4500s/Incident Reports
Verbal Handle With Care
Verbal Skills
Uncomfortable/Dangerous/ Life threatening
Blocks/Releases
100
The person filling out the 4500
Who is the person that did the restraint/seclusion? 
100

Calm and Unafraid, Centered, Balanced, and Understanding

What is a solid object? 

100

Persuade the individual to agree on the course of action to be taken

What is Make a plan or contract?

100

Two on one wrist grab 

What is uncomfortable? 

100

A Preschooler grabs your arm/leg

What is stabilize?

200

The people you send 4500s to 

Who are Adria, school principal, and BCBAs? 

200

A physical response that deliberately hurts or injures a client/ failure to protect the safety of a client through a deliberate neglect of duty

What is under/overreact?

200

I see that you are calm now, I am going to release this arm, thank you for staying calm, I am now releasing your other arm

What is the release process?

200

Front Choke 

What is life threatening? 

200

Someone is attempting to kick you

What is make an X formation with your hands?

300

The incident report you fill out after doing a restraint

What is a critical incident report? 

300

Clear, Consistent, and enforceable

What are the three features of effective limit setting?    

300

Accept/ understand the emotions of a person, and listening with empathy

What is Validate?

300

Bite on the arm

What is dangerous? 

300

Make a fist, reach in and grab your own fist, take a deep step back, and snap back to your chest

What is same side wrist grab?

400

The report you fill out if you get hurt

What is an incident report? 

400

The reproduction of positive and negative feelings that were once associated with another person. The same dynamic in reverse only they can occur in the authority figure

What are transference/Countertransference?

400

Constructive and respectful vs hostile and reactive

What is Assert vs. Aggress?

400

Hair pull

What is life threatening? 

400

Step in, open up your hand, rotate underneath and over the top, reverse the grip, hand on shoulder, push and hold

What is Cross hand wrist grab?

500

The title of the 4500 email 

What is Initials 4500 date? 

500

The Physiological steps the student goes through when they go up then tension cycle

What are speech, motor activity, autonomic responses, indirectly/overtly threatening behavior and Assault?

500

Isolate the conversation, explore the young person's point of view, summarize the feelings and the content, connect the persons feelings and behaviors, alternative behaviors discussed, plan/develop practice new behaviors, enter the young person back in the program

What is Life Space Interview? 

500

Arm Bar choke 

What is life threatening?
500

Tuck your chin, step back with the left leg and turn your body sideways, reach in through the middle grab the blade of the hand, step back with the right leg and turn 

What is front choke?

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