Antecedent Strategies
For which client should you reinforce saying "no thank you" in a calm voice when there are no demands in place?
MFG
Name which Client these behavior definitions belong to.
PROPERTY DESTRUCTION: Any instance or attempt of dumping toys or other items without permission, throwing toys or other items not intended to be thrown, breaking toys or other items to the point that they are not functional, tipping over furniture or play structures.
Aggression: Defined as attempts or successfully biting another person anywhere on the body. Teeth contacting skin or clothing with or without visual injury.
RoLl
Which client uses a time out procedure?
CaBl
You are sitting on the bench in the gym and ArAk is sitting on the floor. ArAk stands up and begins walking toward you. What do you do?
Immediately stand up. If he begins to show he wants attention, ask if he wants you to hang out with him and prompt him to say yes on his device.
TLC runs out the front door. What do you do?
Call for help if possible, calmly/neutrally redirect him back inside, fill out an incident report.
For which clients should you remain between them and the exit?
ES, RL, BC
Name which client this behavior belongs to.
Peer Aggression: Any instance or attempt of *client* engaging in a motion, with or without objects, 6+ inches away from a peer and making contact with the peer. Hitting, kicking, biting, hair pulling, scratching, pinching, and poking included.
MFG
Which client do you give a tissue to when they pick their nose?
All of them, I hope!
For consequence procedures, specifically TLC!
RL dumps out the bucket of cars and says "time to clean up" after you tell him it's time to work. What do you do?
Redirect him away from the mess to work time, do not bring attention to him dumping out the cars. Ask someone else if they can clean up the cars.
WiBl is engaging in SIB and gives himself a bloody nose. You call for help. While trying to clean him up, he continuously engages in aggression. What do you do?
Follow the biohazard protocol, one person cleans him up and the other person can assist in blocking aggression and SIB using C-hands or blocking pads. Remain calm, praise him when he allows you to clean him when he is not engaging in either behavior. Remove C-hands and blocking pads when applicable.
For which clients do you allow access to preferred items/activities when their schedule is on green, and not allow access on red?
ES, WB, MFG
Name which client these behaviors belong to.
Elopement: Any instance or attempt of leaving the room without a request to ‘go.’ Any instance or attempt at going over a gate or leaving through the front door (grabbing the handle)
Property Destruction: Any instance or attempt to hit or kick items (excluding things that open, like drawers or doors) from a distance of 6+ inches that makes an audible noise. Any instance of swiping materials from a surface or pushing furniture.
Aggression: Any instance or attempt to scratch, push, hit, or kick another person. Any attempt to hit another person with an object.
EvSt
Which Clients aggression does not count if you hold your hand out and they hit your hand instead of other parts of your body?
What should you do if he attempts to hit other parts of your body?
WiBl
Block as needed, prompt functional communication as applicable, and ignore using extinction procedures. Unless it is a work demand, do not present him with any items until aggression or other behaviors have ceased for 5 seconds.
You instruct ES it is time to give you her tablet. Instead of giving it to you, she hits your hand with the tablet. What do you do?
Continue delivering instructions to relinquish the tablet, move your hand if she attempts to hit you instead of giving the tablet.
ArAk begins screaming, running and jumping around the room, pushing RBT's, yelling at peers, and throwing things.
What do you do?
Call for help, attempt to redirect him to his work room, offer the weighted blanket, headphones, lights off, blocking pad between him and the wall, and stay outside the room as long as he is not harming himself. Continue to track outburst as applicable and resume reinforcement when calmed down.
For which client do you use BST training to ask for a break?
MaTu
Name the Client these behaviors belong to.
Aggression: Any instance in which client uses force to grab clothing or another person's boy part, hit with an open or closed hand with a drawback of at least 4 inches, push (using one or both hands to move someone from their original position), squeeze (putting one or both hands on another person's body part with force to leave a mark or make the skin discolored for at least 2 seconds), or choke (putting hands around another's neck with palms facing inward or thumb and fingers around it like a C shape)
Onset: Count each time *client* uses force (each contact with another person's body part)
Offset: the removal of his touch (his body part does not touch yours or removes it)
Eating Non-Edible Items: Any instance of attempt of *client* ingesting a non-edible item (including solids and liquids) include only items he could successfully ingest, such as crayons, playdoh, urine, paper, small toys
Mouthing: *Client* puts non-edible objects into his mouth (e.g., toys, clothing, materials, fingers or toes). Please count an instance if the item passes the plane of his lips(what you can see when his mouth is closed).
If he is touching something only to the outside of his lips when his mouth is closed, this will not count.
ArAk
What do you do if LaKi touches you without permission?
Remove yourself from the touch, prompt him to ask first. Allow the touch once he has appropriately asked.
MFG is playing on the swing and a peer gets close to him. MFG hits the peer. What do you do?
Block aggression attempts, stand between MFG and the peer, and transition away from the area the aggression happened in, use paced prompting if needed. MFG can go back to the swing after 1 minute without challenging behaviors.
What do you do if a client bites you?
Keep reaction as neutral as possible, place your hand on the back of their head to stablize, do not push, wait until they release. Write a staff incident report.
For which client do you ensure they have access to a chewy, gum, or fidget, and use first/then statements with?
BeCo
Name which Client these behavior definitions belong to.
Aggression: Attempting or successfully hitting another person with an open or closed hand, pushing, scratching, pinching, or squeezing another person.
SIB: Any instance or attempt of hitting self with an open or closed fist, biting, pinching, scratching self, hitting head or other body parts on hard surfaces including floors, walls, tables, or other objects. Biting will include any instance of Client's hand passing the plane of his lips, and closing his jaw.
Property Destruction:Any instance or attempt to strike or kick an item from greater than 6 inches away. Any instance or attempt to throw or swipe an item away from its original location with force (exclude items that are intended to be thrown). Any instance or attempt of an item breaking or spilling due to a motion performed by Carter. This includes walls, doors, floors, food, drinks, or other items such as toys.
CaBl
Explain which instances you would sit CaBl in time out.
1. CaBl gives you a high five.
2. CaBl bites his hand.
3. CaBl squeezes you.
4. CaBl hits his sides while on the swing.
5. CaBl claps his hands.
6. CaBl leaves the room without asking.
7. CaBl lays on the floor.
8. CaBl hits his hand on his forearm.
2, 3, 4, 6, 8.
CaBl is swinging and hits his closed hands on his sides. You sit him in time out and he continues to hit himself, stand up, and aggress at you. He squeezes your arms and pushes you backwards.
What do you do?
Plant your feet to stay where you are, keep pressure on his biceps or forearms, DON'T push him, verbally tell him to sit down in a stern voice. When he sits, continue the time out procedure until challenging behaviors cease for 30 seconds.
During a time out procedure with CaBl, he pushes you back and you fall and hit your head, causing it to bleed continuously. What do you do? What should someone who comes to help do?
Call for help, don't move.
Whoever comes to help should get a lead if the lead is not already there. One person should continue CaBl's time out procedure in another location, one person will assist you in maintaining the bleeding, and a lead will call 911 if needed. A staff incident report should be filed.