Bio-Psychosocial Approach
When should we use a bio-psycho-social approach (daily strategies)?
All the time
Why do we use positive behaviour strategies when supporting CL?
They focus on skill development. Work towards developing replacement behaviours
What would CL be observed doing in level 1 of the escalation continuum ?
Who should be recording data on the daily data sheets?
Everyone!
Why is it important to incorporate choice?
Bonus: Name three ways to incorporate choice
To provide a sense of control and autonomy
Bonus: between activities, between foods, between tasks, order of activity,
True or false
CL should ONLY engage in calming strategies when he is upset?
False, Modelling the exercises and having him participate while he is already calm will increase the chance he will be open to it and participate when he really needs it as he will be familiar with it
When CL is in level 1, name 2 of the things we should do?
If CL says excuse me when trying to get your attention, how do you mark it on the data sheet?
Request Attention – independent
When should you provide CL verbal praise during his day?
Bonus: Give an example
When he is engaging in positive behaviours throughout his day
How long is CL’s proper morning shower for his incentive program?
5 minutes
True or False
When CL is at level 2 (verbal aggression, hitting the walls, raising fist at staff) this is a good teachable moment and we should tell CL what he is doing wrong and it is not appropriate behaviour
False
How many checkmarks for behaviours for decrease (escalations) on the data sheet before CL does not earn his incentive
3
Why is it important to focus on CL’s strengths?
helps with skill growth and development, build confidence
If CL does not say excuse me when trying to gain staff’s attention, what should staff do?
Wait with an expectant look
When do staff go into the office or kitchen during CL’s escalation?
Level 3 or when redirection isn’t working in level 2
When do staff send data to the RSA consultant ?
Monthly
Why is consistency important
Safety (predictability – knows what to expect), trust (reliability)
True or False
The incentive program is to teach CL what to do and give consequences for "bad" behaviour
False, it is to increase skills of daily living
When do we re-engage with CL after an escalation at level 2 or 3
Absence of behaviours for decrease
If he is sitting and has done some deep beathing, appears calm
When do staff fill out an ABC
New behaviour or event that isn’t an SO that needs more explanation