Individual Development
Yesterday, you received a new admit. During the first half of the week, he was extremely quiet and followed all prompts. Later in the week, the staff asked the youth to have a seat during a crisis, and the youth responded, "Make me."
What is a honeymoon and limit testing phase?
Three group stages that our youth go through.
What is forming, storming, and norming?
Staff walked past a group of youth and overheard the new kid asking his peers who runs the milieu.
What is assessing the members of the group.
Staff apathy, Us vs Them, Scapegoating, and Collapsed Structure happen when we utilize this.
What is conventional wisdom?
"Hey, when we get inside, I need everyone to sit in their assigned seats and remain on MOS. Once everyone is seated appropriately, we will begin bathroom and water breaks. After that, we will discuss the next activity and answer all questions."
What is a clear expectation?
A youth punches a wall and breaks his hand.
What is a natural consequence?
What is active resistance and beginning trust?
A chaotic setting where youth are not given expectations. Staff tend to show favoritism and let things slide to avoid having a crisis.
What is storming?
A new staff only interacts with youth doing low-level leisure or playing high-level activities.
What is building rapport?
When staff show less effort in completing staff duties.
What is staff apathy?
On Wednesdays, we have a planning meeting with our youth. We then take their approved ideas and add them to our weekly schedules.
What is executing democracy.
A youth decides to not take his medication for a day. Now he is hearing voices.
What is a natural consequence?
Sasha is getting ready to go home with her stepmom. Before she can, she has a goodbye group. Her peers and staff discuss how proud they are of her and what they hope she continues to work on.
What is ritual of discharge?
When your group has an alliance between staff and youth, as well as compliance.
What is norming?
The new staff hugs the wall and sticks to one staff member, often asking them questions when things change.
What is learning expectations?
Today Daniel slapped another youth on the back of the neck. Staff A redirected the youth for his inappropriate behavior. Staff B immediately told Staff A they were being too hard on the youth and that the youth were only playing. Daniel then began to yell at Staff A that his mom had his back and that the staff did not run the milieu. Staff B sat and laughed.
What are custodial signs and favoritism?
Deana made an UAM into the atrium because she was upset about waiting for the restroom. Staff redirected her by setting a verbal limit "when/then." Later, Jacqueline did the same thing, and the staff let her stay in the atrium. What did the staff do wrong?
What is modeling fair and just interactions?
This morning Tommy was extremely rude to Ms. Johnson. Another staff stepped in and was able to get the youth to complete the directive. Later, when it was time for recreational therapy, Ms. Johnson told the MOD that Tommy couldn't go to rec due to being unsafe.
What is an inappropriate logical consequence?
A youth who has only been in our care for six months is preparing for discharge. Lately, he has been self-harming again. When he processes with the staff, he states, "I just can't go back." Meanwhile, Jordan, a youth who has been here for a year, reverts to being physically aggressive.
What is separation regression and regression?
A setting where everyone is trying to meet expectations. As a whole, they are participating in group therapy and life skills but some individuals may be struggling.
What is forming?
During a game of dodgeball, Logan is redirected to sit down and take a timeout for starting arguments with peers. The youth asks the staff, "Are you going to make me?"
What is a challenging question?
While Jimmy was in crisis, he told the staff, “You don’t run anything, and I don’t have to listen to you.” Staff responds, “I run this milieu, so I tell you what to do.” Jimmy responds, “I don’t care what you’re talking about, I don’t have to listen to you.” Staff responds, “You heard what I said. You don’t have to care.”
What is a power struggle?
Today Julie wanted to process with a staff. She informed the staff that she had a hard but important session soon. She asked if the staff had any ideas on how to stay regulated so she could get through the session successfully.
What is a youth invested in their treatment progress?
During safety sweep, staff found a note with a detailed elopement plan for the outing that Wednesday. After some investigating, they have learned which youth played a part in the plan. When Wednesday came, those youth were not allowed to attend the outing.
What is an appropriate logical consequence?
Nicole refuses to attend group therapy and life skills group. Instead, she attempts to disrupt the other youth and makes several UAMs around the courtyard despite the staff's prompts. When staff set verbal and physical limits with the youth, she responds by threatening them and some of the smaller youth. In response, the youth does not transition with the group to activity areas. After the third week of this behavior, the youth finally attends group therapy. Afterwards, staff discussed the event with the youth, and she stated, "It's not that bad." Now, the youth attends group every day and has even started to utilize the skills she's being taught.
What is program acceptance and clear improvement?
A necessary piece for the group to enter the norming phase.
What is consistency?
On today's schedule, the youth have life skills, a high activity, structured choice, and media time in that order. After completing the high activity, the youth begin asking staff if they can do media time for the rest of the day. Staff explain to the youth that they will be following the schedule for the day and provide the why behind it.
What is a staff creating structure in the group?
Today, during media time, the youth started a riot. After the milieu calmed down, the staff continued the TV show for the youth. The youth ended their day watching the same TV series. Throughout the day, several youth bullied other youth until they were bored, while others walked in and out of their rooms. At times, there were more than two youth in a bedroom. Staff continued to watch the television show. They reported no criticals or inappropriate behaviors.
What is collapsed structure?
What is effective communication?
For the past three days, Sean has been bullying his peer. Staff redirects the youth each time, but he persists. In response, staff switched the youth's social groups. Two days later, both youth end up in the clinic together. Sean again starts to bully his peer. In response, the peer hits Sean with a closed fist, resulting in a black eye.
What is an appropriate logical and natural consequence?