Resident Safety
When should you do a head count?
What is the best way to encourage the behavior we want to see?
Positive reinforcement
What is the resident to staff ratio while residents are awake?
8:1
What does DBT stand for?
Dialectical Behavior Therapy
What are the 4 groups that counselors lead?
Psychoeducation, Life Skills, Health & Wellness, Culture
When is a resident not allowed to use the bathroom alone during school?
Stage 1, on SI or SP, anyone with a BRE intervention (may be only after meals)
What are 3 different types of behavior processing worksheets?
Think Sheets, SIB processing sheets, dishonesty sheet, triangulation sheet, boundaries sheet
When must you consult with MHP?
When placing a resident on higher supervision, within 30 minutes of a restrictive procedure
What are the 4 DBT modules?
mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness
What are 3 expectations during meal times?
Sit in assigned seats, eat at table (not in calming room), talk only to peers at same table, turn in silverware, ask before leaving table
True or false: a resident on SIB protocol can use a paintbrush with metal as long as they are under staff supervision?
False-residents on SIB protocol cannot use items that are made of or contain glass or metal, even under staff supervision.
What is the difference between a break and a time-out and when we use each one?
A break is suggested by a counselor when a resident is showing signs of escalation and is an opportunity for the resident to take some space away from the milieu. A time-out is when a resident is directed verbally or physically (via an escort) directed to move to a safe space away from the milieu in order to regulate because their current behaviors are significantly disrupting the milieu or present a safety concern.
In which instances is a CIR required?
A residents runs off property, any situation that requires response by police, EMS, or firefighters, a resident has a serious injury that requires treatment by a doctor (broken bone, concussion)
What are the 3 targets of DBT?
Life Threatening Behaviors, Treatment Interfering Behaviors, Quality of Life Interfering Behaviors
What must a resident do to be able to get PI at bedtime?
Not be on a BR, be present at time when PI is asked for, complete all of evening routine including room clean and hygiene
What is the ratio of residents to staff when going offsite?
5:1
What are two types of interventions that may be used when a resident is showing a significant pattern of targeting others?
The bully packet and the empathy packet
What is the name of the outside official responsible for ensuring residents' rights are being respected and where can residents find their phone number?
The ombudsman; it is in the display case in the hallways on both units
What does DEAR MAN stand for?
Describe, Express, Assert, Reinforce
Mindfully, Appear Confident, Negotiate
List at least 3 duties of a primary counselor
Create a new goal every other week, complete primary rewards, give stage feedback if working that day, remind others to follow through w/birthday traditions such as decorating their door
There are at least 4 first aid kits at Avanti. Where are they?
Maya and Catori offices, copy room in the program building, and nurse's office
Name at least 3 factors to look at when deciding on an appropriate consequence (BR vs. think sheet, 24 vs 48)
What is the intent, did it appear intentional, how disruptive/long was the situation, what is the worst-case scenario, how unsafe (remember we don’t consequence for SIB bx), was law enforcement involved, how destructive was the behavior, does this consequence fit the severity of the behavior?
What does EAP stand for and where is it located?
Emergency Action Procedures, it is located in both staff offices
What does TIPP stand for and what type of skill is it?
Temperature, Intense Exercise, Paced Breathing, Paired Muscle Relaxation-it is a Distress Tolerance Skill
Who can propose a program change and how do you do so?
Anyone-to propose a program change, identify the existing policy use you would like to change & write out proposed new one; bring to your supervisor and they will bubble up