Cultural Assessment

Ukeru®’s approach was developed and used successfully by our parent organization, Grafton Integrated Health Network. Learn more about Grafton’s journey to create a culture of comfort vs. control in this video:

Fully implemented, Ukeru’s approach enables facilities to engage in a new way of thinking about organizational culture and dynamics, allowing them to provide the highest quality of service possible.

Principles for creating a culture of Comfort vs. Control®


Create a vision, set the tone, and persevere!


Create a plan to keep staff informed and engaged.


Employ a broad framework of performance management, including assessment and training, platforms for observation, and established performance expectations/goals.


Develop clear performance metrics demonstrating success to all internal and external stakeholders.


Examine what happened and why, share feelings and perceptions, and determine what can be done differently.

Alternative Solutions

Find alternatives to restraint that speak to an individual’s needs/preferences.

Therapeutic Treatment Planning

  • Assess an individual’s strengths, needs, abilities and preferences.
  • Develop strength-based strategies.
  • Train staff to implement the strategies and document activities.
  • Monitor implementation and progress.
  • Modify based on progress, changing preferences and outcomes.

To help organizations transition to this approach, Ukeru begins with an onsite collaborative assessment against the areas outlined above. Guiding documents are then shared with your team, and will delineate the core components of our system. The assessment is a consultative process, not a regulatory one, and we encourage honest dialogue and sharing, driving best practice development and innovation.

At the conclusion of the assessment, Ukeru provides a full report, detailing your organization’s strategic strengths, threats, and opportunities for improvement. Together, we will then create specific goals, and the data elements needed to assess progress towards these goals. This document serves as a roadmap for change with clear and specific targets and guidance for assessing and reacting to challenges for continuous improvement.

Once we have agreed on the goals, our staff can provide training in each of the core areas noted above. You will be given access to our exclusive tools and processes, and we will provide in-person team training. At the end of this process your team will be fully prepared to implement this approach throughout your organization.