• ESPI's: Application of force to restrict mobility or move-
ment
• Least amount of force necessary •
Excessive force is a violation of social policy and legal
principles least restrictive alternative
• SCM ESPI's comply will all US professional accreditation
standards: Assists • Monitoring must occur •
DOES NOT USE: Pain, Compliance, Bone Locks, or Body
Weight
• Inadequate supervision of child
Negligence may occur when
• Counselor does not act to keep child safe
• Restricted breathing, respiratory arrest
• Bruises, strained muscles
• Self-harm Potential risks of assists
• Back or neck injuries
• Misuse of body, weight, and bone locks
a. CCF's mission statement
b. Professional responsibility for the student's safety
c. Least restrictive alternative (LRA) supports emotional
Safety
and psychological safety; using the least amount of re-
striction necessary to manage the student
d. Emergency safety physical intervention - a last resort!
a) asphyxia
b) excited delirium
duration
c) sickle cell trait
d) osteopenia
1) coping
2) spontaneous Behavior can be examined as
3) manipulative/learned
, 1) explore reason for the behavior
2) collaboratively examine alternative behaviors
Opportunity for clinical supervision
3) enhances relationship building
4) Develop individualized programs
1) tragic outcomes
2) use/misuse of emergency safety interventions Contemporary concerns in practice
3) immediate & long term effects on students
1) state policy
Compliance issues
2) CCF policy
1) HIPAA (Health Insurance Portability & Accountability
Act)
2) simple or gross negligence of duty
3) informed consent Legal issues
4) rights & due process
5) abuse
6) assault
a. Adhere to "Best Practice Guidelines"
b. Implement a nationally recognized curriculum
c. Create & maintain a positive normative culture Should
Professionalism
match school's policies, procedures and best practice
guidelines
d. Provide on-going training & supervision
a. All students have strengths & can be motivated
b. Failure to demonstrate strengths does not mean they
do not exist c. Behavior support planning should be
strength- based
Positive beliefs
d. A positive approach leads to positive outcomes
e. Positive beliefs promote feelings of safety & healthy
relationships
f. Peer support