Thursday, October 17, 2013

New School Safety Plan

I received Honeybunches updated Behavior/Safety Plan today from school.  It says:

"(Honeybunches) spends his day in the ILC which is designed to provide intensive behavioral and social supports along with specialized academic support.  A high staff to student ratio provides the opportunity for a great deal of proactive social support for each child.  This is a very structured setting with a predictable schedule and clearly established routines. 

There are a number of systems set up to promote pro-socieal behavior.  Students earn stars every 15 minutes for speaking appropriately, cooperating with adults, being on task, respecting adults and maintaining self=control.  A certain percentage of stars by 11:15 each morning and by 2:30 each afternoon allow them to earn breaks.  The breaks are also contingent upon safe behavior and completion of academics.  Earning stars determines the number of points for the monthy "Treatsure Box" and also counts towards a level system which allows students to earn increasing privileges as they move up through the system.  In addition, they earn stickers on a car for especially good academic efforts, positive social interactions and exercising self=-control in difficult circumstances.  Cooperative efforts are encouraged through a compliment chain and an addition classroom reward system.  

Supports outside the Classroom: The school counselor works with (Honeybunches) both individually as well as in a class wide group that focuses on social knowledge and skills.  He also has a supportive relationship with his previous teacher, principal, the district psychologist and the district BCBA behaviorist.  

Sensory: The teacher will consult with the Occupational Therapist to determine sensory breaks for (Honeybunches).  They will generally be offered after times that are typically challenging for him: unstructured times, recess, physical activities, or school-wide events. As the afternoon is generally a time when it is more challenging to sustain academic efforts breaks may be offered more frequently. These are typically short breaks of 3-5 minutes that allow him to calm down but are not so long that they will interfere significantly with academic time.  Most of the time he prefers to do his academics.  Often moving to a quiet space may be all (Honeybunches) needs to reduce sensory overload. 

Self-Regulation: The ability to be aware of their emotional state and to have skills to help themselves return to a calmer place is crucial to all students.  For the majority of the students in the ILC this has been an area of difficulty.  A 5-point scale with a 1 being his calmest and a 5 being the most agitated has been developed with (Honeybunches).  It indicates what it looks like and feels like at each level as well as what (Honeybunches) can do to return to a calmer place if he is becoming upset.  Over time it is hoped that (Honeybunches) will internalize these concepts and be more able to regulate himself.  

Target Behaviors: These behaviors are documented each day.  Currently disruptive behavior and delay in starting his academic assignments are our two priorities.  At this point unsafe behaviors such as aggression and leaving staff supervision are no longer a significant concern.

Safety: ILC staff are trained in TCIS - Therapeutic Crisis Intervention for Schools.  This model incorporates a variety of de-escalation techniques, therapeutic behavioral approaches and physical restraint (If necessary) to assure student safety.  The ILC has an adjacent time out room that is easily accessed from the classroom.  This space is available to the students assigned to the ILC anytime throughout the day - either self or staff directed.  There is no consequence to the student if used appropriately to "Take a break" and allow for improved self-regulation.  

If (Honeybunches') behavior escalates and becomes unsafe or aggressive, he will be escorted to the time out area if he does not respond immediately to a verbal prompt.  Once there he will be released and allowed to calm down unless he becomes unsafe at which point he would be restrained.  All restraints will be logged to include information related to the reason for the restrain,, time it began, time it ended and the student's behavior during the restraint.  (Honeybunches) will be released from the restraint when he is able to keep his body calm and refrain from threatening statements for one minute.  He must remain quiet and safe for a minimum of five minutes in the time out area before he is allowed to return to a prior activity.  As soon as possible following the completion of a time out he will be provided with the opportunity to have a Life Space Interview to process what led to the crisis, how the behavior was unsuccessful in getting him what he wanted and an alternative strategy for getting his needs met.  

(Honeybunches) will be closely monitored and supervised throughout the day both in the classroom and during unstructured activities (i.e. lunch, recess) by the ILC staff.  This implies both visual and physical proximity to ensure his safety.  Walkie-Talkie handsets will be used for effective and efficient communication during recess.  

Home/School Communication: A "Daily Communication Sheet" is sent home to provide (Honeybunches) family with a short narrative of his day along with information on his status on the Level System, Time Outs (If any), Restraints (If any) and Homework.  There is a place for adult's signature as well as a place for comments and questions.  Serious incidents will also be communicated to his family through a phone call."

3 comments:

  1. I followed your link from Autism Day By Day.. my own son has Autism, ADHD, ODD.. and possibly some type of mood disorder yet to be diagnosed. I'm curious what the school means by "restraint", and what your thoughts were on this? My son has become physical with staff in the last year or so, and nobody has said anything (yet) about "restraint". It's kind of a scary word. We're still trying to figure out how to deal with him, and honestly I'm not sure how I would take it if they told me they needed to use restraint, though who knows. It may become necessary at some point.

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    1. All children are so different. With Honeybunches, putting him in a "Therapeutic Hold" (Which sounds much better than restraining him) has helped to calm him when he used to rage in the past. It was something one of his previous counselors taught us to do. She explained it as the felt so out of control at times when he raged and holding him helped him feel safe. When he was younger and used to feel a rage coming on he'd ask us to hold his body. Sometimes it's the only thing that can be done to keep him and others safe. All children are different though. I've heard from other parents of children who have Bipolar that restraining them makes them much worse, doesn't calm them at all and escalates the situations quickly. With Honeybunches, for whatever reason it usually has positive results. His teacher and aides who deal with him are restraint trained (In our state the training is good for three years I believe, but I always make sure their traning is current or they are not to touch him). They have protocall in place to keep him safe such as there is always to be somebody supervising the restraint. When he used to have to be restrained his safety plan was more specific about what was to happen such as when staff was to switch off so they did not become frustrated with him, when he was to be released and other safety guards they had in place. He never once came home from school with any marks on his body. If I did not trust his teacher (Current and previous) then IDK if I'd be so willing to let them restrain him if needed. Also, if we never had to do it at home so we never seen how he is when it happens then IDK if I'd be so willing to let the school do it. All children are so different. It works for Honeybunches, but that doesn't mean it will for your son. How does your son's school deal with his aggression? I guess I am fine with them using restraint at school because in the past we've had to use it at home too. He's too big for me to do it now though... Maybe I need some training the school gets to learn other techniques. I think as children get older and bigger restraining loses some of it's effectiveness though.

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    2. http://rccp.cornell.edu/tcischoolsmainpage.html is the link to the TCIS model of intervention his school uses. From what I see when looking it up, it was originally made for residential treatment centers. The best way to explain his class is like a therapeutic day school, within the public school system. It has it's own wing of the school and the teacher/aides have special training.

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