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North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services
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North Carolina Interventions (NCI)

The Division's training program aimed at preventing the use of restraints and seclusion.

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 all DMH/DD/SAS state facilities.

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).

Contact us about NCIŠ | List of Certified Instructors

NOTE: 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 the Core Training

The 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 NCI Quality Assurance Committee AND the agency's Human Rights Committee.

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.

 

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