DB
What is DB's current phone schedule?
AM 9-10, 11:30 - 12:30pm and 2- 3pm (Can be 8-9 on Sundays)
PM (4:30 - 5:30pm and 7-9pm)
What is RH's NCR schedule?
If a client is moving towards the direction of the street with statements of self harm, the plan is...
staff will use a medium level CPI hold to escort back to safety
What does P.A.C.E stand for? Give an example related to each client
Playful, Acceptance, Curiosity, and Empathy
Give an example of an essential demand for DB
Give an example of essential demand for RH
i.e. using the van for regulation and going back into the community
If client is disrobing in a public location, plan is to...
staff will use 2-person standing escort (CPI) to move client in the direction of safety. Duration of hold/escort will be maintained until client is returned to a safe location (i.e. her bedroom/inside). Once client is returned to a safe location discontinue the hold (unless other R1 behavior is present) and nurture recovery at first signs of tension reduction.
Give an example of reinforcing smaller instances of R2 behaviors for clients
Why is this important?
i.e. requesting for information, providing a realistic timeline, reassurance of information being correct
Reinforcement of R2 behaviors can support de-escalation and hopefully avoid R2 behaviors
Give an example of non-essential demand for DB
i.e. cleaning living room
Give an example of a non-essential demand for RH
What are the 3 levels of aggression and when does CPI come in?
1)— low level punching and/or kicking in the direction of others.
2)— moderate level kicking, biting, throwing objects in the direction of others (no potential for injury to self/others)
3)— severe level kicking, biting, throwing objects in the direction of others (potential for injury to self/others)
Level 3
When should data be collected?
Real time, as soon as possible
What is a private event? What is an example of DB tacting a private event?
Why is this important for her plan?
Tacting = labeling
Saying out loud the uncomfortable thing, Name it to tame it (helps with being present and de-escalation)
What is RH's community coping plan?
Give me 3 ways to nurture recovery
What is RH's 5150 return plan (knock on wood we don't need it again!)?
When Becky returns from a 5150-hold staff will do the following:
Create a routine for setting limits paired with
favorite movie
couch time
preferred meal
If we have staff covering from another home/temp agency, what is recommended:
Covering staff be in charge of ADL support
Regular staff in charge of clinical RBT type support
What is a preventative measure for private events?
Mood Meter offered at least 3 times per shift
What is an example of a risk mitigation for RH if there is not sufficient staff for community outing?
1:1 support with school type work
Do beading with staff support
Do a puzzle
Go for a walk
Name 5 ways to earn points
Green Space
Coping Practice
Group Activities
Focused 1:1 support time