In 2008, the Occupational Safety and Health Administration (OSHA) and the Joint Commission, independent of each other, released new standards requiring administrators to provide leadership in addressing issues of workplace violence. Workplace violence is a growing threat for all employees in human services as evidenced by data released by the Bureau of Labor Statistics showing that workplace violence was reduced in all sectors of the U.S. except for health care occupations.  (Janocha & Smith, 2010)

The Mandt System has provided the framework for staff training and development to increase workplace safety throughout the United States, Canada, and Australia, in all human service sectors.  Our unique combination of relationally based training, trauma informed services, neuro-sensory integration, and positive behavior support provide organizations with the most comprehensive program to do more than crisis intervention and anger management.

Hospitals, group homes, public as well as specialized schools, mental health centers, residential treatment centers, and juvenile correction centers which use The Mandt System have all reported significant decreases in injury rates for staff and individuals served. However, workplace violence encompasses far more than just aggression by individuals seved.  The “relational violence” between staff in human service organizations is estimated to cost organizations in the US more than $1.4 billion per year.  (Tunajek, 2007)  The focus of The Mandt System is not just on aggression by service users; it focuses primarily on the aggression between service providers.

As a result, organizations have been able to increase the morale of staff, decrease turnover of staff, and empower staff to be more effective in their teamwork, as teamwork is nothing more than “Relationships in Action.” (The Mandt System, 2010)


Grafton Integrated Health Network, has sent us this in 2012:
 “GIHN has achieved a 98 percent reduction in physical restraints and numerous positive sustainable outcomes including: improved client treatment, reduced employee and client injuries, significant savings in workers’ compensation costs and national and international recognition for clinical best practices. In fact, to date, our current total return on investment has exceeded 8 million dollars!

Schools in Texas that use The Mandt System® had a restraint rate that was 84% lower than the statewide average for schools. Not only did that save money for the schools, but the National Technical Assistance Center for the Education of Youth Who Are Neglected, Delinquent or at Risk has demonstrated that decreases in restraint use and behavioral referrals increases instructional time for students and decreases administrative time needed to deal with the aftermath of restraint

The Dorothea Dix Psychiatric Center in Bangor, Maine reduced the use of restraint and staff related injuries by over 80% in 2009, and has maintained low levels of restraint and seclusion use.

Independent Opportunities in Kentucky saved almost a million dollars during a 4 ½ year period, and in 2010 did only 3 restraints in their statewide operations.

The Treasure Coast Forensic Treatment Center in Indiantown, Florida, serves, on average, 185 residents per day.  In 2010, they did a total of 7 manual restraints and 2 mechanical restraints for the entire year.  A total of 18 staff were injured, with most injuries being mnor, as only 2 staff required medical leave.  Savings extends beyond lowered workers compensation costs, and 81% of residents were restored to competency, with an average stay of 108.31 days, less than a third of the national average in comparable facilities.  (Vanderberg and Bowen, 2011)Independent Opportunities, a statewide provider of residential services to persons affected by developmental disabilities in Kentucky, has saved over $1.4 million dollars in workers compensation costs over a 5 year period.

Lutheran Services of Iowa, a provider of residential and mental health treatment services to adolescents, reduced the use of restraint in their organization by over 60% in a 4 year period, resulting in significant savings in workers compensation costs and improving the quality of life for individuals served and the staff who serve them.