used effectively with any of the individuals we served, regardless of what functional, cognitive, or communication challenges they face. Overall, we have found Safety-Care procedures to be safe, effective, and consistent with an approach that emphasizes crisis prevention rather than crisis management. Indeed, since adopting Safety-Care in our early childhood programs, incidents and injuries have decreased substantially.
I would recommend Safety-Care for any organization, but particularly to those that use a positive behavior support or ABA approach. Unlike many other similar courses, Safety-Care is completely compatible with behavior support plans and behavioral treatment procedures. There is no need with Safety-Care to modify the course or tell staff which parts to use and which parts to ignore. Overall, we have found Safety-Care to be an excellent component of safe, effective, person-centered services for the children we serve.
Paul A. Nau, Ph.D., BCBA
Dear Dr. Lennox,
Maine School Administrative District 6 has had a very positive experience with the Safety-Care program offered by QBS. QBS trained all of our Special Education staff in Safety-Care, replacing the previous program that had some good points, but did not overall meet our needs. We were so pleased with Safety-Care that we took the additional step of having QBS train several of our staff as trainers.
Here are some of the things we've been hearing from teachers, education techs, and other staff about Safety-Care:
- You and the other QBS trainers are extremely experienced and provide a course that is well-taught and focused on practical skills.
- There is a strong emphasis on prevention, which our staff appreciate.
- Although it's consistent with an applied behaivor analysis approach, Safety-Care is not dogmatic and works just as well in classrooms that use more general educational principles.
- It works well for students across the full public school age range.
- While effective with verbal students who have emotional difficulties, it can also be used with students who have serious cognitive and communication deficits.
- The physical procedures are effective and gentle.
Safety-Care, compared to some other similar training programs, is very cost-effective for our school district.
Thanks for developing such a great safety training course!
Co-Director of Special Education
Reading Public Schools
J. W. Killam Elementary School
Dear Dr. Lennox,
I am so excited to share that we just completed our first Safety-Care Behavioral training class in our district. I knew that your program was a high-quality when I was in the process of earning my certification to become a district trainer, but now after conducting this first training, I feel confident to say that even more!
Your safety-care curriculum is comprehensive and moves in a least-to-most restrictive sequence. This logical and natural progression helps trainees to understand the importance of implementing all preventative strategies first before even considering using a safety management intervention. By doing this, the student's quality of care and quality of life can be significantly enhanced. This process also greatly improves staff safety.
Your curriculum teaches trainees how to PREVENT behavioral crises by providing them with useful strategies to reverse escalation and safely and therapeutically manage the crisis at hand. Your curriculum also stresses the importance of crisis debriefing both with the student and with the staff. This part of crisis management does not often occur but is critical to the prevention of future incidents. Staff communication is essential. Thank you for making it such an important part of your curriculum.
I look forward to my next training session. I knew it went great when all of the participants gave us so much positive feedback at the end of the two days! Thanks for putting together such a fabulous program for our students and staff.
Bluegrass Oakwood Community Center
Dear friends at QBS:
I'd like to provide this brief letter of appreciation for Safety-Care, which you are welcome to share with others. We are a 220-resident ICF/MR, with 1400 employees that has utilized various "crisis management" systems over the years. We were trained in Safety-Care in March and have now utilized Safety-Care facility-wide for 2 months. Here are a few comments from our certified trainers:
"I was approached in a...potentially hostile manner and find the safety shuffle to [be] very useful. We went in a few circles and realized we were going in circles and that was it!!!"
"I have personally witnessed a great deal of effective DR [differential reinforcement]. I haven't had to use anything myself, except the Safety Stance, but people have told me that they like this far better than [the last system]. Staff that I have taught really like the fact that we focus more on de-escalation than restraints."
"In most of the classes that I taught the staff felt a lot safer with the two person holds then they have in previous behavior management courses...The de-escalation portion of Safety Care is in a lot more detail than other programs and gives people more of a leg to stand on and more information to try and talk to the individual when they are upset (i.e. help, prompt and wait.)"
"The comment that I hear the most from staff is that this program (Safety Care) is the only program we have used that has offered a good method of communication and step by step releases so as to provide more safety for our staff."
"I observed two relatively slight male RAs use the 2-Person Forward Escort very effectively with a very large male...He was managed safely after becoming very agitated and breaking two windows. The 2 staff members performed the procedure efficiently and escorted the agitated individual 50-75 yards to his home where he became calm and had no further incidents."
I would also add that the content and terminology of Safety-Care aligns nicely with our programmatic behavioral interventions, so that staff experience a nice consistency between the two. Finally, I will speak for many in saying that the training experience was well conducted and follow-up support has been excellent.
Brad Beebe, Ph.D.
Director of Clinical Services
Bluegrass Oakwood Community Center
Dear Dr. Lennox and the QBS Team,
I wanted to express my satisfaction and enthusiasm about your Safety-Care Behavioral Safety Training program! Road To Responsibility, Inc. adopted your system in 2012 because of the emphasis on Applied Behavior Analysis and the systematic, evidence-based crisis-prevention/de-escalation strategies. These dovetailed well with the Positive Behavior Supports/ABA approach we use. It is one of the better decisions I have made…our Employees find the teaching approach very useful, it has helped to strengthen our overall behavioral training program and, most importantly, it has helped to reduce the need for physical interventions in our programs. Thank you!
Chris White, Ed.D.
President/CEO of Road To Responsibility, Inc.
Dear Dr. Lennox,
Your behavioral consulting expertise has brought the neurorehabilitative program I manage to a whole new level. Your Safety Care training and QTS, your behavioral data tracking system, have been instrumental in signficant behavioral improvements in all of our residents, as well as the program itself.
Kristen Kocot, M.A.
Kindred Park View Neurorehabilitation Program Director
Dr. Lennox has provided Cadbury Commons exceptional inservice training, giving our employees the tools to effectively address the behavioral challenges seen in the Alzheimer’s disease process. His training and consultation have been a real benefit, allowing us to respond to various behaviors effectively, while maintaining the residents’s dignity. Giving, too, our employees a real understanding of dementia has aided in employee relationships with both resident and family member.
Steven Ellsweig, Exec. Dir.