Planned
The Assigned Coordinator will complete this document with agreed upon goals and strategies and submit to STC Team Lead within 3 days and begins coaching sessions within 10 days following staffing.
What is the Planned Admission Summary?
Occurs ___ times per ____.
What is _2-3_ times per _month_.
Emergency coaching can be used up to ___ hours per day for a maximum of ___ hours.
What is _six_ hours per day for a maximum of _72_ hours?
Embedded in all aspects of START services, this approach allows for the assessment of the strengths, skills, and interests of the person and their caregivers along with an integration of strengths, skills, and interests into proactive, skill-building activities and interventions to support vulnerabilities and triggers that may lead to crises. Common interventions associated with this approach used in STC include mindfulness, gratitude exercises, strength spotting, and health and wellness strategies.
What is Positive Psychology?
Who is eligible to receive therapeutic coaching services?
What is all individuals enrolled in START are eligible for planned and emergency therapeutic coaching services?
What four documents are required prior to an admission to planned coaching?
What is a START Intake, CSCPIP, START Therapeutic Coaching Safety Assessment, and START Therapeutic Coaching Planned Admission Summary.
Name at least two global goals that are achieved through therapeutic coaching visits.
What is:
1. Strength-spotting
2. Observation
3. Providing wellness strategies that promote PERMA+
Name the three goals of emergency coaching.
What is safety, stability, and assessment?
This approach is used to improve mental wellness and focuses on changing and shifting unhelpful thoughts and beliefs. Principles used in coaching guide the person toward more positive emotions and interactions. The interventions related to this approach that are frequently used in STC are reframing, sensory regulation, emotional regulation, and goal setting.
What is Cognitive Behavioral Therapeutic (CBT) Approaches?
Name two places you can access up to date necessary documentation for STC.
What is:
1. Moodlerooms
2. Teams/SharePoint/OneDrive
Includes: STC Manual, STC Activities Toolkit, STC Planned & Emergency Admission/Discharge Summary, STC Visit Plan, Blank Safety Assessment, STC Discharge Planning & Observation Note, Communication Assessment, Happiness Assessment, Sensory Checklist, Leisure Interest Survey, Monthly Sleep Chart, etc.
Name at least 3 ways the assigned coordinator can communicate with a member of STC to receive an update on their individual’s progress.
What is:
1. Contact STC team member directly
2. Schedule a team meeting
3. Morning triage
4. Attend STC group supervision
True/False: An admission/discharge summary is required for therapeutic coaching visits.
What is false.
An admission/discharge summary is not required for therapeutic coaching visits. The STC Visit Plan is used to create a plan and structure for visits. It is recommended that the initial staffing/discussion be used to help develop a focused approach and purpose to the visits.
Emergency coaching services are assessed by the START team every ___ hours and a formal discharge meeting with the system of support is held within ___ hours to determine stability and safety, disposition, and transition planning.
What is emergency coaching services are assessed by the START team every _24_ hours and a formal discharge meeting with the system of support is held within _72_ hours to determine stability and safety, disposition, and transition planning.
This approach is an evidence-based set of techniques that involves a balance between strength-spotting and supporting a person in identifying ideas and solutions. All START team members apply these techniques to START interventions and engage individuals and systems to shift their perceptions, attitudes, and behavior to achieve the goals they have identified as important.
What is Motivational Interviewing?
Name of the members of the START team who play a role in screening for an admission to therapeutic coaching.
What is the STC Team Lead, Assigned Coordinator and/or On-Call coordinator, and Clinical Director?
What are the four phases implemented through planned STC?
What is:
Phase 1. Joining, planning, observation, and assessment (also known as rapport building)
Phase 2. Implementing new strategies, skills, and interventions
Phase 3. Mastering strategies, skills and interventions
Phase 4. Discharge
What START documents are necessary to begin therapeutic coaching visits?
What is a START Intake, CSCPIP (Provisional is accepted if less than 45 days from enrollment), START Therapeutic Coaching Visit Plan, and Safety Assessment.
*A Safety Assessment is required for each environment coaching visits will take place.
This document is reviewed and updated by the assigned coordinator during the discharge planning meeting to reflect new or enhanced positive interventions as a result of therapeutic coaching.
What is the Cross-Systems Crisis Prevention and Intervention Plan (CSCPIP)?
Name at least 4 out of the 6 adaptive approaches that are used by START team members.
What is:
1. Schedules
2. Communication Strategies
3. Visual Supports
4. Environmental Cues
5. Community Skills & Access
6. Self-Care
What is the process if a crisis occurs during coaching?
What is STC Coach will contact STC Team Lead, On-Call Coordinator, AOC and/or other START leadership team members to determine next steps and provide additional support?
SCENARIO
Coach is completing a planned session with Hannah, a 28-year-old female who has borderline personality disorder, mild ID, hypertension, and hypothyroidism. During the session, she disclosed to the coach that she hates her group home and wants to leave. She talked to the coach about her plan to leave, which involved leaving through her bedroom window in the middle of the night. What are the next steps the coach should take?
What is:
1. Let the group home staff know so they can closely observe Hannah throughout the night and ensure safety
2. Contact STC Team Lead, On-Call Coordinator and/or AOC to prepare for potential crisis
Name at least five assessments that can be completed during therapeutic coaching visits.
What is:
1. Communication Assessment
2. Happiness Assessment
3. Sensory Checklist
4. Leisure Interest Survey
5. PERMA+ Assessment
6. Strength-Spotting Assessment
7. Sleep Chart
*DAILY DOUBLE*
Name three examples of interventions/approaches that can be utilized during emergency coaching sessions.
What is:
1. Positive Psychology: Mindfulness techniques to support calming and grounding
2. Engaging in a preferred activity to support positive rapport building with the individual and their support system
3. Data collection and review: communication assessment, PERMA+ assessment, Strength Spotting assessment, sensory checklist
4. Adaptive strategies: supporting a schedule to ensure safety, visual aids for reminders of coping skills
5. Expressive therapeutic strategies: drawing, painting, listening to music
6. Trauma-Informed Approaches
Using this approach can promote wellness and enhance the work of the START Coordinator with the system of support. It enhances the ability of the team to assess progress towards identified therapeutic goals. When utilizing this approach, we can observe progress towards goals in a more objective way and track positive outcomes.
Identify this STC approach and provide one example of how it is utilized in a coaching session.
What is Data Collection and Review?
Data Collection and Review is utilized in STC to promote wellness, treatment and crisis planning by completing one of the coaching assessments (communication, PERMA, mood/sleep/eating trackers, daily checklist etc.).
*DAILY DOUBLE*
Name at least 5 reasons for an admission to STC.
What is:
1. An alternative to a mental health in-patient admission (emergency coaching)
2. A tool to identify support strategies that are positive, enjoyable, and promote mental wellness (Positive Psychology, PERMA+)
3. A resource for assessment and support to someone in distress (mental health coaching)
4. Ongoing support to a person and family/caregiver in their community (caregiver coaching)
5. Coaching and education for family and support staff on positive, effective support strategies
6. Continued assessment of biopsychosocial factors that may contribute to crisis
7. Increase the likelihood that the person can maintain their preferred community living situation
8. Transition successful intervention strategies to the person's home setting
9. Provide support if a person is unable to leave their home for therapeutic intervention
10. Additional support prior to or following ED or hospital stay to support in transitioning back into the community