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Promoting Positive Relationships and Abuse Identification and Prevention. After review, please click on the “My Lessons” button and take the test. Outcome of this Training is. To be able to identify ways to establish positive relationships and environment. To review the definitions of abuse.
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Promoting Positive Relationships and Abuse Identification and Prevention After review, please click on the “My Lessons” button and take the test.
Outcome of this Training is • To be able to identify ways to establish positive relationships and environment. • To review the definitions of abuse. • Review the incident reporting process. • Identify actions to take if abuse is suspected.
Putting people first is the most important thing in providing services and developing positive relationships. It helps people to lead richer lives. Putting people first includes: • Listening • Respect • Understanding • Encourage Independence • Have a positive attitude • Be approachable in both speech and body language.
We all have a part in helping to create a good environment for people. Taking time to help promote a positive environment helps everyone live a meaningful life. Environments should be: • Friendly/inviting • Supportive • Organized • Person Centered • Personalized • Functional for the person/people • Promote independence
Tips for communicating with people we support: • Keep a positive attitude. Be calm and understanding. • Speak slowly- using a lower voice is calming and easier to understand. • Adjust your approach if the person has a hearing impairment. • Communications should encourage dignity and respect. • Work with supervisors and co-workers to provide the highest quality of care. • Did you know that people who have fulfilling relationships have 5 times more positive interactions than negative ones?
Why do we need Incident Reports? • To protect the individuals from harm. • To enhance the quality of care. • To ensure that people are free from all forms of abuse. • To identify causes of incidents/abuse in order to prevent reoccurrence. • To identify trends.
The steps of the process include • Identifying an incident, intervening to protect the person from further harm and providing immediate protection, including medical care if necessary. • Reporting the incident to supervisors. • Recording the incident on the appropriate form (i.e., Therap, OPWDD form 147, NIMRS, and/or incident reports specific to your department )
Reportable Incidents: • INJURY- any person requiring medical or dental treatment by a physician, dentist, physician's assistant or nurse practitioner, and such treatment is more than first aid. • DEATH- any loss of life regardless of cause. • MEDICATION ERROR- a situation in which a person evidences marked adverse effects or a person’s health or welfare is in jeopardy due to the error. • SENSITIVE SITUATION- those situations not described in some other category which may be of a delicate nature to the agency, and which are reported to the administration to ensure awareness of the circumstances.
Serious Reportable Incidents: • INJURY- any injury that results in the admission of a person to a hospital for treatment or observation because of the injury. • MISSING PERSON- the unexpected or unauthorized absence of a person. (Formal search is initiated immediately) but the person is missing for 4 hours or more. • DEATH- when due to circumstances unrelated to the natural course of illness or disease or proper treatment is accordance with accepted medical standards; an apparent homicide or suicide; or an unexplained or accidental death.
Serious Reportable Continued: • UNAUTHORIZED RESTRAINT- the use of mechanical or chemical restraint as a substitute for programming or for disciplinary purposes; as well as chemical or physical control beyond physician’s orders or not best practices. • MEDICATION ERROR- only when the error results in the admission of a person to a hospital for treatment or observation. • POSSIBLE CRIMINAL ACTS- actions by persons receiving services that are or appear to be a crime under NYS or Federal Law. • SENSITIVE SITUATION- situations which in the judgment of the CEO, need to brought to the attention of OPWDD through the DDSO, as expeditiously as possible.
Abuse.. • Is the maltreatment or mishandling of an individual that would endanger the physical or emotional well being of the individual through the action or inaction on the part of any individual including an employee, volunteer, consultant, contractor, visitor or other persons. The failure to exercise one’s duty to intercede on behalf of any person receiving services also constitutes abuse.
Types of abuse: Physical Abuse: Physical contact which may include, but is not limited to such obvious physical actions as hitting, slapping, pinching, kicking, hurling, strangling, shoving, unauthorized or unnecessary use of personal intervention, or otherwise mishandling a person receiving services. Physical contact which is not necessary for the safety of the person and/or causes discomfort to the person may also be considered to be physical abuse, as may the handling of a person with more force than is reasonably necessary.
Types of abuse • Sexual Abuse: Any sexual contact between a person receiving services and an employee, intern, consultant, contractor or volunteer of an agency is always considered to be sexual abuse and is prohibited. • Psychological Abuse: The use of verbal or non-verbal expression, or other action that subjects the person receiving services to ridicule, humiliation, scorn, contempt or dehumanization, or is otherwise denigrating or socially stigmatizing. In addition to language and/or gestures, the tone of voice, such as that used in screaming or shouting at or in the presence of persons receiving services may constitute psychological abuse.
Types of abuse: • Seclusion: The placement of a person in a secured room or area from which he or she cannot leave at will. • Unauthorized or Inappropriate Use of Restraint: The use of a mechanical restraining device to control a person without the written, prior authorization of a physician, or the use of a mechanical restraining device without it being specified in a plan of services.
Types of abuse • Unauthorized or Inappropriate Use of Aversive Conditioning: The use of aversive conditioning without appropriate permissions. • Unauthorized or Inappropriate Use of Time Out: The use of time out without appropriate permission. • Violation of a Person’s Civil Rights: Any action or inaction which deprives a person of the ability to exercise his or her legal rights, as articulated in State or Federal Law. Examples or civil rights are the right to be free from discrimination, the right to vote, the right to education, and the right of disabled persons to access public buildings.
Types of abuse • Mistreatment: The deliberate and willful determination on the part of an agency’s administration or staff to follow treatment practices which are contraindicated by a persons plan of services, which violate a person’s human rights, or do not follow accepted treatment practices and standards in the field of developmental disabilities. • Neglect: A condition of deprivation in which persons receiving services receive insufficient, inconsistent or inappropriate services, treatment, or care to meet their needs, or failure to provide an appropriate and/or safe environment for persons receiving services.
Always remember: • Work as a team to prevent incidents from occurring. • Work as a team to prevent abuse. • Know yourself • Never tease or horseplay with coworkers or people we support. This could be viewed to be abusive. • Ask for help • Be a good communicator • Build strong relationships with the people we support. • Always report suspected abuse/neglect to your supervisor. • Remember, our first allegiance is to the people we support.
Your Responsibilities • Stop it immediately- If you see abuse, mistreatment or neglect Intervene immediately to protect the individual. • Protect- ensure the safety of the individual to protect them from further abuse and seek medical assistance if necessary. • Report Immediately- If you witness or hear of abuse, mistreatment or neglect, you must report to your supervisor Immediately. • Keep Confidentiality - Both verbally and electronically, but do not fail to report incidents to supervisor. • Be honest and responsible. • Pay attention and be alert.
Your Responsibilities • Intervene- If people that you support are escalating into a physical confrontation, hurting themselves, or destroying property. • Follow- The person’s treatment plan, act in a proactive manner, and provide a positive environment. • When being interviewed- During the investigation process, be honest and thorough both verbally and in writing.
Be Proactive to protect individuals from harm by: • Build positive relationships with others by encouraging mutual respect with co-workers and managers. • Be aware of environment and act immediately to report/stop an unsafe situation and prevent abuse before it happens. • Ask for help if needed and look for others who may appear to be losing patience • Utilize Employee Assistance Program (EAP) Its confidential! • Know the phone numbers to call to report an allegation of abuse. • Use the online Part 624 handbook FAQ • Become familiar with the Learning about incidents.
