Aggressive Behaviors
What should you do if a client is aggressive toward you?
Seek support! Rely on CPI techniques! Safety Plan!
What term do we call factors that influence whether a behavior will occur?
Antecedents or Precipitating Factors
What is the CPI recommended staff approach to someone presenting with "Anxiety" level?
Supportive Approach
How long do you have to report an incident to your supervisor?
Immediately! Staff incidents as soon as possible
True or False: Setting expectations is best practiced in collaboration with clients.
True! Clients are more likely to buy-in when their voices are heard
Prevent, Predict, Plan.
Write your Safety Plans with details!!!
What term do we call factors that influence whether or not behaviors will occur in the future?
Consequences
What is the CPI recommended staff approach to someone presenting with "Defensive" level?
Directive Approach
How long does your supervisor have to report Critical Incidents to the State?
24 hours. That's why it is extremely important to report incidents immediately to your supervisor
What is Planned Ignoring useful for addressing? For bonus 50 points: When should it NOT be used?
Planned Ignoring is useful for addressing attention-seeking behaviors, so the behavior is not reinforced by the adult's attention.
Bonus: Planned Ignoring should NOT be used when safety is at risk!
Low levels of which neurotransmitter are implicated in aggressive behaviors?
Serotonin
Short-term antecedents/precipitating factors
What is the CPI recommended staff approach to someone presenting with "Tension Reduction" level?
Therapeutic Rapport
A client threatens to key your car because you did not follow through with a recommendation they wanted. Is this an incident?
Yes! Threats are always documented through incident reports
If a client is getting extremely frustrated with the activity you're trying to facilitate with them and escalating their behaviors, what intervention might you apply?
Change activities!
What theory of aggressive behavior would "machismo" fall under?
Sociocultural norms
Lack of housing, domestic violence, and abuse/neglect are all examples of what type of antecedent/precipitating factor?
Long-term antecedents/precipitating factors
What is the CPI recommended staff approach to someone presenting with "Risk Behaviors" level?
Safety Interventions
Where is the current copy of the Incident Report located in G-Drive?
Employee Resources Shared Drive
"Since you were unkind to your peers, they no longer want to play with you," is an example of what type of consequence?
Natural Consequence
What 3 brain structures are implicated in aggression? (200 points for each)
Frontal Lobe, Hypothalamus, Amygdala (Limbic System)
True or False: Consequences and punishment are the same.
False! Punishment is a deliberate and negative response to an action, whereas consequences are the natural or logical outcome of an action. Punishment has been proven to be less effective and can be harmful to children.
What are the two types of Safety Interventions we can apply?
Non-Restrictive and Restrictive Interventions
What constitutes a Critical Incident or Sentinel Event? (100 points for each correct answer)
Severe, Permanent Harm; Missing Person (Abduction, Elopement), Sexual Abuse/Assault; Fire; Death
"Since you were throwing the Legos, you won't be allowed to play them anymore today," is an example of what type of consequence?
Logical Consequence
Who all needs to be notified if a client has intent and plan to harm or kill someone else?
The client's guardian (if applicable), supervisors, the person they intend to harm/kill, JPO (if applicable).
The Tarasoff rule establishes a duty to warn and protect potential victims of violence by a client. Staff these incidents IMMEDIATELY with your supervisor!
If a client's behaviors are difficult to work with, what might you complete to better understand the ABC's?
A behavior map! (or a Safety Plan)
How often do you need to renew your CPI training?
Every year
What's the process for addressing abuse/neglect of a child that is disclosed to you in session?
1. Staff this with your supervisor
2. Generate an Incident Report
3. Call SCI (CYFD State Centralwide Intake), with client/family if possible
4. Document SCI operator number and case number in your Incident Report
5. Work with the family on updating the Safety Plan
Placing a child into a therapeutic hold is an example of what type of intervention?
Physical, Restrictive Intervention (ALWAYS a last resort!!)