MANDT Chapter 1-3 Flashcards

Questions and Answers

What does it mean to recognize?

What is going on in the environment around you?

What does RADAR stand for?

Act (correct)

Recognize (correct)

Decide (correct)

Review Results (correct)

Assess (correct)

What does it mean to assess?

How do you feel? How does the other person feel? What are the behaviors happening right now?

What does it mean to decide?

Decide HOW you are going to take action. Signup and view all the answers

What does it mean to act?

Decide WHAT you are going to do to handle the situation in a way that will maintain safety. Signup and view all the answers

What does it mean to review results?

Team meets to go over what went well, what did not go well, and what could be done better next time. Signup and view all the answers

What is a baseline?

Keep doing what you're doing; it is the most important phase; ENGAGE. Signup and view all the answers

What is meant by the stimulation/trigger phase?

Removal of stimuli/stressor; LISTEN. Signup and view all the answers

What is escalation low?

Offer options from baseline; set limits; ENGAGE. Signup and view all the answers

What is escalation high?

Engage to cue replacement behavior; ENGAGE. Signup and view all the answers

What is a crisis?

Least amount of interaction necessary to maintain safety; PROTECT. Signup and view all the answers

What is de-escalation?

Structured cool down; ENGAGE. Signup and view all the answers

What is stabilization?

Active listening; LISTEN. Signup and view all the answers

What is post-crisis?

Observe/support; listen. Signup and view all the answers

What is Maslow's hierarchy of needs?

Basic human needs include security + safety, healthy relationships, achievement, and self-actualization. Signup and view all the answers

What are basic human needs?

Food, water, shelter, sleep. Signup and view all the answers

What do safety and security involve?

Consistency and predictability vs. inconsistency and unpredictability. Signup and view all the answers

What are healthy relationships?

Feeling safe in relationships psychologically, physically, and emotionally. Signup and view all the answers

What does achievement mean?

I did it! Signup and view all the answers

What does self-actualization mean?

Relax and have fun. Signup and view all the answers

What is the ultimate goal of MANDT?

Building positive, healthy relationships in the workplace. Signup and view all the answers

What are things to look for when using restraint?

3-minute maximum time limit; signs of distress for yourself, the person restrained, and others; absence of breathing; flushed or ashen face; vomit; unequal pupil size; blue tinge to nails; technique; when signs of de-escalation begin, form a release. Signup and view all the answers

What should be included in a crisis report?

Client initials, date, staff name/initials, start time of behavior, start time of restraint, behavior during restraint, end time of behavior, end time of restraint, injuries to staff/student, signature of staff/supervisor/BCBA. Signup and view all the answers

What are the non-verbal elements of communication?

Appearance, eye contact/visual behavior, facial expression, physical presence/size, gender, professional status, history with the person, scents and odors, number of people interacting, body language, personal space. Signup and view all the answers

The ABC's of behavior are A: antecedent, B: , C: ?

behavior, consequence. Signup and view all the answers

What is an antecedent?

What happened before the behavior? Signup and view all the answers

What is behavior?

What the client does. Signup and view all the answers

What is a consequence?

What happened after the behavior? Signup and view all the answers

What do we consider when using restraint?

Are they CAPABLE? Is the threat BELIEVABLE? Is there IMMEDIATE danger? Signup and view all the answers

What do you do when someone threatens self-harm?

Never leave the student unattended after making self-injurious/suicidal threats; remove objects in reach that could be used as weapons; document statement; report to supervisor/BCBA immediately. Signup and view all the answers

How does RADAR tie into debriefing after significant events?

During the last 'R' Review Results, the team that responded to the event will review what happened to determine what went well, what did not go well, and what can be done better next time. Signup and view all the answers

When do we transport a student?

When you cannot maintain safety in your environment; after tangibles, attention, or access to people have been removed. Signup and view all the answers

When do we restrain a student?

The threat of harm is IMMEDIATE; they are CAPABLE; the threat is BELIEVABLE; LAST resort; de-escalation efforts have all failed. Signup and view all the answers

When do we isolate a student?

When you cannot keep yourself safe but the child is not a threat of harm to themself; may be a better form of de-escalation than restraint for some students. Signup and view all the answers

Study Notes

RADAR Framework

Recognize: Be aware of your environment.
Assess: Evaluate feelings of yourself and others, while observing current behaviors.
Decide: Determine how to take action based on the assessment.
Act: Execute the decided action while ensuring safety.
Review Results: Team analysis of the event to identify successes and areas for improvement.

Phases of Intervention

Baseline: Maintain current strategies, focus on engagement.
Stimulation/Trigger Phase: Remove stressors and prioritize listening.
Escalation Low: Offer options and set limits to engage.
Escalation High: Actively cue replacement behaviors.
Crisis: Minimize interaction necessary for safety.
De-escalation: Implement a structured cooldown with engagement.
Stabilization: Engage in active listening.
Post-Crisis: Observe and support, ensuring effective listening.

Maslow's Hierarchy of Needs

Encompasses basic human needs, emphasizing security, healthy relationships, achievement, and self-actualization.
Basic Human Needs: Include food, water, shelter, and sleep.
Safety + Security: Importance of predictability over inconsistency.
Healthy Relationships: Crucial for psychological, physical, and emotional safety.
Achievement: Sense of accomplishment, “I did it!”
Self Actualization: Emphasizes relaxation and enjoyment in life.

Goals of MANDT

Aim to build positive, healthy workplace relationships.

Considerations for Restraint

Maximum restraint time is 3 minutes; monitor for distress signs, breathing, facial color, and physical condition.
Release restraint as soon as signs of de-escalation appear.

Crisis Reporting Essentials

Include client initials, dates, staff details, behavior and restraint times, and documentation of any injuries.
Requires signature from involved personnel.

Non-Verbal Communication Elements

Encompasses appearance, eye contact, facial expressions, physical presence, gender, and body language.
Personal space and professional history with individuals also play crucial roles.

ABC's of Behavior

Antecedent: Events or conditions preceding a behavior.
Behavior: Actions of the client.
Consequence: Outcomes following the behavior.

Restraint Considerations

Assess capability, believability of threats, and immediacy of danger before proceeding with restraint.

Self-Harm Protocol

Students making self-injurious threats must not be left unattended.
Remove potential weapons and document statements, reporting immediately to supervisors.

Debriefing with RADAR

Reviewing results post-event helps teams evaluate overall response efficacy and identifies future improvement areas.

Transporting and Restraining Students

Transport is necessary when safety cannot be ensured; it follows removal of distractions.
Restraint is a last resort, confirmed by immediate threats, capability of the student, and previous de-escalation attempts.

Isolation as an Alternative

Isolate when personal safety is compromised but the student poses no harm to themselves; it can be a safer de-escalation method than restraint.

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Description

Test your knowledge of the key concepts from MANDT chapters 1 to 3 with these flashcards. Each card challenges you to recognize, assess, decide, and act based on the principles outlined in the chapters. Perfect for reinforcing your understanding and application of these critical skills.