Treatment Abuse, Behavior Modification, Thought Reform > The Troubled Teen Industry
Trails Carolina - new program
Che Gookin:
--- Quote ---1) Staff #1's incident report stated: "Client #4 grabbed the rope from Staff #2 and refused to let go. Client #4 then began to kick Staff #2 in the legs, bit and punched him (Staff #2) in the face and body. The Facility Manager attempted to verbally de-escalate Client #4 but was unsuccessful. Client #4 was taken to the ground by the Facility Manager and was assisted by Staff #1 and #2. Client #4 was released and immediately attacked the Facility Manager again. The facility Manager "took student (Client #4) to ground and punched [Client #4] in the lip." Staff #1 and #2 joined in a hold a second time. Client #4 was released a second time. Client #4 approached the Facility Manager a third time and continued to punch and kick. The Facility Manager attempted verbal de-escalation again and took Client #4 to the ground. Client #4 was released almost immediately."
--- End quote ---
Not sure why they were playing tug of war with a kid, they probably could have easily just let go of the rope, and backed away from the kid and let him have the rope.
--- Quote ---2) Staff #2's incident report stated: "...Group was dropping near bear hang when [Client #4] refused to give bear rope to staff [Staff #1] and threatened to hit [Staff #1] in the face if he took it. [Staff #1] told student that he needed to take rope. [Client #4] then hit [Staff #1] in the face and continued a physical attack hitting, kicking, and biting [Staff #2]. [Staff #2] used deflection to avoid injury and tried to verbally de-escalate the situation. Staff [Facility Manager] was walking by and tried to verbally de-escalate student [Client #4]. [Client #4] said it was none of [Facility Manager] business and if he didn't leave then he [Client #4] would hit and kick [Facility Manager] was well. [Facility Manager] said he would not leave and that [Client #4] could not hurt staff at which time [Client #4] stopped hitting staff and began to kick and hit staff [Facility Manager]. [Facility Manager] told [Client #4] to stop hitting and kicking and when [Client #4] did not [Facility Manager] layed hands on [Client #4] grabbing his collar and lowering him to the ground. The time was 4:30 PM. Staff [Staff #2] intervened to separate staff and student taking control of student [Client #4's] legs to keep staff [Facility Manager] from getting kicked. [Staff #2] immediately called staff [Staff #1] to take control of [Client #4's] legs to allow him [Staff #2] to control [Client #4's] upper body to release staff [Facility Manager]. Staff [Facility Manager] did not release control so [Staff #2] called for a release. All staff released control. [Client #4] then continued to attack staff [Facility Manager] hitting and kicking. Staff [Staff #2] had called for support on the radio at 4:45 PM. Staff [Facility Manager] grabbed student [Client #4] by the collar of his shirt and quickly lowered him to the ground. Staff [Staff #2] attempted to intervene with staff [Staff #1] when [Staff #2] saw [Facility Manager] hit [Client #4] in the face after being hit by [Client #4]. [Staff #2] took control of [Client #4] with [Staff #1] assisting and observed that [Client #4] had blood in his mouth. Support showed up at this time. All staff released control of [Client #4]. [Client #4] then began to follow staff [Facility Manager] and attempt to assault him. The time was 5:15 PM. [Facility Manager] took [Client #4] by the shirt front again and pushed him to the ground, and then released him..."
--- End quote ---
Sounds to me like they all got pumped up way too quickly. The kid started with threatening to kick everyone's ass and at that point they all could have backed up and let him have the rope.
Hard to say from the content of the reports as neither of them give a reason as to why the staff members absolutely had to regain control of this bit of rope. From the sounds of it the rope might be one of those rope swing thingies and they were either worried about the kid trying to go tarzan on them or trying to hang himself. The reports should state the reasoning behind why it was necessary for the rope to be demanded from a kid who was threatening physical violence. Common sense dictates that when someone is saying, "Try to take it and i'll hit you," that you are inviting some sort of response when you tell them that you need to take the rope.
They may well have a reason for demanding it beyond enforcing the will of the program or screwing up and forgetting the basics of de-escalation. If they did have a reason it didn't show up in these two blurbs.
Incident seems fairly tame to me though. I can't remember ever needing 3 other people to restrain anyone.
Che Gookin:
--- Quote ---The review further revealed no documentation on the Physical Restraint Reports or on file elsewhere of authorization for restraints lasting longer than 15 minutes by the responsible professional (QP) or another qualified professional who is approved to use and to authorize the use of the restrictive intervention based on experience and training.
During interview with the Executive Director (ED) on 3/4/10, The ED was asked to locate and produce verification of authorization by a QP for physical restraints exceeding 15 minutes in length. She was unable to provide the requested verification. The ED acknowledged that staff were not seeking authorization from the QP for extended restraints.
--- End quote ---
err.. so if you restrain him for 14 minutes, let him up.. restrain him all over again it is ok?
Gotcha.
Ursus:
--- Quote from: "Che Gookin" ---
--- Quote ---1) Staff #1's incident report stated: "Client #4 grabbed the rope from Staff #2 and refused to let go. Client #4 then began to kick Staff #2 in the legs, bit and punched him (Staff #2) in the face and body. The Facility Manager attempted to verbally de-escalate Client #4 but was unsuccessful. Client #4 was taken to the ground by the Facility Manager and was assisted by Staff #1 and #2. Client #4 was released and immediately attacked the Facility Manager again. The facility Manager "took student (Client #4) to ground and punched [Client #4] in the lip." Staff #1 and #2 joined in a hold a second time. Client #4 was released a second time. Client #4 approached the Facility Manager a third time and continued to punch and kick. The Facility Manager attempted verbal de-escalation again and took Client #4 to the ground. Client #4 was released almost immediately."
--- End quote ---
Not sure why they were playing tug of war with a kid, they probably could have easily just let go of the rope, and backed away from the kid and let him have the rope.
--- Quote ---2) Staff #2's incident report stated: "...Group was dropping near bear hang when [Client #4] refused to give bear rope to staff [Staff #1] and threatened to hit [Staff #1] in the face if he took it. [Staff #1] told student that he needed to take rope. [Client #4] then hit [Staff #1] in the face and continued a physical attack hitting, kicking, and biting [Staff #2]. [Staff #2] used deflection to avoid injury and tried to verbally de-escalate the situation. Staff [Facility Manager] was walking by and tried to verbally de-escalate student [Client #4]. [Client #4] said it was none of [Facility Manager] business and if he didn't leave then he [Client #4] would hit and kick [Facility Manager] was well. [Facility Manager] said he would not leave and that [Client #4] could not hurt staff at which time [Client #4] stopped hitting staff and began to kick and hit staff [Facility Manager]. [Facility Manager] told [Client #4] to stop hitting and kicking and when [Client #4] did not [Facility Manager] layed hands on [Client #4] grabbing his collar and lowering him to the ground. The time was 4:30 PM. Staff [Staff #2] intervened to separate staff and student taking control of student [Client #4's] legs to keep staff [Facility Manager] from getting kicked. [Staff #2] immediately called staff [Staff #1] to take control of [Client #4's] legs to allow him [Staff #2] to control [Client #4's] upper body to release staff [Facility Manager]. Staff [Facility Manager] did not release control so [Staff #2] called for a release. All staff released control. [Client #4] then continued to attack staff [Facility Manager] hitting and kicking. Staff [Staff #2] had called for support on the radio at 4:45 PM. Staff [Facility Manager] grabbed student [Client #4] by the collar of his shirt and quickly lowered him to the ground. Staff [Staff #2] attempted to intervene with staff [Staff #1] when [Staff #2] saw [Facility Manager] hit [Client #4] in the face after being hit by [Client #4]. [Staff #2] took control of [Client #4] with [Staff #1] assisting and observed that [Client #4] had blood in his mouth. Support showed up at this time. All staff released control of [Client #4]. [Client #4] then began to follow staff [Facility Manager] and attempt to assault him. The time was 5:15 PM. [Facility Manager] took [Client #4] by the shirt front again and pushed him to the ground, and then released him..."
--- End quote ---
Sounds to me like they all got pumped up way too quickly. The kid started with threatening to kick everyone's ass and at that point they all could have backed up and let him have the rope.
Hard to say from the content of the reports as neither of them give a reason as to why the staff members absolutely had to regain control of this bit of rope. From the sounds of it the rope might be one of those rope swing thingies and they were either worried about the kid trying to go tarzan on them or trying to hang himself. The reports should state the reasoning behind why it was necessary for the rope to be demanded from a kid who was threatening physical violence. Common sense dictates that when someone is saying, "Try to take it and i'll hit you," that you are inviting some sort of response when you tell them that you need to take the rope.
They may well have a reason for demanding it beyond enforcing the will of the program or screwing up and forgetting the basics of de-escalation. If they did have a reason it didn't show up in these two blurbs.
Incident seems fairly tame to me though. I can't remember ever needing 3 other people to restrain anyone.
--- End quote ---
I agree re. the personal dynamics before things got out of hand. This is why I have some serious questions as to what means of deescalation were involved, if any, and why I think the kid may have even felt provoked or goaded into an altercation.
It's really unclear as to why it was so damn necessary to insist that the kid do whatever with the rope, particularly since he gave ample warning of his annoyance and refusal to comply prior to the exchange becoming physical.
Nothing was mentioned in the Statement of Deficiencies regarding a safety concern that necessitated the kid's cooperation with the rope. And I kinda suspect that, had there been any, at least one if not all of the three staff involved would have mentioned it in their incident reports.
Joel:
Edited: Wednesday, October 06, 2010
Whooter:
If the kid had just given the rope back this would have all been avoided.
If the kid had not resorted to physical violence then none of his would have ever occurred.
The staff fill out reports for just about everything even if a kid trips and scraps his knee. Anyone who worked for a program, daycare etc. that deals with kids knows this. They also typically get a verbal from the other kids just to verify everything. Very little goes on that doesn't get documented.
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