BEARS TeamSTEPPS-SNC

Group Homes and Other Living Arrangements:

At BEARS, we found that many of the materials found in TeamSTEPPS (LTC) (Long-term Care) can be adapted to client safety in group homes and residential treatment facilities. However, the missions and environments of these are significantly different and require some modifications to ensure the safety of both residents and staff members. This is specifically due to the nature of the entry level training of many of the direct care staff. Just as TeamSTEPPS 2.0 offered a significant base from which to launch TeamSTEPPS-LTC, TeamSTEPPS-LTC offers the same opportunity for the launch of TeamSTEPPS-SNC (Special Needs Community).

In group homes, "resident safety" evokes a number of thoughts that vary significantly from other long-term care or residential facilities.  Resident safety typically leads to thinking about self-injury, aggression against other residents and staff, and property destruction.  There are also safety concerns related to medication administration by non-professionals; physical plant or environmental risks; and transportation safety precautions. 

The BEARS TeamSTEPPS-SNC is about the behavior based processes and systems that can support resident safety during day-to-day activities. BEARS TeamSTEPPS-SNC promotes the effectiveness of teams and team performance to reduce the likelihood of medication errors or inappropriate behavior with residents. Although BEARS TeamSTEPPS-SNC is referred to as a "program," it is important to recognize that attention to resident safety is a continuous approach to delivering behavioral training and ADL services and not a program with a start and end date.

Transformational change refers to the recent movement to place the needs, interests, and choices of residents at the center of care practices.  It may also be known by other names such as "culture change," "resident-centered care," "resident-directed care," and "person-centered care." The BEARS TeamSTEPPS-SNC program also discusses culture change, but the focus here is on improving teamwork and communication skills in order to promote the delivery of safe resident care. To avoid confusion, within the Long-Term Care version, we have taken the position that safe resident care practices, including those taught as part of the TeamSTEPPS program, are considered a critical component within person-centered care and associated behavior based activities.

Throughout this Special Needs Community Care version of TeamSTEPPS, we introduce some language changes that instructors should be aware of and should discuss with their audience. 

The Special Needs Community version of TeamSTEPPS references residents and their families. We realize that the word "family" is unique to each person and defined in accordance with their personal experiences and lifestyle. We recognize and honor the role that support coordinators and significant others play in residents’ lives.