Milieu Management, Trauma-Informed Care & De-Escalation
What is the first thing staff should do when a client begins escalating?
Remain calm, maintain safety, and use trauma-informed de-escalation.
What does active supervision mean?
Being present, engaged, observant, and aware of clients.
What is one fundamental right every client has?
To be treated with dignity, respect, and fairness.
What is the minimum gas level staff must maintain in program vehicles?
3/4 tank
Name two things staff should NEVER do when de-escalating a client.
Engage in power struggles, threaten, shame, or humiliate.
What must staff know about every client throughout their shift?
Their location and what is occurring in the environment.
What is the purpose of the Incentive & Point System?
To promote growth, accountability, treatment engagement, and positive choices.
What information must staff document when using a PEX card?
Location, amount, purpose, and staff initials; keep receipts whenever possible.
What should staff do when a client refuses redirection?
Offer choices, use supportive coaching, and maintain safety.
Name three situations requiring increased supervision.
Phone time, community outings, and emotional escalation or peer conflict.
Name two things a client temporarily loses during a Privilege Freeze.
Recreational outings and the ability to earn or spend points.
Who must train floor staff on medication administration?
The Facility Nurse.
When should staff contact a Facility Manager for support?
When safety concerns, significant behaviors, or situations beyond staff scope arise.
How should staff handle an unexpected change to the daily schedule?
Clearly and calmly explain the change to clients.
What happens after a client completes their Repair Sheet and repair action?
A 24-hour timer begins before privileges are restored.
What must staff follow when administering medication?
The 8 rights of medication administration.
What is the main purpose of trauma-informed care?
care?
To respond therapeutically while maintaining safety, structure, and accountability.
What is the professional role of an MHRS, and what must they avoid?
A youth worker/support person who maintains professional boundaries and stays within their scope.
Can staff automatically confiscate a client's phone during a Privilege Freeze?
No. Only when there is an immediate safety concern or clinical directive requiring restriction.
What should staff do immediately if a medication error or adverse medication effect occurs?
Notify the Facility Nurse or 24/7 STRTP nursing hotline, as applicable.