Bi-Psycho-Social Approach
Positive Behaviour Strategies
Safety Plan
Data Collection
100

When should we use a Bio-Psych-Social Approach?

All the time 

100

Why is it important to use positive behaviour strategies when supporting SA?

They focus on skill development such as functional communication. Work towards developing replacement behaviours
100

What would SA be observed doing in level 1 of the escalation continuum ?

rocking, restless, pacing, crying, SIB level 1, undress/strip

100

Who should be recording data on the daily data sheets?

Bonus: name all data sheets

Everyone!

Daily, BM, Sleep, PRN effectiveness, video monitoring, ETO, ½ door

200

Why is it important to incorporate choice?

Bonus: Name three ways to incorporate choice

To address functions: escape and access to tangible items

To provide a sense of control and autonomy 

Bonus: between activities, between foods, between tasks, order of activity, 

200

When you are trying to engage SA in an activity with you, how can you offer choice in this moment?

Use PECS, show concrete choices, offer choice between 2 preferred activities

200

When SA is in level 1, name 2 of the things we should do?

•Remain calm

• Provide a safe space between Sam and staff

• Address pain management. (E.g., ask him if he would like a Tylenol, offer a cold cloth for his head)

• Ask how you can help him with concrete visuals or picture symbols from the PECS

binder for choice

• Introduction of preferred activity

• Model appropriate and alternative actions

 to inappropriate behaviours (e.g., deep breaths, squeezing stress ball, etc.) 


200

When providing SA a first/then visual prompt and he follows through, how would you chart that on the data sheet?

First/then accepted

300

When should you provide SA verbal praise during his day?

Bonus: Give an example

when he is doing positive behaviours

300

If you would like SA to brush his teeth before going outside, how could you communicate this to him?

first/then with PECS

300

If SA is in level 2 on the escalation continuum (aggression to others level 2 and banging), after how many minutes of unsuccessful redirection should staff utilize the ½ door?

Bonus: what happens if during ½ door protocol he is leaving the building or at risk of harming himself?

10 minutes

Bonus: pursue at safe distance, intervene to ensure safety (stop ½ door protocol)

300

When do we record on video monitoring sheets?

Anytime we watch the camera’s during an escalation while in ½ door and SA leaves line of vision (goes around the corner) or when ETO is happening (staff in kitchen with entire door closed) – while escalated

400

Why is it important to focus on SA's strengths?

helps with skill growth and development

400

Why is it important to present SA’s day to him in a visual first/then format?

Sets expectations, begins to develop a routine or structure in his day which provides consistency and predictability and gives SA a sense of safety – knows what to expect

400

When can staff re-engage with SA during ½ protocol?

Bonus: when does ½ protocol turn to ETO?


After 5 minutes of no level 2 or 3 behaviours

Level 3 behaviours, targeting top of ½ door

400

What is the comment section for on the daily data collection sheet?

Any notable occurrences, antecedents, any positive behaviours, anytime further clarification is needed

500

Why is it important to build rapport with Sam?

He needs to feel safe and comfortable with his staff

500

What forms of communication should staff accept?

Bonus: Name one time you would model the “help” sign for SA?

All of them!!

Bonus: When he is escalating, when you help him with something

500

True or False: it is recommended to continually talk to SA while he is highly escalated (level 3) using lots of words and placing demands such as "show me what you want?"

Bonus: what do we do when SA is in level 3?

False


Remain calm, utilize ETO

500

If SA has grabbed staff’s wrists 4 times in a row (redirection was not successful) and as the staff were removing themselves to start ½ door protocol he hit his head multiple times, how would you record the behaviours on his data collection sheet?

Bonus: what other data sheets would you fill out in this scenario if he escalated to level 3?


1 tally for aggression to others level 2 and 1 tally for SIB level 3

½ door, ETO, video monitoring