Hawaii is one of eight states awarded a three-year Substance Abuse and Mental Health
Services Administration (SAMHSA)/ State Infrastructure Grant (SIG) grant aimed at the
reduction/elimination of seclusions and restraints (S/R) in hospital and residential care.
The acronym CERC (Cultures of Engagement in Residential Care) has been chosen to identify this grant-funded project. The Hawaii CERC project
is part of CAMHD’s ongoing practice development initiative to continue refining best
practices and promote the use of evidence-based services for children, adolescents and
families. Although minimizing the use of restraint and seclusion is an important goal
of the project, CERC is also designed to improve residential care practices in settings
that use these techniques seldom, in order to address other difficulties such as frequent
violence, running away, etc.
The Best Practices Network (BPN) is the component that we would like to sustain beyond this
project. Networking is the key. All CAMHD service providers are the target group for this
network initially. The purpose of a BPN is to provide a venue for collaboration, peer agency
consultation and community/agency networking. The CERC Project will convene the
Best Practices Network at least twice a year over the next three years and will create
a website, list-serve and newsletter to help keep network members linked.
The Positive Alternatives Team (PAT) is a core component of the CERC Project implementation.
Over the course of 21 months, three PATs will be formed to work with six agencies providing
hospital- or community-based residential care. Each PAT will consist of one member from
each of the two provider agencies participating in the technical assistance (TA) component
over a particular 6-month Cycle.
During the first month of the 6-month cycle, members of the team will gather information in
three general domains (engagement, safety, and proactive accountability) from the
perspectives of the consumer/youth, staff, and agency management. Leadership of the provider
agency will work with the PAT members to develop and implement a plan unique to each agency
based on the information gathered.
Presentation at Hawaii Psychological Association, October 2005
Presentation at the First Best Practice Network (BPN) Meeting, November 2005
For more information on national efforts to reduce restraint and seclusion, go to the National Technical Assistance Center for
State Mental Health Planning at http://www.nasmhpd.org/ntac.cfm
Family Guidance Centers
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