The aims of this CNL Internship Project are to decrease the number of incidents in which patients are escorted out of the clinic via staff or SFPD due to violent/aggressive behavior, are put on a 5150 hold, or who are absent without official leave (AWOL) or leave against medical advice (AMA) by 70% within 12 months of initiating an evidence-based staff training program on therapeutic communication and de-escalation techniques and implementing a de-escalation and safety intervention protocol and to achieve 100% improvement in staff perception of preparedness to manage escalating patient events and maintain safety. This project is being implemented in a psychiatric urgent care clinic San Francisco, where rest and rehabilitation is provided for individuals experiencing an exacerbation of a mental illness.
Staff education and training in-service sessions were conducted regarding de-escalation techniques and the utilization of an evidence-based, standardized de-escalation and safety protocol. Results from a Likert-type scale survey administered before and after training in-service sessions and implementation of the De-Escalation and Safety Intervention protocol revealed significant improvement in staff perception of preparedness individually and as a team to safely manage escalating patient crises as well as in usefulness of the protocol. Results from a post-teaching effectiveness survey revealed 100% of staff feel strongly (5/5) that the de-escalation techniques taught and the implementation of the standardized protocol are effective methods to incorporate into practice. Results regarding 70% decrease in adverse patient discharges are still pending as post-implementation patient discharge data collection is in progress until April 2018.
","abstract_html":"<p>The aims of this CNL Internship Project are to decrease the number of incidents in which patients are escorted out of the clinic via staff or SFPD due to violent/aggressive behavior, are put on a 5150 hold, or who are absent without official leave (AWOL) or leave against medical advice (AMA) by 70% within 12 months of initiating an evidence-based staff training program on therapeutic communication and de-escalation techniques and implementing a de-escalation and safety intervention protocol and to achieve 100% improvement in staff perception of preparedness to manage escalating patient events and maintain safety. This project is being implemented in a psychiatric urgent care clinic San Francisco, where rest and rehabilitation is provided for individuals experiencing an exacerbation of a mental illness.</p> <p>Staff education and training in-service sessions were conducted regarding de-escalation techniques and the utilization of an evidence-based, standardized de-escalation and safety protocol. Results from a Likert-type scale survey administered before and after training in-service sessions and implementation of the De-Escalation and Safety Intervention protocol revealed significant improvement in staff perception of preparedness individually and as a team to safely manage escalating patient crises as well as in usefulness of the protocol. Results from a post-teaching effectiveness survey revealed 100% of staff feel strongly (5/5) that the de-escalation techniques taught and the implementation of the standardized protocol are effective methods to incorporate into practice. Results regarding 70% decrease in adverse patient discharges are still pending as post-implementation patient discharge data collection is in progress until April 2018.</p>","abstract_has_math":false,"creators":["Mitz, Rebecca N"],"institution":null,"degree_name":"Master of Science in Nursing (MSN)","degree_level":"Project/Capstone - Global access","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-05-19T07:00:00Z","date_published":"2017-05-19T07:00:00Z","updated_at":"2026-07-24T05:43:52Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/capstone/498","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Mitz, Rebecca N"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2017-05-05T07:00:00Z"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project/Capstone - Global access"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science in Nursing (MSN)"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/capstone/498"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The aims of this CNL Internship Project are to decrease the number of incidents in which patients are escorted out of the clinic via staff or SFPD due to violent/aggressive behavior, are put on a 5150 hold, or who are absent without official leave (AWOL) or leave against medical advice (AMA) by 70% within 12 months of initiating an evidence-based staff training program on therapeutic communication and de-escalation techniques and implementing a de-escalation and safety intervention protocol and to achieve 100% improvement in staff perception of preparedness to manage escalating patient events and maintain safety. This project is being implemented in a psychiatric urgent care clinic San Francisco, where rest and rehabilitation is provided for individuals experiencing an exacerbation of a mental illness.
Staff education and training in-service sessions were conducted regarding de-escalation techniques and the utilization of an evidence-based, standardized de-escalation and safety protocol. Results from a Likert-type scale survey administered before and after training in-service sessions and implementation of the De-Escalation and Safety Intervention protocol revealed significant improvement in staff perception of preparedness individually and as a team to safely manage escalating patient crises as well as in usefulness of the protocol. Results from a post-teaching effectiveness survey revealed 100% of staff feel strongly (5/5) that the de-escalation techniques taught and the implementation of the standardized protocol are effective methods to incorporate into practice. Results regarding 70% decrease in adverse patient discharges are still pending as post-implementation patient discharge data collection is in progress until April 2018.
"]},{"key":"dc:title","label":"Title","values":["De-Escalation and Safety Intervention in Mental Health Crisis"]}]}],"canonical_facts":{"dc:creator":["Mitz, Rebecca N"],"dc:date.available":["2017-05-05T07:00:00Z"],"dc:description.abstract":["The aims of this CNL Internship Project are to decrease the number of incidents in which patients are escorted out of the clinic via staff or SFPD due to violent/aggressive behavior, are put on a 5150 hold, or who are absent without official leave (AWOL) or leave against medical advice (AMA) by 70% within 12 months of initiating an evidence-based staff training program on therapeutic communication and de-escalation techniques and implementing a de-escalation and safety intervention protocol and to achieve 100% improvement in staff perception of preparedness to manage escalating patient events and maintain safety. This project is being implemented in a psychiatric urgent care clinic San Francisco, where rest and rehabilitation is provided for individuals experiencing an exacerbation of a mental illness.
Staff education and training in-service sessions were conducted regarding de-escalation techniques and the utilization of an evidence-based, standardized de-escalation and safety protocol. Results from a Likert-type scale survey administered before and after training in-service sessions and implementation of the De-Escalation and Safety Intervention protocol revealed significant improvement in staff perception of preparedness individually and as a team to safely manage escalating patient crises as well as in usefulness of the protocol. Results from a post-teaching effectiveness survey revealed 100% of staff feel strongly (5/5) that the de-escalation techniques taught and the implementation of the standardized protocol are effective methods to incorporate into practice. Results regarding 70% decrease in adverse patient discharges are still pending as post-implementation patient discharge data collection is in progress until April 2018.
"],"dc:identifier":["https://repository.usfca.edu/capstone/498"],"dc:title":["De-Escalation and Safety Intervention in Mental Health Crisis"],"thesis:degree_level":["Project/Capstone - Global access"],"thesis:degree_name":["Master of Science in Nursing (MSN)"]},"updated_at":"2026-07-24T05:43:52Z"}