On-Site staff training

The NCI offers training programs that train staff how to manage the behavioral symptoms of patients with neurological and psychiatric disorders. The training is conducted on-site at the HealthCare's own facility by clinical psychologists or neuropsychologists. Our programs offer training to clinicians on the front-lines such as nurses, rehab and nurses' aides, physical, occupational and speech therapists, as well as, programs that train the healthcare facility trainers. All our training is conducted via videotape with the facilities' own patients and staff. Staff learn how to differentiate acute from chronic conditions such as Delirium from chronic cognitive impairment. Also, they learn how to conduct a quick behavioral analysis to identify the ABCs of the problem. They will learn how to then implement behavioral interventions such as manipulation of triggers, ADL desensitization, extinction, flooding, etc.

We have training courses for various types of healthcare facilities from acute through long-term care. We offer a 4, 8 or a 10-week training program.

Training programs vary slightly depending on the type of facility. For example, the training goal at hospitals and general medical centers typically focuses on enhancing nonpharmacological management strategies of the agitated and confused patient to achieve the goal of reducing the reliance on physical and chemical restraints. For example:

**Case Study A female geriatric patient was admitted to the hospital with acute mental status change. While she was undergoing her evaluation in the hospital, she had periods of acute agitation. A neurobehavioral analysis determined that her agitation was most pronounced subsequent to redirection by staff. Staff was trained on ways to manipulate the antecedent of redirection and the agitation markedly decreased.

In psychiatric and rehab hospitals, the training goal typically focuses on preventing aggressive and disruptive behaviors and acute behavioral crisis management. For example:

**Case Study /A young male patient frequently made attempts to elope. A neurobehavioral analysis concluded that the patient associated the rehab hospital with confinement. Staff was instructed to take the patient off the unit and out of the hospital several times per shift. After one week, the patient was no longer an elopement risk.

Our training programs are designed to:

• Eliminate Iatrogenic Behavioral Disorders
• Improve the quality of care delivered by healthcare workers
• Reduce staff-to-patient ratios
• Increase patient and staff safety