Egregious
This is what "Egregious" means
"Egregious" is an adjective meaning extremely bad, glaringly offensive, or outrageously noticeable, often used to describe serious errors, misconduct, or violations
What does BCA stand for and what does it mean?
Behavior Chain Analysis : a structured, step‑by‑step process that breaks down a specific problem behavior into its before>during>after parts involving triggers, thoughts, feelings, and consequences, so you can see the full “chain” and identify where and how to intervene for change
What is "All-or-Nothing" thinking?
What is a "Dairy Card"?
A diary card is a daily self‑monitoring worksheet used in DBT to track emotions, urges, behaviors, and skills, helping clients and therapists identify patterns and guide treatment
Why bother with DBT skills or dealing things you don't like?
Pain is a part of life and can't always be avoided
If you cant deal with pain, you might act impulsively
If you act impulsively, you may end up hurting someone, or at least not getting what you want
What are some examples of behavior that could be described as "egregious"?
• Aggressive behaviors
• Escape/Attempted Escape
• Exposure/Masturbating in an obvious way
• Significant property damage
• Possession of Contraband
• Extortion
• Creating an unsafe environment/substantial disruption of Program
Whats the point of doing a BCA?
A BCA can show specific instances during an event that need to have special attention in order to learn from (i.e. like watching the highlight reel after a football game)
Its not just a checkbox to look good!
What is "Overgeneralization"?
Thinking always/never;
Conclusions based on one piece of negative evidence; Global assumptions/Assuming the worst;
Examples: “I’ll be locked up the rest of my life.” … “Nobody cares about kids in Phoenix, they always saying we can’t promote.”
What is the point of doing a diary card?
To help clients and therapists identify patterns and guide treatment
If you track it, you can change it
Crisis survival skill(s) are often in reference to ___.
DOUBLE POINTS if you can role-play!
Skills that are designed for intense situations that need quick resolution
STOP, TIPP, Pro/Cons
Why is are egregious behaviors concerning?
When these types of Behaviors occur on the dorms they can:
• Create an unsafe environment for youth and staff
• Increase chances of someone (youth or staff) getting hurt or seriously injured
• Prevent participation in regular programming
• Impact youth MLOS, transition plans, treatment progress
• Lead to additional charges
What is a "Vulnerability"?
Conditions or situations that increase the likelihood of engaging in a problem behavior (beliefs, skills, environmental cues, etc)
Rigid rules; criticism of self/others; Expectations that are based on interpretation and are typically unrealistic, inflexible, and disconnected from context and can make people behave in a way that goes against the current environment
Examples: “You should have known better” … “Staff know what this pod is like; they should have known what would happen.”
How is an "Urge" different than a thought or feeling?
An urge is an impulse to act, while a thought is a mental event (words/images) and a feeling is an emotional state in the body
Urges are the “do something” signal that can follow thoughts or feelings, but are not the same as them
"Self-Soothe" involves how many things?
DOUBLE POINTS if you role-play!
6: sight, hearing, smell, taste, touch, and movement
What is "EBP" and why should I care?
The Egregious Behavior Protocol is a type of safety plan that restores order to the dorm and gives the offending youth a chance to learn how to improve
If a BCA shows the "function" of a behavior, what is that?
The function of the behavior shows what purpose it served by engaging in it
What is "Mind Reading"? ..and how is it different than "Fortune Telling"?
Mind Reading is assuming someone else's thoughts, making assumptions/conclusions without evidence
Examples: “He thinks I’m crazy and jsut blowing this out of proportion.” ….. "They’re going to demote me anyway so why bother”
Fortune Telling is making predictions without evidence
Examples: “I came to Phoenix so I know the next stop will be county/prison” … “I cant/wont change”
What is a "driver"?
This can be anything that pushes the desire to engage in a behavior. Usually these are identified in a BCA as a link that shows up right before an action and "drives" you to engage in it
DEARMAN, FAST, and GIVE often get confused. What is the difference?
DOUOBLE POINTS if you can role-play!
DEARMAN: to get what you want, or say "no"
FAST: stay true to yourself when practicing boundaries
GIVE: make/keep a relationship
Who can put me on EBP? ...and who can take me off?
Any staff can initiate, and the YST can remove, but it ALL depends on the youth's willingness to participate and improve
BCAs often come up in response to egregious behavior, but when else could they be done?
BCAs can be done for ANY behavior, including good ones! A BCA can help strengthen your abilities by showing how well you executed a skill and/or refrained from unsafe/unhealthy behavior
What is "Emotional Reasoning"?
Emotions/assumptions accepted as fact >> I feel it, therefore it’s true
Examples: “I feel like an idiot, so I must be one.” …. “It feels like he’s doing it on purpose so he must be.”
EMOTIONS ARE NOT FACTS (so check 'em before you 'em)
Is there a "wrong way" to do a diary card?
As long as what you put down and discuss is the truth, its all good
If I know skills, why should I still "cope ahead" ?
DOUBLE POINTS if able to role-play!
Research has shown that skills can be strengthened simply by imagining and practicing in our minds.
If you have been paying attention to your BCAs and Diary Cards, you know there are certain times you'll need to be prepared for so you dont make things harder than it has to be.