Deb Jastrebski with son, Marc


Founder's Message

      Welcome to Practice Without Pressure!  I want to introduce you to my son, Marc. He is the reason Practice Without Pressure exists. From a young age, Marc, who has Down syndrome, underwent many tests, procedures and surgeries, most while restrained or in a papoose board.  He became so afraid of dentists, doctors and all things clinical that visits became a recurring nightmare for all involved, especially Marc.  When he turned 12, I reached a decision: that he would no longer be restrained or sedated to receive care.

      However, I had a problem.  There were no alternatives. So I created them. Through what is now the PWP Practice Model, Marc became strong where he had once been afraid and now faces procedures, both old and new, calmly and with confidence.

      He taught me a lesson that is at the heart of what we do:  when we presume competence and give people the tools they need to succeed, we raise both expectations and outcomes that enable people to receive routine care without restraints for better health and quality of life.

      Thanks to Marc, PWP has made a difference in the lives of many people who can now receive routine care they avoided or would have been restrained or sedated to receive. Our new Practice & Procedure Center will enable even more people to benefit from PWP, because it combines routine care with practice before treatment to meet an entire family’s needs. 


Deborah A. Jastrebski,
Founder & CEO
Practice Without Pressure