What is PWP?

  • A Philosophy...
    that anyone can learn to complete procedures without physical or mechanical restraint.
  • A Process...
    of using our Practice Model™ to prepare clients for medical, dental and personal care procedures.
  • A Place...
    where people can practice procedures in comfort and complete routine exams and treatment with professionals trained to help them succeed.
  • A Practice Specialty...
    with staff trained in PWP methods and where other professionals can receive PWP training
  • A Program...
    of training in PWP methods for professionals, caregivers and individuals with disabilities

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Our Mission

“To help people, especially those with disabilities, receive quality medical, dental and personal care with dignity and respect.”

Learn how Deborah Jastrebski’s mission to help her son, Marc,   led to the creation of Practice Without Pressure.
Read More



Practice Model


    - Cleanings
    - Exams
    - X-Rays
    - Fillings
    - Root Canals
    - Extractions
    - Dentures
    - Pre-Surgery Support

Medical Care
    - Exams Blood draws
    - Pre-Surgery Support
    - Women’s Health
    - Bi-Pap Support
    - Blood Pressure Testing
    - EKG Preparation

Personal Services
    - Hair Care
    - Nail Care



For individuals, clinicians or entities -

  • who would like training in the PWP philosophy and process

  • are interested in setting up a PWP Center in your area

  • would like a consultation, or assessment, for bringing PWP directly into your current environment

Please contact PWP Corporate



For individuals who

  • need practice

  • need medical, dental and personal care utilizing the PWP model of care

Please contact a PWP affiliate

  • Delaware and surrounding area         PWP Pike Creek
  • Philadelphia area                                 PWP Pike Creek


If you need direct services but are not in the PWP Pike Creek area, contact PWP Corporate to see how we may be able to work with you


Practice Without Pressure Corporate
P.O. Box 829
Bear, DE 19701

(302) 419-8131