PCM Overview
What does PCMA stand for?
Professional Crisis Management
Stage 3?
behavior - CASH
thinking - irrational
feeling - inappropriate
physiology - maximum arousal
Criteria for implementing transportation?
CASH/clinical judgement for imminent harm
what to you do in response to inconsequential verbal assaults?
non-reactive response
how often do have to re-certify?
yearly, with 90-day grace period after annual date
Delivering immediate/detailed information to an individual after crisis behaviors has been displayed
What is feedback?
Stage 1?
behavior - on task
thinking - reasonable
feeling - appropriate
physiology - relaxed
When do you not use transportation?
non-continuous behavior, low intensity
for types of verbal praise?
individual callout
group callout
pivot
quiet praise
What is the difference between scanning and tracking?
scanning - whole classroom
tracking - one individual
A Crisis
What is CASH?
Stage 4?
behavior - on task
thinking - reasonable
physiology - neutral/negative
physiology - heightened/subdued
What is fading in PCM?
systematically using less restrictive transportation procedures
pre-req behaviors necessary for performing a variety of more complex skills
What is peeling?
using your thumbs/hands to push/pull/gently remove whatever hand or foot is being used to hold onto staff or objects
What can a Prac 1 do?
non-physical strategies, personal safety, transportation, vertical immobilization
Stage 2?
behavior - off task
thinking - unreasonable
feeling - inappropriate
physiology - heightened
What happens as transportation procedures are more stable?
safety for everyone increases
How do you reintroduce praise after a crisis?
slowly, low magnitude, subtle forms of low-key verbal/gestural praise
Four guiding principles?
respect for human dignity, freedom of choice, least restrictive alternative, continuous feedback
4 primary strategies?
crisis prevention, crisis de-escalation, crisis intervention, post crisis
Match each stage with the appropriate strategy.
Stage 1 - stable function, prevention strategies
Stage 2 - pre-crisis, de-escalation strategies
Stage 3 - crisis, crisis intervention
Stage 4 - post crisis, post-crisis strategies
What do you do when behavior is maladaptive but does not meet criteria for transportation?
non-physical strategies and regular treatment
Name a setting strategy
place, person, proximity
CRITIAL ITEMS
Palms position in supine vs prone BARR?
Transportation criteria?
horizontal criteria?
BARR - brief assisted required relaxation
supine - palms down, prone - palms up
CASH
imminent breakdown/actual breakdown, safety equipment, prac 2s or above