Hospital Staff Development

Hospitals and health systems provide essential behavioral health care services to millions of Americans every day.  These resources help better equip frontline health care workers treating patients with mental health conditions.

NC Interventions Training Program

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.

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Nonviolent Crisis Intervention Training Program

This program is considered the global standard for crisis prevention and intervention training. With a core philosophy of providing for the Care, Welfare, Safety, and SecuritySM of everyone involved in a crisis situation, the program’s proven strategies give human service providers and educators the skills to safely respond to various levels of risk behavior while balancing the responsibilities of care.

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Mental Health First Aid Training

Mental Health First Aid is an 8-hour course that teaches you how to identify, understand and respond to signs of mental illnesses and substance use disorders. The training gives you the skills you need to reach out and provide initial help and support to someone who may be developing a mental health or substance use problem or experiencing a crisis.

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Trauma Informed Care Principles

Many people who seek behavioral health treatment experienced trauma. However, it is common that they don’t recognize the impact it has on their lives or consider it relevant to a current mental or physical condition. Some people choose to avoid the topic of trauma altogether. Therefore, it is important that health care providers and community-based programs address the connection between trauma and health in a sensitive manner. Integrated health care teams should build a trauma-informed environment across the continuum of care.

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Emotional CPR Training

Emotional CPR (eCPR) is an educational program designed to teach people to assist others through an emotional crisis by three simple steps:

  • C=Connecting
  • P=emPowering
  • R=Revitalizing

The Connecting process of eCPR involves deepening listening skills, practicing presence, and creating a sense of safety for the person experiencing a crisis. The emPowering process helps people better understand how to feel empowered themselves as well as to assist others to feel more hopeful and engaged in life. In the Revitalizing process, people re-engage in relationships with their loved ones or their support system, and they resume or begin routines that support health and wellness which reinforces the person’s sense of mastery and accomplishment, further energizing the healing process.

eCPR is based on the principles found to be shared by a number of support approaches: trauma-informed care, counseling after disasters, peer support to avoid continuing emotional despair, emotional intelligence, suicide prevention, and cultural attunement. It was developed with input from a diverse cadre of recognized leaders from across the U.S., who themselves have learned how to recover and grow from emotional crises. They have wisdom by the grace of first- hand experience.

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Motivational Interviewing Training

Motivational interviewing (MI) is a form of goal-oriented psychotherapy, in which clinicians help clients overcome their ambivalence or lack of motivation toward changing their behavior in positive ways. MI is a method of communication, not a set of techniques, for “eliciting the person’s intrinsic motivation for change” (Miller & Rollnick, 2002, p. 25).

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Standard Competencies for Care of Behavioral Health Patients

Despite the increasing national focus on integrated care, there is no single, widely recognized set of competencies on this service approach for either the behavioral health or primary care workforce. To address this gap, the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Health Resources and Services Administration (HRSA) charged the Center for Integrated Health Solutions (CIHS; www. to identify and disseminate core competencies on integrated practice relevant to behavioral health and primary care providers. The development of these competencies was performed by the Annapolis Coalition on the Behavioral Health Workforce (www. under the auspices of CIHS.
The core competencies developed through this project are intended to serve as a resource for provider organizations as they shape job descriptions, orientation programs, supervision, and performance reviews for workers delivering integrated care. Similarly, the competencies are to be a resource for educators as they shape curricula and training programs on integrated care. The charge was to develop a “core” or “common” set of competencies broadly relevant to working in diverse settings with diverse populations. The competency sets are not intended to be setting or population specific. Their principal relevance is to the integration of behavioral health with primary care as opposed to the integration of behavioral health with specialty medical care.

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RN Competencies for Care of Behavioral Health Patients

The role of the nurse specific to suicide prevention includes both systems and patient level interventions. At the systems level the nurse assesses and maintains environmental safety, develops protocols, policies, and practices consistent with zero suicide, and participates in training for all milieu staff. At the patient level, the nurse assesses risk for suicide, provides suicide-specific psychotherapeutic interventions, monitors and supervises at-risk patients, and assesses outcomes of all interventions. The expectation is that these essential competencies will serve to provide the foundation for training curricula and in measuring the knowledge, skills, and attitudes necessary for expert care.

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NC Telepsych Programs

The NC Statewide Telepsychiatry Program (NC-STeP) was developed in response to Session Law 2013-360, directing the Office of Rural Health (ORH) to oversee a statewide telepsychiatry initiative. The program was instituted so that an individual presenting at a hospital emergency department with an acute behavioral health crisis will receive a timely specialized psychiatric assessment via video conferencing technology.

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Recovery to Practice

Recovery to Practice (RTP) helps behavioral health and general healthcare practitioners improve delivery of recovery-oriented services, supports, and treatment. RTP offers discipline-based curricula and on-demand continuing education courses on recovery-oriented practices. Six curricula are available to help promote greater awareness, acceptance, and adoption of recovery principles and practices among behavioral health practitioners.

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Psychiatric Advance Directives

Psychiatric advance directives are relatively new legal instruments that may be used to document a competent person’s specific instructions or preferences regarding future mental health treatment.  Psychiatric advance directives can be used to plan for the possibility that someone may lose capacity to give or withhold informed consent to treatment during acute episodes of psychiatric illness.

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The Sanctuary Model

The Sanctuary® Model is a blueprint for clinical and organizational change which, at its core, promotes safety and recovery from adversity through the active creation of a trauma-informed community. A recognition that trauma is pervasive in the experience of human beings forms the basis for the Sanctuary Model’s focus not only on the people who seek treatment, but equally on the people and systems who provide that treatment.

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The National Council for Behavioral Health

The National Council for Behavioral Health is the unifying voice of America’s health care organizations that deliver mental health and addictions treatment and services. Together with 2,900 member organizations serving over 10 million adults, children and families living with mental illnesses and addictions, the National Council is committed to all Americans having access to comprehensive, high-quality care that affords every opportunity for recovery.

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Mental Health America

Mental Health America (MHA) – founded in 1909 – is the nation’s leading community-based nonprofit dedicated to addressing the needs of those living with mental illness and to promoting the overall mental health of all Americans. Their work is driven by a commitment to promote mental health as a critical part of overall wellness, including prevention services for all, early identification and intervention for those at risk, integrated care, services, and supports for those who need it, with recovery as the goal. Much of the current work is guided by the Before Stage 4 (B4Stage4) philosophy – that mental health conditions should be treated long before they reach the most critical points in the disease process.

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American Hospital Association

The American Hospital Association has a long-standing commitment to support member efforts to deliver high-quality, accessible behavioral health services. Consistent with that commitment, this web page is designed to provide easy access to information and tools that will assist them in navigating the changing behavioral health care system and understanding national, state and local activities affecting behavioral health.

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North Carolina Healthcare Association

2400 Weston Parkway
Cary, NC 27513

Main: 919-677-2400
Fax: 919-677-4200

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