STRIVE for a restorative de-escalation: Strategies for a TRauma-Informed approach using Verbal and Environmental Skills

Sunday, May 5, 2024

2:00 PM – 3:30 PM ET

Location: Metro Toronto Convention Centre: 604

CE: Live CME: 1.5

Leader(s)

Ariella Weinstock, MD, M.S. Ed (she/her/hers)

Pediatric Resident
Children's National Hospital
Washington, District of Columbia, United States

Co-Leader(s)

Lauren Ameden, MD (she/her/hers)

Pediatric Emergency Medicine Fellow
Boston Medical Center, United States
Jeremy Kern, MD (he/him/his)

Hospitalist
Children's National Health System
Washington, District of Columbia, United States
LL

Lydia Lissanu, MD (she/her/hers)

Children’s National Medical Center
Washington, District of Columbia, United States
SM

Sarah Miller, MD (she/her/hers)

Assistant Professor of Clinical Psychiatry
Weill Cornell Medicine
New York, New York, United States
Elana Neshkes, MD (she/her/hers)

Attending Physician
Children's National Health System
Washington, District of Columbia, United States
Laura Nicholson, MSN RN CPN CHSE (she/her/hers)

Simulation Education Specialist
Children's National Health System
Huntingtown, Maryland, United States
Grace Quinn, MD (she/her/hers)

Pediatric Resident
Children's National Health System, District of Columbia, United States

Disclosure(s):

Ariella M. Weinstock, MD, M.S. Ed: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Lauren Ameden, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Jeremy Kern, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Lydia Lissanu, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Sarah Miller, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Elana Neshkes, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Laura A. Nicholson, MSN RN CPN CHSE: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Grace Quinn, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Workshop

Description: Behavioral emergencies impact the health, physical safety, and emotional wellbeing of both patients and providers, yet many clinicians receive no training in how to manage escalating behavior without the use of chemical or physical restraints.This workshop will outline environmental and verbal de-escalation strategies and facilitate structured practice in a format designed to be reproducible in a variety of clinical practice and training settings. First, in facilitated small group discussions, participants will work through a case to take inventory of their own skills and attitudes when approaching behavioral emergencies. We will also explore bio-psycho-social factors, including health inequities, that may be contributing to escalations. Presenters will then describe key strategies in behavioral de-escalation, after which we will return to small groups to analyze mini-cases and practice responding to scenarios. To conclude, we will discuss opportunities and barriers to implementing behavioral response training in various clinical practice settings. Participants will receive a toolkit to continue to share these skills with their home institutions.

Learning Objectives:

Develop a differential for escalating behavior using a bio-psycho-social model
Select appropriate de-escalation strategies for differing behavioral emergencies
Practice verbal and environmental de-escalation strategies in behavioral emergency scenarios