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PERMIAN BASIN COMMUNITY CENTERS

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PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORYA STORM
CALLED
MARY
Mary is bright, with the ability to read and write; she is social
and well informed on current events; both in the lives of staff and the community! She can identify the cost of items and pay for them with minimal assistance. She is capable of taking care of all of her ADL’s, but may refuse. She is kind and cruel; helpful and obstructive; caring and destructive; loveable and unbearable.
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
The Perfect Storm
• Torrential Downpour in the Home
Individual 1 with behaviors physically and medically dangerous to self and others
Individual 2 with severe uncontrolled atypical seizures as well as behaviors dangerous to self and others
• Overt Despair of Staff and 1st Level Supervisor
• Requirement of Least Restrictive Environment
• Meeting Needs in a Behavioral Crisis (in the community)
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
TAKING COVER
• Vanquish negativity
• Require availability of management staff
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
PLAN BASICS
1. If Mary chooses to engage in fecal digging and smearing, Mary must complete the following activities prior to engaging in Day Hab or other activities of her choice:
Clean and sanitize all visible evidence of digging or smearing
Refrain from exhibiting physical or verbal abuse toward others
2. If Mary chooses to visit her grandmother on Saturdays, she will: refrain from digging or smearing on Friday night and from exhibiting physical or verbal abuse toward others on Saturday morning.
3. If Mary chooses to participate in community outings (including dining out on Tuesdays and Fridays and at Breaking Bread on Wednesdays) she will refrain from exhibiting physical or verbal abuse toward others.
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
Selling The Plan
staff cheat sheet for easy access
• Leave room for flexibility
• Absolve staff from responsibility of controlling the behavior
• Note to staff that their mindset must change from authoritarian to the mentor, ask staff to reframe their requests, to remind the individual what their plan says, to keep responses minimal and to stay calm – mentor staff whenever possible. Provide feedback to staff as well.
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
Selling The Plan
• Validated Mary’s worth
• Validated her need for interpersonal relationships
• Talked to her about the target behaviors, anal digging, fecal smearing, bullying, and non-compliance
• Asked her if she wanted help
• Let her know she was in control of her behaviors
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
THREE WEEKS OF SHOCK AND AWESOME
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
GOING HOME
GOING FORWARD
• We as Providers and the Local Authority must be more aware of the implications of:
Federal Rulings and Mandates
Implementation of those by the State of Texas and DADS
Petition for tools to implement the rulings and mandates before they become law
PERMIAN BASIN COMMUNITY CENTERS BEHAVIOR TREATMENT: A SUCCESS STORY
GOOD NEWS
Permian Basin Community Centers