Providers shared several training programs used for de-escalation and crisis intervention with adult clients with disabilities:

– **Safety-Care (QBS)** — specifically designed for individuals with intellectual and developmental disabilities; used by Easterseals and several other Arkansas providers. Focuses on positive behavior support and safe physical intervention techniques.
– **CPI Nonviolent Crisis Intervention** — widely used, though providers noted it was originally developed for a broader population and may need adaptation for IDD settings.
– **Mandt System** — behavior support and physical intervention training designed for human services settings.
– **TACT-2 (Therapeutic Aggression Control Techniques)** — used in some residential and day program settings.

Providers agreed that any crisis intervention training used in IDD settings should be disability-specific and account for communication differences. DDS/DHS does not mandate a specific curriculum but expects documented, ongoing training for all direct support staff. Providers were also encouraged to explore trauma-informed care frameworks as a foundation for de-escalation approaches.