Corrections Collaborative

Our Mission to Alleviate Behavioral and Mental Health Suffering

Our Mission to Alleviate Behavioral and Mental Health Suffering

The Correctional Safety Learning System® (CSLS) Collaborative is a developing community of Canadian and USA correctional, mental, and behavioral health systems moving beyond root cause analysis, focusing on individual suicides and tertiary interventions. Instead, CSLS Collaborative members are defining, measuring, and improving the process and system vulnerabilities that contribute to the suffering and harm of our inmates, clients, and staff. 

Our CSLS Collaborative has directed its initial focus to examine the process and system vulnerabilities that contribute to suicide frequency and triggers among inmates and mental health clients. Collaborative members are given full education, coaching, and training on our Safety Learning System® and Continuous Organizational Innovation, Improvement, and Learning (COI2L™️) along with community support, research, and publication opportunities. 

Our Safety Learning System®, along with our Continuous Organizational Innovation, Improvement, and Learning (COI2L™️) framework, will allow your organization to: 


Where your organization can improve in care by discovering and classifying Opportunities for Improvement (OFIs).


From identified Opportunities for Improvement to develop meaningful, right-size, and cost-effective quality improvement projects.


Lessons learned from case review and MultiLens Discussion as broadly as possible to help frontline staff improve care in daily practice.


Suicide is the third leading cause of death in U.S. prisons (Patterson and Hughes, 2008). Most prevention efforts are focused on tertiary interventions, which prioritize training guards in CPR or patient rescue – efforts that help after the attempt of a suicide and not before (Hanson, 2010). It is also assumed that suicide risks go down as inmates become more comfortable. However, this assumption “is far too simplistic and ignores both the process and individual stressors of prison life” (U.S. Dept. of Justice, 1995).

The Safety Learning System® allows correctional health systems to examine multiple attempted and committed suicide cases across and within facilities to identify system vulnerabilities, clusters, and common threads among inmates. Our actionable insight technology, Healthcare Safeware®, further provides reports that allow correctional facilities to identify the highest Opportunity for Improvement (OFI) category and target their improvement efforts to reduce suicide and mitigate attempted suicides. 

Mental Health

Suicide is a “never event” meaning it can be classified as an adverse event that is serious and usually preventable. Despite the ‘preventability’ of suicide, “the actual incidence nationally is poorly understood” as “there are no reliable estimates of hospital inpatient suicides in the United States” (William, Schmaltz, Castro, and Baker, 2018).

The Safety Learning System® enables mental and behavioral health systems to examine the incidence of suicide and attempted suicide to identify system and process vulnerabilities that lead to the never event in general and inpatient facilities. Healthcare Safeware® will give your organization the reports it needs to identify the highest Opportunity for Improvement (OFI) regarding suicide so we can finally determine preventable measures for suicide that work on a systemic level.

About the CSLS Collaborative

The CSLS Collaborative Provides

Case Review Training

Members will receive training on our proven 7-step case review method and system engineering approaches for implementing lasting change.

Access to Technology

Members will receive customized access to our web-based central registry (Healthcare Safeware®) to gain actionable insights on their case review findings.

Benchmarking & Webinars

Members have the opportunity to receive annual benchmarking reports on collaborative learning and participate in monthly webinars with other members.

Organizational Learning

Members will receive coaching to complete the Continuous Organizational Innovation, Improvement, and Learning (COI2L™️) lifecycle for change.

Research & Publications

Members have the opportunity to share data and improvement projects within scientific publications and collaborative presentations.

Hope & Healing Resources

Members have the option to provide personal resiliency training through our partnership with Hope & Healing to find purpose and value in their work.

Our Founding Member

California Department of Corrections and Rehabilitation

The CDCR has been a leading figure in suicide reduction within correctional facilities. Their mission is to “facilitate the successful reintegration of the individuals in our care back to their communities equipped with the tools to be drug-free, healthy, and employable members of society by providing education, treatment, rehabilitative, and restorative justice programs, all in a safe and humane environment.” We aspire to elevate this mission through our systems engineering and organizational learning techniques rooted in high reliability.

Ready to join a new movement in mental health?

Let's work together to reduce suicide
within social institutions