Training Programs

Outline of Staff Training Program on Prevention of Distressing and Harmful Resident-to-Resident Interactions in Dementia in Long-Term Care Homes – May 25 2016

Conceptual Framework – Prevention of Distressing and Harmful Resident-to-Resident Interactions in Dementia – May 6 2016

The training program varies in scope and length — anywhere from one hour to two-day workshops; whatever fits your care team’s educational needs, time constraints, and your organization’s financial resources. Here is an example:

Outline of 3-hour Staff Training Program

Fighting for Dignity: Prevention of Distressing and Harmful Resident-to-Resident Interactions in Dementia in LTC Homes

General focus of the program:

1. Understanding; 2. Preventing; 3. De-escalating

Training Component Content
1 Misconceptions about People Living with Dementia (PLwD)

Behavioral Expressions in PLwD

General Principles for Working with, Caring for, and Supporting PLwD


Strengths-based care; Relationship-based care;           Person-directed care; Anticipatory care approach

Understanding behavioral expressions of unmet human needs and frustrations

Knowing the early-life history

Focusing on emotional needs + Validation Method

Personally meaningful engagement

2 The Role of Language Biomedical vs. Person-directed terms
3 Spectrum and Manifestations of DHRRI Verbal, physical, material, & sexual expressions
4 Consequences of DHRRI From mild to severe emotional and physical effects (falls, injuries, deaths). Review of 40 fatal RRI in dementia
5 Contributing Factors, Causes, & Triggers (a). Resident’s history & background factors

(b). Physiological and medical causes

(c). Situational causes and triggers

(d). Factors in the physical environment

(e). Factors related to care partners

6 Psychosocial Prevention Strategies * (a). Procedures and strategies at the organizational level

(b). Proactive measures

(c). Immediate strategies during episodes

(d). Post-episode strategies

7 De-escalation strategies Approaches and strategies when DHRRI occur
8 Documentation & Reporting. Why Bother?

Screening, assessment, and behavior intervention planning tools (will be mentioned briefly)

(a). Recognizing Early Warning Signs of Distress/ Anxiety

(b). Behavioral Expressions Log

(c). Interdisciplinary Screening Form

(e). Evaluation of Urgency of DHRRI Form

(f). Behavior Intervention Plan Form

* Acronym: DHRRI = Distressing and Harmful Resident-to-Resident Interactions

Additional Notes

The training program uses a large number of real-life stories for illustration.

Key findings from several research studies on DHRRI are shared with attendees.

Segments from films are shown to reinforce the program’s educational messages.

A series of demonstrations and interactive elements are used during the program.

For more information about the different training options and pricing, please email Eilon at:


  • Permission to use the image was received from JDC-ESHEL and photographer Moti Fishbain. The people in the image are actors in an educational film.