Boundaries and Professionalism
True or False: It is a boundary violation to accept a handmade birthday card from a client on your birthday.
False
True or False: Harm reduction strategies aim to empower individuals who misuse substances to make their own decisions and define recovery in their own terms.
True
True or False: Trauma occurs at every socioeconomic level, across all ethnicities and cultures, within all religions, and at all levels of education.
True
Describe the practice of using de-escalation tools?
Individuals are encouraged to use purposeful actions, verbal communications, and body language to calm a potentially dangerous situation. Your safety and the safety of others is the highest priority.
Elder abuse is an intentional or negligent act by any person that causes harm or a serious risk of harm to an older adult.
You are walking down the street with your partner and see a client you are currently working with, walking down the street towards you, they look your way, what do you do?
- Make eye contact and see what they want to do
- Nod a brief hello to them
An intervention to reduce the negative effects of substance use.
TIC is an approach that acknowledges the existence and significance trauma (past and present) plays in the health and recovery of our patients/clients.
What is the purpose/goal of De-Escalation?
To reduce a person's agitation and prevent violent incidents.
What are some questions you can ask to assess if someone you feel is being abused?
-How do you feel about the care you are receiving?
-When was the last time you ate?
-Has anyone been rough with you, like grabbing or pushing you?
A client approaches you at work and starts asking about your personal life. If you are married, have any children. What is your response?
Acknowledge you heard them, however, divert the conversation to another topic. Gently remind them you prefer not to speak about your personal life at work but appreciate their interest.
What is the goal/purpose of Harm Reduction?
Keep people alive and encourage positive change.
What is the goal/purpose of Trauma Informed Care?
If a client becomes verbally abusive and calls you a name that you find extremely offensive and upsetting, you should:
Be aware of how upset you may be feeling and either take a break, get support, or end the meeting.
What is the most under reported type of abuse in the US?
Caregiver Neglect
A client gets engaged and says that they will invite you to their wedding. They express that they would really like for you to be there. What is your response?
Let them know you appreciate the invitation; however, you prefer to keep a professional relationship and wish them well/congratulations on their engagement.
Name an example of Harm Reduction?
- Syringe services programs (SSP's)
- Safe Consumption Sites (SCFs) or Overdose Prevention Centers (OPCs)
- Naloxone and fentanyl test strip access programs
Provide 1 of the 6 Core Principles of Trauma Informed Care
- Safety
- Trustworthiness and Transparency
- Peer Support
- Collaboration and Mutuality
- Empowerment, Voice, and Choice
- Cultural, Historical, and Gender Issues
What is your BEST course of action if you feel that you are in danger in a healthcare setting?
Leave as soon as you can, notify management, and get support.
Risk Assessment Questions to Ask Yourself if you suspect Elder Abuse.
- Does your loved one seem withdrawn or in a bad mood?
- Are they not making eye contact with you or others?
- Have you noticed unexplained cuts, bruises, or other injuries?
- Do they suffer from poor hygiene, or are they not adequately clothed? 5. Have they been overmedicated, missed doses, or had other medication errors?
You are working with a client who you believe is becoming attracted to you. They begin to flirt with you after having a meeting regarding their case. What is your response?
- Inform your direct supervisor so they are aware of the situation.
- Have a meeting/conversation with guest and set boundaries that it is inappropriate to flirt or make comments suggesting otherwise.
What is the difference, similarity, and relationship between harm reduction and abstinence?
Difference: Harm Reduction is an approach that empowers the individual in meeting them where they are at. Abstinence rquires them to abstain from all substance use.
Similarity: They are both approaches that can be taken to reduce the harm caused by substance use.
Relationship: Harm Reduction model aims to reach abstinence but allows for the guest to reach this point on their own while keeping them safe
Types of Trauma That Often Result in Mental Health & Substance Use Problems
- Interpersonal in nature: intentional, prolonged, repeated, severe
- Sexual & physical abuse, severe neglect, emotional abuse
- Witnessing violence, repeated abandonment, sudden and traumatic loss
- Often occurs in childhood and adolescence and may extend over an individual's life span
Define a Crisis
- The individual presents an immediate danger to self or others;
- The individual's mental or physical health is at risk of serious deterioration; or
- An individual believes that he or she presents an immediate danger to self or others, or that his or her mental or physical health is at risk of serious deterioration.
What percentage of financial elder abuse is committed by family members?
2/3 (or 67%)