St. Mary's Home For Boys

Agency Name

St. Mary’s Home for Boys

Site or Program Name

St. Mary’s Home for Boys

Reporting time frame (indicate which quarter in months and year).

9/1/21 – 12/31/21

Total number of incidents involving restraint.

30 or 1 in every 228 patient days

Total number of incidents involving involuntary seclusion.

54

The total number of incidents involving restraint and seclusion that resulted in reportable injuries.

17

Total number of involuntary seclusions in a locked room.

54

Total number of rooms available for use for involuntary seclusion.

3

Description of the dimensions and design of the seclusion rooms.

7’4″width, 11’4″ length, 8’7″ height

Total number of children in care placed in restraint.

15

Total number of children in care placed in involuntary seclusion:

18

Total number of children in care who were placed in restraint or involuntary seclusion more than three times during the reporting period.

8

A description of the steps the program has taken to decrease the use of restraint and involuntary seclusion.

The program has engaged in individual client consultation, developed special programs for specific clients, as well as discussed client needs during clinical supervision. These efforts have resulted in a 71% decrease in the use of isolation/seclusion room placements in Quarter 2 21-22 as compared to Quarter 2 20-21.

Number of incidents in which an individual who placed a child in care in a restraint or involuntary seclusion was not certified or trained in the use of the type of restraint or involuntary seclusion used, including individuals whose certification or training was expired at the time of the restraint or seclusion.

0

Demographic characteristics of the children in care who the program placed in a restraint or involuntary seclusion, including race, ethnicity, gender, disability status, migrant status, English proficiency and status as economically disadvantaged, unless the demographic information would reveal personally identifiable information about an individual child in care. Indicate the number of children who experienced restraint or seclusion who match each of the criteria listed below:

Race/Ethnicity: American Indian or Alaska Native 1 Asian      

Black or African American       Native Hawaiian Hispanic – 5

Other Pacific Islander       White 16 BiRacial – 1. Other 1

Gender: Male 24 Female       Transgender      Non-binary      

Disability Status: Disabled 0Non-Disabled 24

Migrant Status: Non-Migrant 24 Migrant 0

English Proficiency: English is primary language 24

English is not primary language 0

Economic Status: Economically Disadvantaged Unknown

Not Economically Disadvantaged Unknown

Agency Name

St. Mary’s Home for Boys

Site or Program Name

St. Mary’s Home for Boys

Reporting time frame (indicate which quarter in months and year).

1/1/22 through 3/31/22

Total number of incidents involving restraint.

21 (rate of .27% based upon 7920 client days or 1 incident out of every 377 client days)

Total number of incidents involving involuntary seclusion.

54 (rate of .68% based upon 7920 client days or 1 incident out of every 146 client days)

The total number of incidents involving restraint and seclusion that resulted in reportable injuries.

12

Total number of involuntary seclusions in a locked room.

54 (rate of .68% based upon 7920 client days)

Total number of rooms available for use for involuntary seclusion.

3

Description of dimensions and design of the seclusion rooms.

7’4”, 11’4” length, 8’7” height

Total number of children in care placed in restraint.

14 (out of 88 served = 16%)

4 Day Treatment Clients

8 DHS Clients

2 OYA Clients

Total Number of children in care placed in involuntary seclusion:

19 (out of 88 served = 22%)

1 Day Treatment Client

12 DHS Clients

6 OYA Clients

Total number of children in care who were placed in restraint or involuntary seclusion m ore than three times during the recording period.

7 (out of 88 served = 8%)

A description of the steps of the program has taken to decrease the use of restraint and involuntary seclusion.

• The program has provided refresher training and ongoing full CPI training courses focused on the verbal de-escalation techniques, use of a least restrictive intervention and how to identify escalation patterns.
• Utilize team meetings, clinical supervision, and program quality improvement forums to discuss individual clients and their patterns to formulate Plan B conversations.
• Utilizing a variety of special programs and techniques tailored to the client needs.
• Involved family members in discussions to aide in reducing escalation and increase support to the client.
• Discussed each individual case of restraint and seclusion room placement to aide in the reduction. Quarterly decrease was 72% with isolation and seclusion room placements and 45% of interventions year over year.
• Reviewed CPS and education on trauma based interventions during each team-in-service meetings.

Number of incidents in which an individual who placed a child in care in a restraint or involuntary seclusion was not certified or trained in the use of the type of restraint or involuntary seclusion used, including individuals whose certification or training was expired at the time of the restraint or seclusion.

0

Race/Ethnicity:

Total Number of Children

American Indian or Alaska Native

1

Asian

Black or African American

3

Hispanic (any race)

3

Native Hawaiian

Other Pacific Islander

1

White

17

Other

Unable to determine

Gender:

Total Number of Children

Male

23

Female

Transgender

Non-Binary

2

Disability Status:

Total number of Children

Disabled

0

Non-Disabled

25

Migrant Status:

Total Number of Children

Migrant

0

Non-Migrant

25

English Proficiency:

Total Number of Children

English is Primary Language

25

English is not Primary Language

0

Economic Status:

Total Number of Children

Economically Disadvantaged

Unknown

Not Economically Disadvantaged

Unknown

Agency Name

St. Mary’s Home for Boys

Site or Program Name

St. Mary’s Home for Boys

Reporting time frame (indicate which quarter in months and year).

4/1/22 through 6/30/22

Total number of incidents involving restraint.

6 (rate of .00097% based upon 6188 client days or 1 incident out of every 1031 client days)

Total number of incidents involving involuntary seclusion.

14 (rate of .00226% based upon 6188 client days or 1 incident out of every 442 client days)

The total number of incidents involving restraint and seclusion that resulted in reportable injuries.

4

Total number of involuntary seclusions in a locked room.

14 (rate of .00226% based upon 6188 client days or 1 incident out of every 442 client days)

Total number of rooms available for use for involuntary seclusion.

3

Description of the dimensions and design of the seclusion rooms.

7’4″width, 11’4″ length, 8’7″ height

Total number of children in care placed in restraint.

3 (out of 68 served = 4%)

0 Day Treatment Clients

1 DHS Client

1 DHS Voluntary Client

1 OYA Client

Total number of children in care placed in involuntary seclusion:

6 (out of 68 served = 8%)

0 Day treatment Client

1 DHS Client

2 DHS Voluntary Clients

3 OYA Clients

Total number of children in care who were placed in restraint or involuntary seclusion more than three times during the reporting period.

3 (out of 68 served = 4%)

A description of the steps the program has taken to decrease the use of restraint and involuntary seclusion.

* The program continues to provide ongoing refresher training and ongoing full CPI training courses focused on the verbal de-escalation tecniques, use of a least restrictive intervention and how to identify escalation patterns.

* Utilize team meetings, clinical supervision, and program quality improvement forums to discuss individual clients and their patterns to formulate Plan B conversations.

* Utilizing a variety of techniques tailored to the individual needs including special programs based upon client needs.

* Involved family members in discussions to aide in reducing escalation and increase support to the client.

* Discussed each individual case of restraint and seclusion room placement to aide in the reduction. Quarterly decrease was 75% with isolation and seclusion room placements and 30% for interventions year over year.

* Reviewed CPS and education on trauma based interventions during each team in-service meetings.

Number of incidents in which an individual who placed a child in care in a restraint or involuntary seclusion was not certified or trained in the use of the type of restraint or involuntary seclusion used, including individuals whose certification or training was expired at the time of the restraint or seclusion.

0

Demographic characteristics of the children in care who the program placed in a restraint or involuntary seclusion, including race, ethnicity, gender, disability status, migrant status, English proficiency and status as economically disadvantaged, unless the demographic information would reveal personally identifiable information about an individual child in care. Indicate the number of children who experienced restraint or seclusion who match each of the criteria listed below:

Agency Name

St. Mary’s Home for Boys

Site or Program Name

St. Mary’s Home for Boys

Reporting time frame (indicate which quarter in months and year).

October 2022 – December 2022

Total number of children served by CCA during reporting time frame

64

Total number of incidents involving restraint.

5 (rate of .001% based upon 4918 client days or 1 incident out of every 983.6 client days)

Total number of incidents involving involuntary seclusion.

4 (rate of .0008% based upon 4918 client days or 1 incident out of every 1229.5 client days)

The total number of incidents involving restraint that resulted in reportable injuries.

4 Total

1 left shoulder pain

1 discoloration in armpits and right shoulder

1 skin discoloration left armpit and l pectoral area

1 few small abrasions

The total number of incidents involving involuntary seclusion that resulted in reportable injuries.

0

Total number of involuntary seclusions in a locked room.

4 (rate of .0008% based upon 4918 client days or 1 incident out of every 1229.5 client days)

Total number of rooms available for use for involuntary seclusion.

3

Description of the dimensions and design of the seclusion rooms.

7’4″width, 11’4″ length, 8’7″ height

Total number of children in care placed in restraint.

5 (.07% of the population)

1 – Day Treatment Client

1 – DHS Voluntary Client

1 – DHS Client

3 – OYA Clients

Total number of children in care placed in involuntary seclusion:

3 (.04% of the population)

0 – Day Treatment Clients

1 – DHS Voluntary Client

0 – DHS Clients

2 – OYA Clients

Total number of children in care who were placed in a restraint than three times during the reporting period.

0

Total number of children in care who were placed in involuntary seclusion more than three times during the reporting period.

0

A description of the steps the program has taken to decrease the use of restraint and involuntary seclusion.

* The program continues to provide ongoing refresher training and ongoing full CPI training courses focused on the verbal de-escalation techniques, use of a least restrictive intervention and how to identify escalation patterns.

* Utilize team meetings, clinical supervision, individual manager meetings, and program quality improvement forums to discuss individual clients and their patterns to formulate Plan B conversations.

* Continued use of the Collaborative Problem-Solving Quality Improvement plans in each department.

* Utilizing a variety of techniques tailored to the individual needs including special programs based upon client needs.

* Involved family members in discussions to aide in reducing escalation and increase support to the client.

* Discussed each individual case of restraint and seclusion room placement to aide in the reduction.

* Quarterly decrease was 92% with seclusion room placements and 80% for interventions quarter over quarter.

* Reviewed CPS and education on trauma based interventions during each team in-service meetings

Number of incidents in which an individual who placed a child in care in a restraint or involuntary seclusion was not certified or trained in the use of the type of restraint or involuntary seclusion used, including individuals whose certification or training was expired at the time of the restraint or seclusion.

0

Demographic Characteristics of the children in care who the program placed in a restraint or involuntary seclusion, including race, ethnicity, gender, disability status, migrant status, English proficiency and status as economically disadvantaged, unless the demographic information would reveal personally identifiable information about an individual child in care. Indicate the number of children who experienced restraint or seclusion who match each of the criteria listed below:

Agency Name

St. Mary’s Home for Boys

Site or Program Name

St. Mary’s Home for Boys

Reporting time frame (indicate which quarter in months and year).

7/1/22 through 9/30/22

Total number of incidents involving restraint.

12 (rate of .00267% based upon 4489 client days or 1 incident out of every 374.08 client days)

Total number of incidents involving involuntary seclusion.

10 (rate of .00223% based upon 4489 client days or 1 incident out of every 448.9 client days)

The total number of incidents involving restraint and seclusion that resulted in reportable injuries.

5

Total number of involuntary seclusions in a locked room.

10 (rate of .00223% based upon 4489 client days or 1 incident out of every 448.9 client days)     

Total number of rooms available for use for involuntary seclusion.

3

Description of the dimensions and design of the seclusion rooms.

7’4″width, 11’4″ length, 8’7″ height

Total number of children in care placed in restraint.

7 (out of served = 4%)

0 Day Treatment Clients

2 DHS Client

1 DHS Voluntary Client

4 OYA Client

Total number of children in care placed in involuntary seclusion:

7 (out of served = 8%)

0 Day treatment Client

2 DHS Client

2 DHS Voluntary Clients

3 OYA Clients

Total number of children in care who were placed in restraint or involuntary seclusion more than three times during the reporting period.

1 (out of the averaged 43.7 clients served = .023%)

A description of the steps the program has taken to decrease the use of restraint and involuntary seclusion.

* The program continues to provide ongoing refresher training and ongoing full CPI training courses focused on the verbal de-escalation techniques, use of a least restrictive intervention and how to identify escalation patterns.

* Utilize team meetings, clinical supervision, individual manager meetings, and program quality improvement forums to discuss individual clients and their patterns to formulate Plan B conversations.

* Implemented Collaborative Problem-Solving Quality Improvement plans in each department.

* Utilizing a variety of techniques tailored to the individual needs including special programs based upon client needs.

* Involved family members in discussions to aide in reducing escalation and increase support to the client.

* Discussed each individual case of restraint and seclusion room placement to aide in the reduction.

* Quarterly decrease was 84% with seclusion room placements and 8% for interventions quarter over quarter.

* Reviewed CPS and education on trauma based interventions during each team in-service meetings.

Number of incidents in which an individual who placed a child in care in a restraint or involuntary seclusion was not certified or trained in the use of the type of restraint or involuntary seclusion used, including individuals whose certification or training was expired at the time of the restraint or seclusion.

0

Demographic characteristics of the children in care who the program placed in a restraint or involuntary seclusion, including race, ethnicity, gender, disability status, migrant status, English proficiency and status as economically disadvantaged, unless the demographic information would reveal personally identifiable information about an individual child in care. Indicate the number of children who experienced restraint or seclusion who match each of the criteria listed below:

Agency Name

St. Mary’s Home for Boys

Site or Program Name

St. Mary’s Home for Boys

Reporting time frame (indicate which quarter in months and year).

January 1, 2023 – March 31, 2023

Total number of children served by CCA during reporting time frame

66

Total number of incidents involving restraint.

8 (rate of .001% based upon 4960 client days or 1 incident out of every 620 client days)

Total number of incidents involving involuntary seclusion.

4 (rate of .0008% based upon 4960 client days or 1 incident out of every 1240 client days)

The total number of incidents involving restraint that resulted in reportable injuries.

3 Total

Skin discoloration on right armpit.

Right wrist pain.

Redness on lower back.

The total number of incidents involving involuntary seclusion that resulted in reportable injuries.

0

Total number of involuntary seclusions in a locked room.

4 (rate of .0008% based upon 4960 client days or 1 incident out of every 1240 client days)

Total number of rooms available for use for involuntary seclusion.

3

Description of the dimensions and design of the seclusion rooms.

7’4″width, 11’4″ length, 8’7″ height

Total number of children in care placed in restraint.

8 (.12% of the population)

4 – Day Treatment Client

1 – DHS Voluntary Client

1 – DHS Client

2 – OYA Clients

Total number of children in care placed in involuntary seclusion:

2(.03% of the population)

0 – Day Treatment Clients

0 – DHS Voluntary Client

0 – DHS Clients

2 – OYA Clients

Total number of children in care who were placed in a restraint than three times during the reporting period.

0

Total number of children in care who were placed in involuntary seclusion more than three times during the reporting period.

0

A description of the steps the program has taken to decrease the use of restraint and involuntary seclusion.

* Utilize team meetings, clinical supervision, individual manager meetings, and program quality improvement forums to discuss individual clients and their patterns to formulate Plan B conversations.

* Continued use of the Collaborative Problem-Solving Quality Improvement plans in each department.

* Utilizing a variety of techniques tailored to the individual needs including special programs based upon client needs.

* The program continues to provide ongoing refresher training and ongoing full CPI training courses focused on the verbal de-escalation techniques, use of a least restrictive intervention and how to identify escalation patterns.

* Involved family members in discussions to aide in reducing escalation and increase support to the client.

* Discussed each individual case of restraint and seclusion room placement to aide in the reduction.

* Year over year seclusion room decrease was 90%.and 60 % for physical interventions.

Number of incidents in which an individual who placed a child in care in a restraint or involuntary seclusion was not certified or trained in the use of the type of restraint or involuntary seclusion used, including individuals whose certification or training was expired at the time of the restraint or seclusion.

0

Demographic Characteristics of the children in care who the program placed in a restraint or involuntary seclusion, including race, ethnicity, gender, disability status, migrant status, English proficiency and status as economically disadvantaged, unless the demographic information would reveal personally identifiable information about an individual child in care. Indicate the number of children who experienced restraint or seclusion who match each of the criteria listed below: