The psychiatric unit at the Riverside County Regional Medical Center has realized a culture shift to achieve 700 percent reduction in the use of seclusion and restraint from 2001 to 2008. Seclusion and restraint is now considered a last resort, as this intervention technique poses safety risks to both staff and patients. The culture change came through education and oversight: staff was trained in Management of Assaultive Behavior, which included de-escalation and early intervention to mitigate the need for restraint techniques. Existing staff, resources and training materials were used with training programs revised to emphasize preventative measures to keep the risk of injury to self and others low to ensure a safe environment. The goal continues to be the total elimination of seclusion and restraint.