Why They're Here
This is the main reason clients are placed in RTC.
Cutting, scratching, or head-banging are examples of what kind of behavior?
Self-harm
Every behavior serves this
Purpose
The first and most important reason we supervise clients closely
Safety
Boundaries help clients feel this
SAFE
This is how many hours per day clients in RTC require supervision.
24/7
This is when a client tries to leave the property without permission
AWOL
Name one function of behavior related to avoiding an uncomfortable task or situation
This supervision position ensures you can always see the client
eyes-on supervision
True or False: sharing personal details helps clients open up faster
FALSE
Many clients have already tried and not stabilized in these lower levels of care. Name two.
- PHP (Partial Hospitalization Program)
- IOP (Intensive Outpatient)
- OP (Outpatient)
Overly personal talk, physical contact, or flighting with staff is an example of this.
Boundary violation
This function involves seeking care, validation, or interaction from others.
Attention-seeking
True or False: It's okay to step out of view for a quick phone call during 1:1 supervision
False
This is when you care about a client's wellbeing but still follow rules and limits
therapeutic boundaries
Clients in RTC often present with intense needs in these 3 areas.
1. Emotional
2. Behavioral
3. Safety
Yelling, threats, and physical aggression often stem from this feeling.
Feeling unsafe, powerless, or provoked
Engaging in risky or controlling behavior to feel more stable in chaos is linked to this function
Control or power
Name two things to watch for that might indicate a client is escalating
- pacing, clenched fists, rapid breathing, fidgeting, withdrawal
Being consistent and following through on expectations builds this with clients
TRUST
True or False: If a client "seems fine," they no longer need constant supervision.
False
but why...
Pitting staff against each other is behavior often called...
Staff splitting
Clients may engage in self-harm or repetitive actions to change their internal state for this function
Self-soothing or sensory regulation
This is the primary reason your documentation matters in supervision
Give one example of how to build rapport without crossing boundaries
listening actively, joining activities, or praising safe choices