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Give an example of an internal setting event
Internal:
Physical health state
Basic need not met
Trauma
Medication side effects
Loneliness
Tired
Perceived lack of control
Irritated mood
Mental Health symptoms
Give an example of an external setting event
External:
Transitions
Lack of preferred activities
Desire for Designated Person’s attention
Not able to access the community when desired
Lack of relationships
Housemates/Peers
Diet restrictions
Time of day
Weather
Someone who expereinces Autism would like to change their stimming of large jumping to not draw attention to themselves while at work. What do you recommend?
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Give an example of why someone may not seek medical attention for a mental health diagnosis
Family
Culture
How they feel about receiving a diagnosis
What's society say?
Financials
Main provider for the family/ not able to potentially take time off for treatment
etc....
What does PBSP stand for?
Positive Behavior Support Plan - a person centered plan that focuses on quality of life, is rights based and emphasizes proactive and preventative strategies.
What does the Amygdala do?
It is the smoke detector for danger for the brain. It works with the rest of the limbic system to decide if the body needs to go into fight or flight mode.
What is a bias? Give two examples of biases the people we support are labeled with.
Bias is prejudice in favor of or against one thing, person, or group compared with another, usually in a way considered to be unfair.
Name 2 facts about trauma
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What’s the difference between sympathy & empathy?
Empathy drives connection & sympathy drives disconnection. Empathy is feeling with the person.
Why do we not punish?
Its absolutely not allowed! (OARs are very clear on this) - we work with Adults!
Learn to be sneaky, see the Designated Persons as the punishers, damaging relationships, cause anger/resentment.
Give me an example of a personal relationship and a functional relationship
Personal Relationships (i.e., Friends)
No specific purpose
Freely chosen
The person is the center
No authority or control
The person is more important than the program
Functional Relationships
Specific purpose
Often dictated
Person is not the center
One party has more control and authority than the other
Contingent
When we notice change in someone's behavior and it is not due to an environmental change, what is the first thing that needs to be ruled out?
Medical concerns
What is an antecedent?
Antecedents are simply the last setting event that occurred.
Name two mental health stress factors that people with I/DD might be affected by.
■Closest relationships are paid designated persons
■Minimal family involvement or having no family
■Challenges in social interaction skills
■Lack of a meaningful relationship
■Lack of romantic opportunities
■History of loss
■Multiple placements
■Unfulfilling or lack of supported job placement
■Lack of privacy
List 3 things that you can do as staff to help a person you are supporting reduce stress?
- Color
- Bake
-Work out
- Chat
- Day trip
- Help them cook their favorite meal
- Help them connect with a friend/family member
- Puzzles
- Help them read a book - getting on, reading it to them, helping them set up an audio book
-Music - listening, dancing, playing
- Assist in getting them included in community events
- Knitting, crocheting, cross-stitch
- Watch a comedy show
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When someone is in crisis, what is the best way to communicate with them?
Body language/modeling
When a person perceives safety, they have better access to a brain operation called, ________ __________.
Executive Functioning
If our body is perceiving danger, it mobilizes for _______ ___ _______.
Fight or Flight
What is diagnostic overshadowing?
When a health professional makes the assumption that a person with I/DD's behavior is a part of their disability without exploring other factors such as biological determinants.
What are some body language safety signals
Warm facial features (smiles)
Eye contact (as appropriate for the individual)
Relaxed torso
Gentle voice
What are the 8 senses?
Main 5: Sight, Touch, Hearing, Taste, Smell
Proprioception, Vestibular, Interception
True or false: Trauma alters your brain chemistry.
True. Cortisol levels are higher in trauma survivors. Continuous exposure to traumatic experiences create greater activation of our amygdala too.
What does that acronym SCANS stand for?
Supervision - being attentive to the person.
Communication - Sending and receiving information.
Appearance - Consider how your appearance may contribute to the person's current state.
Needs - Predict and consider the person's needs.
Space - How we protect the area around ourselves.
What are some negative body language signals?
High pitched sounds (screams)
Negative facial features (scowl)
Closed off torso
Crossed arms
Name one way to end a power struggle
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