DB
RH
Emergency
General
100

What is DB's current phone schedule?

AM 9-10, 11:30 - 12:30pm and 2- 3pm (Can be 8-9 on Sundays)

PM (4:30 - 5:30pm and 7-9pm)

100

What is RH's NCR schedule?

Hourly asking - 3 questions (how are you doing? what would you like to do by yourself? what would you like to do with staff?)
100

If a client is moving towards the direction of the street with statements of self harm, the plan is... 

staff will use a medium level CPI hold to escort  back to safety

100

What does P.A.C.E stand for? Give an example related to each client

Playful, Acceptance, Curiosity, and Empathy

200

Give an example of an essential demand for DB

i.e. expressing emotions and feelings throughout the day
200

Give an example of essential demand for RH

i.e. using the van for regulation and going back into the community

200

If client is disrobing in a public location, plan is to... 

staff will use 2-person standing escort (CPI) to move client in the direction of safety. Duration of hold/escort will be maintained until client is returned to a safe location (i.e. her bedroom/inside). Once client is returned to a safe location discontinue the hold (unless other R1 behavior is present) and nurture recovery at first signs of tension reduction.

200

Give an example of reinforcing smaller instances of R2 behaviors for clients

Why is this important?

i.e. requesting for information, providing a realistic timeline, reassurance of information being correct

Reinforcement of R2 behaviors can support de-escalation and hopefully avoid R2 behaviors

300

Give an example of non-essential demand for DB

i.e. cleaning living room

300

Give an example of a non-essential demand for RH

i.e. building 100% independence on ADLs
300

What are the 3 levels of aggression and when does CPI come in?

  • 1)— low level punching and/or kicking in the direction of others.  

  • 2)— moderate level kicking, biting, throwing objects in the direction of others (no potential for injury to self/others) 

  • 3)— severe level kicking, biting, throwing objects in the direction of others (potential for injury to self/others) 


Level 3


300

When should data be collected?

Real time, as soon as possible

400

What is a private event? What is an example of DB tacting a private event? 

Why is this important for her plan?

An internal behavior (feelings, thoughts, sensations)

Tacting = labeling

Saying out loud the uncomfortable thing, Name it to tame it (helps with being present and de-escalation)

400

What is RH's community coping plan?

If going to back to back locations, deep breaths before leaving, use items to check in (dookie, cat, etc...), deep breaths between locations
400

Give me 3 ways to nurture recovery

What is RH's 5150 return plan (knock on wood we don't need it again!)?

When Becky returns from a 5150-hold staff will do the following: 

  • Create a routine for setting limits paired with 

  • favorite movie 

  • couch time 

  • preferred meal 

400

If we have staff covering from another home/temp agency, what is recommended: 

Covering staff be in charge of ADL support

Regular staff in charge of clinical RBT type support

500

What is a preventative measure for private events?

Mood Meter offered at least 3 times per shift

500

What is an example of a risk mitigation for RH if there is not sufficient staff for community outing? 

  • 1:1 support with school type work 

  • Do beading with staff support

  • Do a puzzle

  • Go for a walk 

500

Name 5 ways to earn points

Green Space

Coping Practice

Group Activities

Focused 1:1 support time