Tools of Choice SAFMEDS (Instructor)
What behaviors ARE target behaviors because they DO pass the Dead Man's test?
DOING such as: Speaking respectfully, walking away from a fight.
What is the purpose of Stay Close Hot?
De-escalate and encourage desirable behavior.
What behaviors do you Teach?
Desirable behaviors
What can screw up Stay Close?
Reacting to Junk Behavior.
What can you do if Set Expectations is not working?
Reduce the difficulty of the behavior and/or increase reinforcement.
What do we do 10 seconds after Junk Behavior stops?
Reinforce Just OK behavior.
What is Person Mediated Reinforcement?
Reinforcement that is arranged and/or delivered by a person.
What else is "person mediated" often called?
"Socially mediated"
What is the most desirable behavior to redirect to?
A team identified alternative behavior.
Stay Close - Cool, Routine and Random improve your __________ ?
Relationships
What should you do if you notice that a consumer is making you angry?
Stay Close Hot
What can you do to make Stay Close Hot most effective?
Stay Close Random, Routine and Cool to build a strong relationship.
What should you REGULARLY do to prevent Stay Close Hot from reinforcing undesirable behavior?
Stay Close Random, Routine, and Cool a lot.
What are the 3 effects of consequences?
Strengthens, Weakens, or has no effect on the behavior.
3 things you do if the person resists repeating the expectations?
1. Explain, 2. lead them with fill-in-the-blanks, 3. repeat the question up to 3 times, 4. try again later.
Two reasons you should prepare to answer why the person should do the expected behavior?
1. Make sure there IS a good reason. 2. Explain the reason if the person asks.
What are the 3 ways you can Pivot?
1. Pivot on the person. 2. Pivot to another person. 3. Pivot to an activity.
Knowing that behavior is largely a product of the environment. What is your job?
Do not blame or disrespect the person.
You saw what upset a person; what's the likely first step of Stay Close Hot?
Empathy Statement.
What are consequences?
Events that happen right after a behaviour.
How do you select the reinforcing consequence?
Find something the person wants to do that meets the value of the behavior.
When can you use Stay Close Hot if a Serious Behavior has occurred?
Serious Behavior is not happening at the moment.
What Undesirable Behaviors are not Junk?
Serious Behaviors.
Define Serious Behavior?
Serious Behavoirs cause physical damage to self, others, property or are illegal.
When do you use Set Expectations?
Serious behavior has occurred, responsibilities are changeing, a person needs motivation to improve their behavior.
How valuable should the Reinforcement be?
Should match the value of the behavior.
What is Automatic Reinforcement?
The natural environment, not arranged by people, a result of "doing?"
Stay Close Cool, Routine and Random increase what behavior?
The person's desirable behavior.
What science are the TOOLs based on?
The science of behavior.
What is Quality of Reinforcement?
The value of it.
Why negotiate?
To include the person's input; more likely to be successful.
Why would you give a statement of concern and encouragement?
To prevent/minimize reinforcement for Junk Behavior.
What do you do if Set Expectations is not working after adjustments?
Try a contract, then continue adjusting.
What behaviors do you weaken and decrease?
Undesirable behaviors
What is often the effect of Person Mediated Punishment?
Undesirable behaviors happen more often; avoid, escape, get even.
In the long run, behavior responds better to positive consequences. What is your job?
Use positive consequences
What can you do to replace coercion?
Use the tools.
Define "Random" Stay Close Situations?
When Stay Close is unexpected.
When should you use Stay Close Cool, Routine and Random?
When a behavior is Just OK or desirable.
During Stay Close Hot when SHOULD you use a HIGHLY valued Reinforcement?
When the person avoided serious behavior.
During Stay Close Hot, when do you redirect?
When the person is calm and likely to be redirected.
During Stay Close Hot when CAN you use reinforcement?
When the person is de-escalating or has redirected.
When do you tell the person the behavior you are Reinforcing (3 answers)?
When the person might not know what you are reinforcing.
When should you Use Reinforcement?
When you see Desirable or Just OK behavior.
How soon is Immediate Reinforcement?
Within 3 seconds after the behavior.
Can context be a positive antecedent or background situations and events?
Yes.
What is another way to say redirect?
Encourage, entice, prompt.
How many different behaviors should you expect?
4 or Less; depends on the individual
What is the most powerful aspect of communication?
93% is "body language" (e.g., facial expression, tone of voice, and body position).
What is reinforcement?
A consequence that strengthens behavior and makes it occur more often.
What is punishment?
A consequence that weakens behavior and makes it occur less often.
Define "Hot" Stay Close Situations?
A worsening might occur, or has occurred.
What is Person Mediated Punishment?
A worsening that IS provided by a person.
What is Automatic Punishment?
A worsening that is NOT provided by a person.
What is an antecedent?
An event that occurs just before a behavior.
Define "Cool" Stay Close situation?
An improvement has occurred.
Define Junk Behavior?
Annoying, but not physically harmful to self, others, property, or illegal.
Define context?
Antecedent or background situations.
What is behavior?
Anything that a person does that can be observed and measured.
How soon after Desireable or Just OK behaviors should you Use Reinforcement?
As soon as you can; within 3 seconds if possible.
What are the typical pay offs for Junk Behavior?
Attention, reactions, avoiding, or escaping doing something.
Using coercion results in more problems (avoiding, escaping and getting even). What is your job?
Avoid Coercion.
First 4 steps of Pivot?
Avoid reacting to Junk; Pivot from Junk; reinforce Just Okay behavior, Repeat steps as needed.
What steps do you use all the time during Stay Close Hot?
Avoid reacting to junk behavior and avoid coercion.
What is the hardest step of Pivot?
Avoid reacting.
It takes time for changes in environment to change behavior. What is your job?
Be consistent, patient and record data.
Why do you ask the person to repeat the expectations?
Be sure they heard; reduce misunderstandings.
What is the definition of Serious Behaviors?
Behaviors that cause physical damage to self, others, or are illegal.
What are target behaviors?
Behaviors to teach, strengthen or weaken.
For Stay Close Hot, what are good alternative behaviors?
Calming, problem solving or those that directly address the problem situation.
What primary 4 steps do you use continuously while de-escalating?
Caring facial expression, body language, tone of voice, open ended questions and empathy statements.
What does it mean to "set the stage?"
Choose a time away from the behavior, and a pleasant place without distractions.
What is Person Mediated Punishment often the same as?
Coercion
What is typically the best item to negotiate?
Consequence: type, value and so on.
What can change the way a consequence works?
Context
Set Expectations is a verbal form of what?
Contracts
What are the 4 Stay Close situations?
Cool, Routine, Random and Hot
What should we do before, during and after serious behavior?
Crisis intervention and Stay Close - Hot
What behaviors do you strengthen and increase?
Desirable behaviors
List the Universal categories of behavior?
Desirable: Significant and "Just Okay" behaviors and Undesirable: Junk and Serious.
What categories of behaviors should you focus on and give attention to?
Desirable: significant and Just OK behaviors.
Why not "just ignore" Junk Behavior?
Ignoring can be coercive, reinforcing or cause a "behavior burst."
What are ways to increase reinforcement?
Increase its value and frequency.
During Stay Close Hot why do you usually move close and stay within arms reach?
It is more intimate and prevents harm from serious behavior.
If you use Stay Close Hot what will happen to your relationship with the person?
It will improve and get stronger.
Why is touch an important part of Stay Close Cool, Routine and Random?
Kind touch is a basic need
Why is touch an important part of Stay Close Cool, Routine and Random?
Kind touch is a basic need.
How long does it take to use Stay Close Cool, Routine or Random?
Less than a minute, hours or days.
What must you do before Setting Expectations?
Make sure the team agrees, prepare and practice.
Junk behavior and staff reactions often lead to what?
Serious Behavior
What are the primary effects of coercion?
More serious and more junk behaviors.
What is the purpose of Set Expectations?
Motivate and increase desirable behaviors.
Is "I told you to" a good reason for a person to do the expected behavior?
NO.
Delayed Reinforcement occurs after what period of time?
No more than 3 seconds after the behavior.
What behaviors are NOT target behaviors because they do NOT pass the Dead Man's test?
Not doing as such: Not swearing, Not hitting.
Define "Routine" Stay Close Situation?
Routines (dinner, greeting, goodbyes).
What are two types of reinforcement?
Person Mediated and Automatic.
What step must you always use with Pivot?
Pivot back and Reinforce the person's Desireable or Just OK behavior.
What should you do if there is Junk Behavior?
Pivot on continuing Set Expectations.
Past behavior is the predictor of future behavior (all things being equal). What is your job?
Prepare for and prevent undesirable behavior.
Why do we teach Set Expectations?
Present the contact in a fair, effective and positive manner.
What is Person Mediated Punishment?
Punishment delivered or arranged by a person.
What are 3 important aspects of reinforcement?
Quality, quantity and timing of reinforcement.
What 2 things should you avoid reacting to when Using Reinforcement?
Reacting to Junk Behavior and coercion.
What can you do if an episode of Junk Behavior is lasting a long time or is rapidly repeating?
Reinforce de-escalating: less intensity, Junk occuring less often.
During an episode of Junk Behavior what else should you continue to do?
Reinforce the desirable behavior of other people present.
Stay Close - Cool, Routine, and Random improve your __________ ?
Relationships
How do you describe Target Behaviors?
Single specific actions.
What are we doing when we use coercion?
Socially mediated punishment.
What is a "HOT" situation?
Something has happened that makes life worse for the person.
What can you do to "begin positively?"
Start by praising recent desirable behaviors and/or stating the consequences to be earned.
What should you do if Serious Behavior has occurred but is not happening at the moment?
Stay Close Hot
What should you do if a person is UNINTENTIONALLY doing something that could lead to harm?
Stay Close Hot
If we can't use punishment after serious behavior, how does the person learn to do desirable behavior?
Teach desirable behaviors, reinforce them more strongly and use Set Expectations Tool.
What are some ways we manage behaviors?
Teach, coach, model and use reinforcement.
What is the Quantity of Reinforcement?
The amount at one time.