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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services
 

All DHHS info for health care providers

 

Alternatives to Restrictive Interventions

NC Interventions© (NCI) Training Program

Restrictive interventions include seclusion, physical restraint, isolation time-out and protective devices used for behavioral control. These interventions are to be used safely and only as a last resort. Only staff who have been trained in prevention strategies and demonstrated competence to use these procedures may use them.

NC Interventions© (NCI) is a standardized training program to prevent the use of restraints and seclusion, created and supported by DMH/DD/SAS and used in various DMH/DD/SAS community agencies and state facilities.

Prone or Face Down Technigues Not Allowed

1/15/13 Elimination from NCI Training for Participants

11/20/12 Clarification

11/14/12 Implementation of Secretary's Memo

11/13/12 DHHS Secretary's Memo

 

9/1/11 A moratorium was imposed for training new NC Interventions (NCI) trainers or new NCI instructor-trainers. See Communication Bulletin #119.

General NCI© Information

The NCI Quality Assurance Committee oversees the integrity of the training program by training and monitoring Instructor Trainers and reviewing/ approving any changes or additions to the curriculum.

  • ONLY certified Instructor Trainers are authorized to train Instructors.
  • ONLY certified Instructors are authorized to teach the curriculum.

Other agencies may choose to use this curriculum. If so, they must use certified NCI© Instructors or Instructor Trainers.

Agencies may make individual arrangements with certified Instructors, or they may have someone on their staff trained as an Instructor (trains participants) or as an Instructor Trainer (trains Instructors as well as participants).

Instructors and Trainers

You can browse a list of certified instructors.

Instructors and Instructor Trainers may set their own rates to provide training. People seeking training may want to contact several Instructors, Instructor Trainers about fees before deciding on one.

Highlights of Core Training

Training is flexible.

  • Prevention - People may be trained in only Prevention if their agency does not allow physical interventions.
  • Core - An agency must choose the Core curriculum, which includes prevention plus blocks and releases if the agency allows non-restraining physical interventions.
  • Core+ - An agency may choose to add optional restraining physical interventions to the Core curriculum.

Prevention

  • Building positive relationships.
  • Decision making and problem solving.
  • Assessing risk for escalating behavior.
  • Early crisis intervention.
  • Core
    • Prevention plus,
    • Non-restraining blocks and releases
  • Core +
    • Core plus,
    • Approved optional restraining physical techniques such as therapeutic holds, carries and techniques for special populations.*

      *These techniques must be approved by the agency's Human Rights Committee (prior) to sending them to the NCI Quality Assurance Committee for approval and the techniques should be written in the individual's treatment plan.

NOT included:

Content related to mechanical restraint, seclusion and isolation timeout is not included in this training program. These procedures are governed by regulatory bodies/legislation such as Medicaid, JCAHO and federal legislation for child psychiatric residential treatment facilities. Facilities who use these procedures are expected to train and deem competent anyone using these procedures in their facilities.

 

Contact us about NCI

 

 

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