Handle With Care (HWC) trains hospitals, hospital security, emergency room staff, EMT’s, outpatient and community service providers in behavior management and physical intervention across the country

Healthcare organizations are a very unique market segment. Healthcare organizations have to constantly balance an environment consistent with a “servant’s heart” and maintaining a safe environment.  At any given moment, high emotions by patients (or their family) can erupt into an antagonistic and even violent situation.  In July 2009, the Emergency Nurses Association released findings that over 55% of emergency nurses had been physically assaulted on the job.

Challenging behavior by clients may be caused by a number of factors including biological (pain, medication, the need for sensory stimulation), social (boredom, lack of social skills, lack of empathy), environmental (noise, close living quarters) or psychological (stress, tension, anger, fear).  Often persons engage in challenging behavior as a method of communicating dissatisfaction (real or imaginary) with the services or people providing the services

HWC’s program teaches staff how to identify the root of the dissatisfaction or need that is prompting the behavior while remaining detached from the affect and behavior the client is demonstrating.  When the safety of the client, staff or others are in jeopardy,  HWC’s program teaches staff how to intervene in the least restrictive (and effective) manner, enabling staff to maintain a safe environment and therapeutic relationship with the patient after s/he has calmed down.


HWC is ideally suited for healthcare, hospital and hospital security staff.  HWC’s program went through 10 years of field study, development and overview under the supervision of some of the most accomplished and experienced medical minds at Pennsylvania Hospital before the program was offered to the public.  HWC’s verbal program was made part of the first year core curriculum for the hospital’s Dr.-Resident program.  Additionally, HWC has been extensively evaluated by leading forensic (forensic pathologists) experts, state policy makers, chief medical examiners, doctors and nurses around the country.  HWC has also been reviewed by Dr. Michael Baden, formerly the chief medical examiner for NYS and arguably the foremost forensic (pathologist) authority in the United States.

HWC’s proprietary holding method, the Primary Restraint Technique®  or PRT® is patented for its safeguards to prevent positional asphyxia. These safeguards are additionally designed to prevent any other type of medical emergency.

HWC is recognized by and used at facilities licensed or accredited by:

  • CARF (The Rehabilitation Accreditation Commission)
  • COA (The Council on Accreditation for Children and Family Services)
  • Joint Commission (formerly JCAHO)
  • HWC’s program complies with all US Rules and Laws Regarding Use of Restraint and Seclusion.

The rules on restraint are predominantly governed by Centers for Medicare & Medicaid Services (CMS) Final Patients’ Rights Rule on Use of Restraints and Seclusion, and apply to all participating hospitals including short-term, psychiatric, rehabilitation, long-term, children’s and alcohol/treatment facilities. See, 42 CFR Part 482.


  • On-Site Training: HWC sends a trainer to you
  • Seminar Training:  Your facility sends people to one of our seminars

For more information contact us:
Tel: 845-255-4031