Six Core Strategies Initiative and Learning Community

VCPI is leading a major practice improvement initiative aimed at reducing Emergency Intervention Procedures (EIP) – such as seclusion and restraint - in Vermont hospitals, specifically the three hospitals licensed as Level I facilities to replace the state hospital, (Brattleboro, Rutland, VPCH).The Vermont Department of Mental Health is partnering with VCPI and Consultants with expertise on the Six-Core Strategies©, Trauma-informed Care, and Recovery to support the implementation of a practice improvement project focused on prevention/reduction of coercive interventions, especially restraint and seclusion, as well as to promote trauma-informed care, recovery, consumer-driven care and resiliency.

The goals of the practice improvement project are:

  • To identify agency strengths and needs specific to fully implementing the evidence-based Six Core Strategies© to prevent/reduce the use of coercive interventions, and specifically restraint/seclusion;
  • To identify agency strengths and needs specific to achieving successful culture change and successfully implementing practices that optimize positive outcomes for those served
  • To identify agency strengths and needs that support resiliency, trauma-informed, recovery-oriented and consumer-driven approaches.

Click here to read stories from Vermont hospitals and organizations, celebrating success with Six Core Strategies© implementation!

VCPI has been working in partnership with the hospitals and stakeholders to provide implementation assistance and support on the ground in addition to the overall project management. Implementation of the initiative began in May with TA and initial consultation to hospitals with site visits scheduled for each hospital in August and September. A 2-day training took place in October of 2014, and November of 2015, with each participating hospital sending a team of 10-12 people. An ongoing post 12-month learning community commenced in November 2014.

VCPI is leading a major practice improvement initiative aimed at reducing Emergency Intervention Procedures (EIP) – such as seclusion and restraint (S/R) - in Vermont  hospitals, specifically the three hospitals licensed as Level I facilities to replace the state hospital. (Brattleboro, Rutland, VPCH) as well as voluntary participants such UVMMC, Springfield Hospital and CVMC. VCPI is working in partnership with the hospitals and stakeholders to provide implementation assistance and support on the ground in addition to the overall project management. The reporting period for this initiative marks the second year of implementation of the Six Core Strategies and includes; ongoing consultation, a 2-day training and an ongoing Learning Community for participating hospitals. The Learning Community is set to launch in January of 2016.

The Learning Community provides continued TA, consultation and implementation support for all of the participating facilities, to allow access to expert faculty on being more effective in engaging clients with a lot of challenges, who are experiencing S/R or involuntary medications frequently. The Learning Community consists of monthly call with facility teams (4-5), led by Dr. Kevin Huckshorn, addressing:

  • Six Core Strategies© Implementation
  • Staff needs and response to training
  • Obstacles/barriers to implementation
  • Special issues related to S/R episodes

Funding for this project has been provided by the Vermont Department of Mental Health

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