Positive Supports for Orion ISO

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In August of 2015, the State of Minnesota enacted the Positive Support Rule to establish methods, procedures, and standards to be used by providers for the use of positive support strategies with persons receiving services. The purpose is to improve the quality of life of persons with Intellectual Disabilities who are receiving services from licensed programs. This training fulfills seven hours of the training requirements of the State of Minnesota for staff to provide positive supports.

Note: You must watch all of the videos in it’s entirety! If you watch it on the YouTube page, it will not give you credit for watching it.

After watching the videos below, please complete the quiz and click “submit” to complete the training.

Handouts

1. Introduction and Why Behaviors Happen

2. Why Behaviors Happen (cont.)

3. Creating a Behavior-Friendly Environment

4. Creating a Behavior-Friendly Environment (cont.) and Teaching Skills

5. De-escalation Strategies

6. De-escalation Strategies, Part 2

7. The Crisis Stage

8. Crisis Stage (cont.) and the Resolution Stage

9. Ross Greene Webinar

This a webinar done by Ross Greene, the author of "The Explosive Child." He goes into detail to explain why kids with disabilities tend to have explosive behaviors.

10. The effect of trauma on the brain and how it affects behaviors

In his work with trauma patients, Dr. Rigg has observed how the brain is constantly reacting to sensory information, generating non-thinking reactions before our intelligent individual human brains are able to process the event and formulate a self-driven response.

Positive Support Core Training Quiz

Please take this post-test based on the viedos that you just watched. You must pass the test in order to move on.

1. Which of the following is NOT an acceptable situation to use a manual restraint? *

The person is swearing at the staff, and there are not less restrictive alternatives. The person is forcibly hitting a staff, and there are not less restrictive alternatives. The person is forcibly hitting a housemate, and there are not less restrictive alternatives. The person is forcibly hitting his head, and there are not less restrictive alternatives.

1. Please select the correct answer to continue.

2. Which one of these actions is not allowable? *

Calming or comforting by holding Facilitating the completion of a task or activity Time-out Briefly blocking or redirecting the hands of someone hitting himself

2. Please select the correct answer to continue.

3. It is allowable to force a person to take their PRN medication if they are aggressive toward themselves or others. *

True False

3. Please select the correct answer to continue.

4. Staff are allowed to restrain a person face down onto the floor (prone hold). *

True False

4. Please select the correct answer to continue.

5. Which are the two strategies to proactively use to decrease challenging behaviors? (pick two) *

Change the person to meet the needs of the environment. Change the environment to meet the needs of the person. Change the person to meet the needs of the staff. Establish the staff as the authority figures

5. Please select the correct answer to continue.

6. Why should you not use punishments? *

They are prohibited by 245D standards. They often produce an emotional response that prolongs the crisis situation. Due to the person’s cognitive deficits in impulse control and planning skills, the punishment is unlikely to be effective for behavior change. All of the above

6. Please select the correct answer to continue.

7. In which stage of the Behavior Cycle should we try to teach the most skills? *

Optimal Functioning Warning Signs Crisis Resolution

7. Please select the correct answer to continue.

8. In which stage is it least effective to talk to the agitated individual? *

Optimal Functioning Warning Signs Crisis Stage Resolution Stage

8. Please select the correct answer to continue.

9. Which of the following would NOT be considered a Sucker's Choice? *

How can we allow him to make choices he wants and keep him safe? We either force him to take a shower, or he is going to smell. We either lock up the refrigerator, or he is going to keep eating too much food. We either not say anything about cleaning his room, or he is going to have a meltdown.

9. Please select the correct answer to continue.

10. You are cooking spaghetti for dinner. One of your consumers has had a very bad day and says to you, “I want pizza”. Knowing that it is very likely that he will hit you if you say “no”, what are the first words that you would say to avoid a power struggle? *

You want pizza? Let's talk. No You need to eat what I am making. I'm not making pizza.

10. Please select the correct answer to continue.

11. When a person’s agitation level rises, what typically happens with his/her ability to think clearly and rationally? *

It improves It declines Neither are associated with the other

11. Please select the correct answer to continue.

12. Typically, when an individual is in the Resolution stage, the goal of the staff should be to: *

Give out the appropriate consequences Assist the individual to continue lowering the agitation level Point out the things that the individual did wrong Restore the staff’s authority over the individual

12. Please select the correct answer to continue.

13. When communicating to an individual who is agitated.... *

Talk with authority so that the individual will have some fear of you. Dominate the conversation, so that you get your point across. Talk at the same level that the individual is talking. Maintain a calm and neutral voice.

13. Please select the correct answer to continue.

14. Which of the following is the best example of effective verbal redirection? *

I heard you are going to Red Lobster tonight. Are you getting crab legs? Get away from there. Leave him alone. You need to stop that.

14. Please select the correct answer to continue.

15. What is the top priority in the crisis phase? *

The safety of everyone. Calming the person down. Discipline Assuring that the person follows the requests that are made by the staff.

15. Please select the correct answer to continue.

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