Writing a Safety Crisis Plan Operationalizing DD 4.300 Series #02 - - PowerPoint PPT Presentation

▶
writing a safety crisis plan
SMART_READER_LITE
LIVE PREVIEW

Writing a Safety Crisis Plan Operationalizing DD 4.300 Series #02 - - PowerPoint PPT Presentation

Sep 08, 2023 175 likes •727 views

Writing a Safety Crisis Plan Operationalizing DD 4.300 Series #02 Objectives Today you will learn A Quick Review of DD4.300 Definitions of Reactive Strategies and Safety Crisis Plan Answers to some common questions regarding

slide-1
SLIDE 1

Operationalizing DD 4.300 Series #02

Writing a Safety Crisis Plan

slide-2
SLIDE 2

Objectives

Today you will learn A Quick Review of DD4.300 Definitions of “Reactive Strategies” and “Safety Crisis Plan” Answers to some common questions regarding Safety Crisis Plans Common factors that should be considered when writing a Safety Crisis Plan Components of a Safety Crisis Plan and their purpose

slide-3
SLIDE 3

Quick Review of DD 4.30 0

HCBS Compliance for the use of reactive strategies and restrictive interventions Responsibilities across the system

slide-4
SLIDE 4

DD 4.300 Requirements

Used 1 Reactive strategy that is restrictive OR history of need Safety Crisis Plan

Reactive Strategy Threshold Reached

RST - Use of 5 or more reactive strategies that are restrictive in 1 month period

Planning Team Review Reactive Strategy Threshold Reached for 3 Consecutive Quarters Consider Referral to RBSRC Reactive Strategy Threshold Reached for 3 or more Quarters in a 2 year period

Team required to consider Behavioral Services

NOTE 1 – Behavior Services can be considered any tim e in the process and it is recom m ended that consideration be given as early as possible

slide-5
SLIDE 5

Reactive strategies, restrictive interventions and rights restrictions

Are related, sometimes one strategy is all three, sometimes not Context is important and must be considered Restrictive Interventions is a CMS term and definition

Rights restrictions

Restrictive interventions

Reactive Strategies

slide-6
SLIDE 6

Classifying Strategies: Reactive Strategies

Reactive strategies

Rights restrictions Restrictive interventions

  • Is it used in response to an

undesirable behavior?

  • Is the aim of the strategy to bring

about an immediate change in the environment, situation or behavior?

  • (To reduce risk associated with the

behavior?)

slide-7
SLIDE 7

Classifying Strategies: Restrictive Interventions

Reactive strategies Rights restrictions

Restrictive interventions

  • Is it an intervention that restricts

movement, access to other individuals, locations, activities, or personal objects?

  • Is it an intervention that restricts

rights?

  • Does it employ aversive methods?
slide-8
SLIDE 8

Classifying Strategies: Rights Restrictions

Reactive strategies

Rights restrictions

Restrictive interventions

  • Does it place a limitation of any

general liberties that are available to all citizens?

  • Does it limit freedom of movement?
  • Does it limit choice?
  • Does it limit communication with
  • thers?
  • Does it limit leisure activities,

personal property or $, access to parts

  • f the home or community?
  • Does it limit any of the rights assured

to clients of the Department of Mental Health?

  • Does it promote treating the person

with respect, dignity and least restrictive environment?

slide-9
SLIDE 9

The Requirements

Safety Crisis Plan

slide-10
SLIDE 10

Plan to prevent crisis Respond appropriately if it happens

slide-11
SLIDE 11

Common Questions Who is qualified to create an SCP? Who writes the plan? Who is responsible for the plan? Who initiates the plan? Who approves the plan?

slide-12
SLIDE 12

Common Questions Who is qualified to create an SCP?

slide-13
SLIDE 13

Common Questions Who writes the plan?

slide-14
SLIDE 14

Common Questions Who is responsible for the plan?

slide-15
SLIDE 15

Common Questions Who initiates the plan?

slide-16
SLIDE 16

Common Questions Who approves the plan?

slide-17
SLIDE 17

Who Makes up the Planning Team? All the people (including the individuals themselves) that work together to support an individual living in the community

slide-18
SLIDE 18

What makes a

slide-19
SLIDE 19

What we typically think… The Crisis Cycle

slide-20
SLIDE 20

But it could be… The Crisis Cycle

slide-21
SLIDE 21

We also don’t realize… The Crisis Cycle

slide-22
SLIDE 22

The Crisis Cycle

Argument with housemate No gas to go out Another argument with housemate Staff are coercive 1:1 staff within arms reach Make up with Housemate Watches favorite TV show instead Goes for a walk Staff check-in frequently (stay close)

slide-23
SLIDE 23

What To Do?

slide-24
SLIDE 24

What to Do?

Crisis E Eve vent

<--over the course of m inutes or hours-->

slide-25
SLIDE 25

What to Do?

Plan and Prevent

slide-26
SLIDE 26
slide-27
SLIDE 27
slide-28
SLIDE 28
slide-29
SLIDE 29
slide-30
SLIDE 30
slide-31
SLIDE 31

VS

SHORT seconds to m inutes LONG hours to days

slide-32
SLIDE 32

Hey, what do you think?

slide-33
SLIDE 33
slide-34
SLIDE 34
slide-35
SLIDE 35
slide-36
SLIDE 36

Putting it All Together into a Plan

slide-37
SLIDE 37

Putting it All Together

slide-38
SLIDE 38

Putting it All Together

slide-39
SLIDE 39

Putting it All Together

slide-40
SLIDE 40

Putting it All Together

slide-41
SLIDE 41

Putting it All Together

slide-42
SLIDE 42

Putting it All Together

slide-43
SLIDE 43

Putting it All Together

slide-44
SLIDE 44

Putting it All Together

slide-45
SLIDE 45

Putting it All Together

slide-46
SLIDE 46

Putting it All Together

slide-47
SLIDE 47

Putting it All Together

slide-48
SLIDE 48

Putting it All Together

slide-49
SLIDE 49

Putting it All Together

slide-50
SLIDE 50

Putting it All Together

slide-51
SLIDE 51

Putting it All Together

slide-52
SLIDE 52

Putting it All Together

slide-53
SLIDE 53

CONCLUSI ON

slide-54
SLIDE 54

Contacts

Central Office Chief Behavior Analyst

  • Dr. Teresa Rodgers

Teresa.Rodgers@dmh.mo.gov

ERABA Melantha Witherspoon Melantha.Witherspoon@dmh.mo.gov CRABA Lucas Evans Lucas.Evans2@dmh.mo.gov WRABA Rita Cooper Rita.Cooper@dmh.mo.gov