SCIP-R Interventions
What is the first intervention to use with SCIP-R techniques to decrease challenging behaviors?
The least restrictive intervention first, verbal calming techinques, coping skills, etc
What are examples of proactive interventions?
Levels of Supervision, Visual schedules, Timers, noise canceling head phones, Seating arrangements with individuals in program room/van, a variety of preferred activites, providing choices, Staff locations in the program room/van/community,
What is important to rule out first when an individual is engaging in challenging behaviors?
Medical conditions
If a new or historic behavior is occurring for an individual, Where should this information be documented?
ABC chart and Tlog.
When an individual is engaging in person aggression towards staff and verbal calming techniques are not effective, what SCIP-R intervention can be used?
SCIP-R intervention Deflection
What are examples of reactive interventions?
Verbal calming techniques, redirecting individual engaging in behaviors into a quiet enviornment, removing other peers from the enviornment for their safety, SCIP-R interventions, and calling 911 in emergencies
Why is it important to know the likes and dislikes of the individuals?
To build a better relationship with the individuals and to better support them when they are agiated.
How often should staff be documenting behavioral data?
Daily. Staff should be documenting all behaviors observed on the behavior data sheets.
If no behaviors occured, then 0 or no behaviors should be documented on the behavior data sheets
If an individual is engaging in self injurious behavior (SIB) and verbal calming techniques are not effective, what SCIP-R intervention can be used to redirect the individual to decrease injuries?
SCIP-R Intervention Touch Intermediate
What is a precursor behavior? What are examples of precursor behaviors?
A Precursor behavior is any response that tends to occur immediately prior to a challenging behavior
Examples: Rocking body back and forth, pacing, yelling, individual talking to themselves.
Why is it important to use positive communication with the individuals?
Using a authorative/parental tone is a form of abuse and should not be used with adult individuals. A more positive communication approach is more effective to develop a positive relationship with the individuals.
Why is the behavior documentation so important?
This information is important to be used in audits/investigations to ensure staff are supporting the individuals effectively during challenging behaviors.
To support the BIS with advocating medication changes, level of supervision changes etc.
If a individual has eloped from the building without staff supervision, What interventions can the staff use to redirect the individual?
If an individual is running into moving traffic and is compromising their safety, staff will call 911. Staff can use restrictive interventions such as SCIP-R 2 person escort to redirect the individual to safety.
If the interventions in the behavior plan are not effective and the individual is in a crisis situation and endangering their safety and others, how can staff intervene?
Calling 911, Use emergency SCIP-R interventions to keep individual safe. Notify RN,BIS and supervisor for further instructions.
If an individual's behavior has changed or new behaviors are being observed, what can the staff do to support the individual.
Contact the nurse/BIS/supervisor. Keep the individual safe by redirecting them into a quiet safe enviornment, using SCIP-R interventions to ensure their safety. Documenting all behaviors and interventions on the ABC chart and TLOG.
What time duration is required to document behavioral data?
As soon as the incident is over or has to be completed within a 24 hours
If an individual is engaging in behaviors which are risking their safety and others but SCIP-R interventions are not in their Behavior Plan? How are staff supposed to intervene?
Staff will use SCIP-R interventions in an emergency situation to keep the individuals safe. Staff will then notify Supervisor and BIS of the incident and what SCIP-R intervention was used. Staff will document on the GER the behaviors observed and indicate the SCIP-R intervention used.
When an individual is in a crisis situation and the assigned staff needs support? What can the team do?
Call 911, Remove other peers in the room, push furniture away from individual, assist with SCIP-R interventions, assist with getting protective equipment per the behavior plan.
What are examples of coping skills staff can use to redirect challenging behaviiors?
Deep Breathing techniques, counting to 10, going for a walk, listening to music/watching videos/ going into a quiet enviornment, reading a social story, and exercising.
What behavior information should be documented on the Tlog/GER?
Behavior information (type of behavior, frequency,intensity, and duration)
Staff interventions according to the Behavior Plan
(Proactive and reactive interventions used)