Build the System Before the Crisis.
TACTBook helps healthcare and public-safety organizations recognize risk earlier, coordinate safer responses, strengthen governance, and turn every incident into an opportunity to learn.
Choose your path
One website. Three clear pathways.
Lead with what your organization gains — governance, capability, and learning systems that outlast any single class.
Public Safety
Build crisis-response, safer-intervention, and officer-recovery capability that lasts beyond training day
Explore Public SafetyThe Forge
Help launch a veteran-led training, wellness, workforce, and community-response hub
Support The ForgeWhat is CVRS
A system built to prevent violence before it happens
CVRS — the Clinical Violence Reduction System — is not a reactive protocol. It is a proactive, educator-led framework designed to change the culture of your environment.
- Recognize earlier — staff learn to identify behavioral escalation patterns before an incident occurs.
- Educator-led delivery — your own team becomes the authority, reducing reliance on outside vendors.
- Measure honestly — every deployment tracks adoption, practice, governance, and outcome measures.
CVRS Framework
External evidence
The numbers that frame the work
$18.27B
Estimated total annual financial cost of workplace and community violence to U.S. hospitals in 2023, according to an AHA-commissioned University of Washington analysis.
15%
Reduction in conflict events reported in the Safewards cluster randomized trial across acute psychiatric wards.
26.4%
Reduction in containment events reported in the same Safewards trial.
43
Indicators in NHS England’s updated Violence Prevention and Reduction Standard, organized across seven domains.
Safewards findings are external mental-health inpatient research that informs the approach. They are not TACTBook outcomes.
The system
The five pillars of clinical violence reduction
Violence prevention is not a single policy, training class, or response team. Like infection prevention or fall prevention, it requires shared ownership, standardized processes, and continuous learning.
People
Building skills, confidence, and psychological safety through education, teamwork, and support.
Are our people prepared?
Process
Standardized workflows, response pathways, and documentation systems that support early intervention and coordinated response.
Do we have a reliable process?
Environment
Designing physical spaces and cultivating cultures that reduce stress, improve communication, and support safe care.
Does our environment promote safety?
Data
Capturing information, identifying patterns, and transforming incidents into opportunities for learning and improvement.
Are we learning from what happens?
Leadership
Providing governance, accountability, resources, and strategic direction that sustain long-term change.
Who owns the work?
Why TACTBook
Everything your team needs to lead
A complete system — governance, capability, delivery, measurement, and recovery — designed for the realities of clinical and public-safety environments.
Governance first
We help leadership build the structure required to support and sustain education — before asking the workforce to sit through another class.
Local capability
Your own educators, security partners, and implementation leaders are prepared to carry the work, so the system stays in-house.
Disciplined measurement
Adoption, practice, governance, and outcome measures — labeled honestly as implementation or pilot measures, never borrowed results.
Flexible delivery
Foundations, live practice, micro-huddles, and role-specific pathways delivered on-site, hybrid, or remote around your schedule.
Built for the environment
Clinical, hospital, behavioral health, and public-safety settings — with scenarios and language written for each one.
Recovery included
RESET pathways support responder readiness and follow-up, because prevention only holds if the people doing it are supported.
Ready to protect your team?
Start with a conversation about your risks, priorities, and readiness.
Schedule a Conversation