Leisure 101
Communication
Emergency Safety Plan
De-escalation City
House Wide
100

Name 3 leisure activities.

Music, going for walks, fidget toys, iPad, snack, going on the swings, etc. 

100

You notice Logan swarming the kitchen area when he gets home from school. What should you do?

Prompt communication to see if he might be looking for a snack. 

100

Marcus became escalated and you notice he is pursuing you to aggress. What should your first step be?

Call for staff.
**Use a loud, firm tone to ensure you are heard by others.  

100

Noah had 2 snacks after school. He has not had dinner yet, but has requested more snack 13 times- name one thing you should do. 

1) Reinforce communication request. "Thanks for telling me you were thinking about cookies"

2) Tell Noah that cookies are not available, but that you can talk about that after dinner. 

3) Let Noah know that snacks are not available at the time, and identify another activity he could participate in. 

100

My student is walking around the living room. Should I keep telling them to sit down?

No- this probably means they are looking for an alternative activity or are not engaged in the environment. 

Use their indicating responses as an opportunity to engage in a different activity or work task!

200

What's Jake's favorite YouTube video?

Jack's Big Music Show

200

What should all students have during transitions?

Their communication device!

200

Who should be contacted following an incident/ hold?

-AOC

-Parent/ guardian

-Nursing (if applicable)

200

How long before Mackenley can remove his limiters following an episode?

5 minutes. 

200

What time should students wait to hang out in their bedroom?

6pm. 

**If your student is requesting/ indicating for PT- honor request. Prompt student out of bedroom afterwards. 

300

What time can students hang out in their room?

6pm
300

What should we prompt students to do immediately after returning to the residence?

Retrieve communication device from backpack!! 

300
How long can a physical management procedure last?

We are required to release before 15 minutes duration. 

300

Where should Lin be prompted to complete de-escalation tasks during an episode?

His bedroom with barriers

300

A hold occurred at the house. When is a parent contacted?

As soon as possible- required within 24 hours.
400

How long should James be on the iPad at a time?

20 minutes.

400
Name one reason communication is so important.

1) It allows our students to be understood with people who don't know them very well. 

2) It can replace challenging behavior to get what the student wants/ needs. 


400

What is release criteria for Marcus' holds?

30 seconds calm

400
During a Mackenley episode, he begins to show safe behavior while seated in the chair. What should staff prompt next?
De-escalation activity! 

- matching folder
- puzzle
- insertion task 

400

Your student wants to hang out in their bedroom but it's only 415pm. Name one thing you can do.

1) Prompt the student out into the main living areas.

2) Set a timer before prompting a different location.

3) Utilize student's motivation to prompt interest in another activity.   

500

How do you pair during a leisure activity?

Comment on the activity, attempt to join if the student shows indicators that they are interested in you joining, staff complete an activity with them (e.g. color next to your student while they color too)

500

Justin is in the living room and the environment becomes very loud. You see Justin getting upset- what should you do as his staff?

- Prompt communication to take a break in another area (outside, downstairs, go for a walk)

*We want to teach him functional ways to communicate his needs in the moment. 

500

Mackenley completed a matching folder during an episode, what happens next?

Prompt communication + use indicating responses!

500

What are the steps of Marcus' staff immediately following a hold?

- Prompt space (not directly next to other staff or students)

- Prompt 2 matching folders

- Prompt communication 

500

A student has a seizure for 30 seconds but is okay. What 3 steps should staff complete?

1) Fill out seizure log.

2) Put seizure log in body book. 

3) Notify nursing.