Stress Model
Observations
Who does What
In the details
Non-Negotiables
100

The beginning of the crisis event, could have happened well before we see the student. 

What is the trigger? 
100

This is the first observation made.

What is the start of the restraint, initiation. 

100

This person performs the debrief

Who is the TCIS Trainer

100

Harm to self, harm to peers, or harm to others are examples. 

What are the reasons for restraint?

100

This meeting must occur with parent, district, and WFS HS post restraint.  

What is the IEP revision meeting. 

200

Describes the behavior after the trigger.

What is escalation? 

200

This is the last observation recorded. 

What is the end of the restraint, release. 

200

This person performs the physical assessment post restraint.

Who is the nurse? 

200

Managing the environment, prompting, caring gestures, Ukeru, hurdle help, redirection and distraction, proximity, directive statements, crisis co-regulation, emotional first aid, time away, and LSI are examples. 

What are less restrictive interventions? 

200

This person must fill out the indicated section no matter if the young person consented or not. 

Who is the nurse? The nurse can indicate that the student refused to be checked. 

300

This behavior caused the restraint.

What is the outburst? 

300

This person must "sign off" on every observation. 

Who is the observer/recorder? 

300

This person checks the positioning of staff performing the restraint.

Who is/are the observer(s)? 

300

This many people are named in initiating the restraint. 

What is one? 

300

These two groups must be made aware of any restraint occurring.

Who are leadership and TCIS trainers?

400

This procedure should only be indicated in life or death situations.

What is any restraint? 

400

This person can correct the positioning of the restraint.

Who is any observer? 

400

This person performs the LSI, and records it on the form. 

Who is the staff person involved in the incident? 

400

This is the timeline for contacting parents/guardians of a restraint. 

What is within the day? 

400

This document must be revisited or revised after a restraint and disseminated to all necessary staff.

What is the Individual Crisis Support Plan? ICSP

500

The documentation of the stress model steps will be reviewed during this.

What is the debriefing? 

500

This person should end the restraint if there are any signs of asphyxiation. 

Who is ANYONE!? 

500

This person schedules the indicated IEP revision meeting.

Who is Christi K? 

500

Lisa, Ashley, Bri, and Alex

Who are the highschool TCIS trainers? 

500

This should never appear on the form when there is an incident between two students.

What is the other student's name? 
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