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Our organization is dedicated to ensuring that individuals impacted with disabilities are treated with dignity and respect.

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What is Power to Marc?

Power to Marc is the main part of our brand that represents everything we do. It is the face of our organization, showing the world who we are. Through Power to Marc, we share a clear and unified image of our values and goals.

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What is The Marc Jastrebski Institute (MJI)?

The Marc Jastrebski Institute (MJI) will be the think tank and keeper of the flame in terms of maintaining and updating the unique philosophy of care and practice model called Practice Without Pressure, or PWP. To use an industry analogy, the MJI will also serve as a lab and R&D (research and development) function. Evidence-based research projects related to the PWP Philosophy and Practice Model will also be conducted through the MJI.

The MJI will also produce educational programs that will be available online and in person. Lastly, the MJI will also produce certification and accreditation criteria related to adherence, compliance, and fidelity to PWP and Power to Marc. In summary, the MJI, under the Power to Marc brand, would be responsible for content creation, curriculum updates, PWP program fidelity, educational programs, and certification and accreditation.

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What is
Practice Without
Pressure?

PWP is the output produced by the MJI that is translated into the process of how we do things and how we apply our philosophy into action. PWP is the "how" and the "what".

It is a specific methodology and process where we empower individuals with disabilities, their caregivers, and professionals that serve them, by providing tools, education, and training necessary to foster the active participation of those individuals in their medical, dental, and personal care.

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Frequently Asked Questions

Changes can be seen in just a few sessions. Building a positive experience from previously negative ones takes time to develop, but the outcome is very empowering!
Yes, we believe that behavior is communication. Our programs are designed to work with anyone, no matter how they express themselves.
Yes, the Practice Without Pressure process meets the individual where they are, helping to build their capacity for participating in their care.
The philosophy and process of Practice Without Pressure works with ALL individuals and are not disability specific. A commitment to the process is what’s critical for success.
Yes!
We will soon have kits available for purchase that will include realistic supplies for use in practice such as a retractable needle. For now, you can use items you likely have around your house (a necktie for a tourniquet and an “undone” paperclip for a needle)
Many parents feel this way at first. It seems too good to be true. Practice Without Pressure has helped thousands of individuals participate in their own care. These individuals range from people who are only slightly affected by their disability to being greatly affected by their disability. If you trust the process and stay committed, it will work!
The beauty of the Online Caregiver Training, is that you will learn how to help your individual on your own timeline within your own home. When you are ready, you will work with your individual on your own timeline and within your own home.
The PWP philosophy and process is meant for anyone, regardless of diagnosis. We help empower your loved one, you, and the professionals that work with them!

Join us in the Power to MarcVirtual Community, or starttraining courses online now.

So good that you see that there are some similarities to ABA, and also to other disciplines as well. However, PWP is a very unique model of care. Take an introductory course today to see!

Blood draws, vaccinations, dental procedures, medical procedures, haircuts, nail care, and more. The strategies stay the same regardless of the procedure. We will help you help your loved one increase their ability to participate in their own care

The Practice Without Pressure process is anchored in the Silvan Tomkins Affect and Script theory.

Empowering Excellence

Through transformative education and compassionate care, Power to Marc, MJI, and PWP are dedicated to fostering active participation, empowering individuals with disabilities, and enhancing the quality of life for all we serve.

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Sam West, having a blood draw with NO RESTRAINT for the first time in 29 years.  Sam had been restrained by several adults each time he needed a blood draw

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Success Stories

Marc

Before he was 11, Marc Jastrebski (who loves all things Philadelphia Flyers and Eagles, and also has Down syndrome) had been through two open-heart surgeries,

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Ryan

Ryan is a great guy who also happens to have Down syndrome.  Ryan and his dad Steve worked with PWP initially for blood draws, then

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Donna

Donna is a lovely woman who is very engaging.  She has developmental disabilities as well as some mental health issues, and any kind of dental

Read the full story

We look forward to hearing from you!

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Why the name?


People with disabilities are often thought of as vulnerable, powerless, unable to participate in their care, and oftentimes invisible. The POWER is because we help do just that, help them to go from powerless to powerful, in whatever way we, and they, can.

And the Marc piece is self-explanatory – he is the powerful force behind all this. It really is about turning the current paradigm on its’ head and recognizing that every single person should be encouraged and helped to find their own power. We went through a lot of names that talked about dignity, respect, etc., but the Power to Marc name resonated with what we are all about.

The name, Marc can also be a stand in for all the people we serve.
This is also about YOU! Power to Michael, Power to Emily, Power to …… YOU!

Power to Marc is pleased to present Practice Without Pressure TM.


The solution is Practice Without Pressure (PWP). PWP is a philosophy and process of care that works with the individual, the caregiver, and the professionals who serve them, to reduce sedation, eliminate restraint, and improve experiences when accessing medical, dental and personal care procedures.

PWP puts the person first, and the procedure follows. Our philosophy understands that behavior is communication. By taking the pressure off and practicing at the person’s pace, using PWP building blocks, strategies and techniques, we create an environment of participation, confidence and success, rather than compliance, restraint and fear.

We have worked with thousands of individuals and caregivers using the PWP philosophy and process. In one study in Delaware, PWP reduced sedation by 76.6% in a group of over 90 adults in the state service system for medical, dental or personal care, with zero restraint.

PWP can be used with individuals of any age or disability. It has been used successfully with individuals who harm themselves or others, as well as those who may hit, kick, bite or run away during medical, dental or personal care procedures. It has been used with individuals as young as two, and as old as 75.

 

Individuals with disabilities often experience fear responses when accessing medical, dental and personal care. These responses may be strong anxiety, running away, kicking, hitting or biting. Often, physical restraint or sedation is used to complete procedures like dental care, tooth-brushing, blood draws, nail care or even haircuts.

Caregivers also experience the trauma, and may even stop having procedures done, or doing things like hair and nails when the individual is sleeping.

Based on information from the Center from Disease Control and Prevention (CDC) Approximately 6.5 million people in the United States have an intellectual or developmental disability (IDD). This community reports difficulty finding appropriately trained and willing providers and, all too often, people with IDD are subjected to restraint and sedation to receive routine medical, dental, and personal care resulting in trauma and the risks associated with anesthesia. As a result, caregivers delay or altogether avoid preventative care (such as blood draws, ob/gyn exams, dental cleanings, etc) causing many people with IDD to end up in the Emergency Room. As an example – based on data provided by United Healthcare, on average 90 – 95% of OR/ER dental and related services are due to lack of preventive care. Protective stabilization (restraint) with or without the patient’s permission, or sedation, is considered a “best practice” Restraint is common, leading to trauma for the person, their caregiver(s) and the professional(s) that serve them.

 

There is another way!