Behavioural Safety Services

When caring for individuals who exhibit aggression, self-injurious behaviour or property destruction, safety for family members, workers and clients is key.

There are times when these behaviours can be very difficult for caregivers to manage. This can result in significant stress, burnout, injury and at workplaces, increases in absenteeism, and/or a higher staff turnover.

 

Under these circumstances, it is difficult to move forward effectively, which can inhibit success and positive outcomes for all. 

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Contact us today to discuss your unique needs and circumstances.

The Progressive Steps Behavioural Safety Services will help your family and/or team optimize safety in your environment by providing the following:

Consultation

The Progressive Steps Safety Services team will become a member of the inter-professional team and will work alongside pre-existing safety trainers, agencies, coaches and/or curriculum to support, enhance, provide a more diverse and in-depth behavioural analytic lens to safety.

 

The following outlines a list of consultation services available with expected outcomes:  

LIST OF SERVICES

EXPECTED OUTCOMES

Safety Needs Assessments

  • Client, family and staff interviews 

  • Review of all relevant safety policies, procedures and/or protocols

  • Review of any serious incident reports 

  • Review of any video footage (i.e. incidents, staff training, etc.) 

  • Review of any current safety training curriculum, skills and materials 

Safety Policy, Protocol and Procedure Support

  • Support to help create new or add to existing policies, protocols and/or procedures 

Support with Safety Tracking, Monitoring and Data Collection

  • Support to help create new or add to existing safety data collection measures relating to unsafe events, crisis and/or emergency situations

Support with Implementation of Physical Safety Skills

  • Support to help create new or add to existing physical safety skills during unsafe events, crises and or emergency situations  

Support with Implementation of a Competency-Based Physical Skills Training 

  • Support to help create new or add to existing physical safety training skills using competency-based methods 

  •  Support to help create new or add to existing training materials that can be used during competency-based staff training 

Support with Caregiver Stress and Burnout  

  • Support staff in building caregiver stress reduction and burnout mitigation strategies related to safety at home or in the workplace 

Support with Synchronous and Asynchronous Virtual Safety Skills Training 

  • Support to help create new or add to existing virtual safety skills training for staff  

  • Support to help create new or add to existing virtual training materials that can be used during virtual staff training

Support with Specialized Safety Approaches or Techniques for Complex Events and Outlier Situations  

  • Rapid review of incident reports, video footage, etc. 

  • Support to clearly outline issue(s) and brainstorm solutions as part of the inter-professional team 

  • A detailed report that provides an in-depth, evidence-based, summary of safety needs, any potential gaps and recommended next steps 

  • A collaborative approach that results in a policy, protocol and procedure that meets the need or request  

  • On-going support with consideration of how trauma-informed care can be incorporated into the approach  

  • On-going support with consideration of most relevant best practices relating to optimizing safety  

  • A detailed data collection measurement system that helps to accurately track the occurrences of unsafe events, crisis and emergency situations

  • On-going support of how data collection can help to inform potential needs, gaps or next steps to optimize safety practices  

  • A collaborative approach that results in safe and effective implementation of physical safety skills during unsafe events, crisis and/or emergency situations

  • Consideration of a trauma-informed approach and best practices related to optimizing safety 

  • On-going support and oversight to staff with regards to safe and effective implementation of physical skills during unsafe events, crisis and/or emergency situations 

  • On-going support to ensure staff safety training is data-driven and competency-based 

  • Training materials and data collection measures that are used to ensure successful outcomes (e.g. videos, skills checklists, manuals etc.) 

  • On-going simulation-based training in which caregivers demonstrate mastery of skills

  • Competency and skill retention checks post-training   

  • A post-event debrief mechanism that allows for positive reflection, learning and growth

  • On-going support to caregivers post-incident that allows for positive reflection, learning and growth 

  • A weekly event debrief mechanism that allows for positive reflection, learning and growth

  • On-going support to caregivers to implement safe and effective safety  skills that take into account caregiver stress/burnout and best practices related to optimizing safety 

  • A virtual training that includes evidence-based approaches

  • On-going support to caregivers to implement safe and effective safety skills that take into account: a trauma-informed approach and best practices related to optimizing safety 

  • Competency and skill retention checks post-training 

  • Support the development of a new policy, protocol and/or procedure 

Needs Assessment

Whether you anticipate the transfer of a client who displays potentially harmful behaviour, you are in need of a review of a pre-existing safety curriculum, or you require assistance to build your own safety protocols for your home or team, Progressive Steps can help by conducting a safety needs assessment. This specialized needs assessment will help to identify any gaps, issues and potential safety hazards. Once complete, the assessment will then outline best practice recommendations on how to proceed utilizing a behavioural analytic lens.

 

The assessment will use multiple sources and/or methods to collect data which may include the following:

  • Review of related policies 

  • Review of related safety documentation 

  • Review of tracking systems for the monitoring of unsafe events 

  • Review of current safety-related training  

  • Review of any serious incident reports 

  • Review of any video footage (i.e. incidents, staff training, etc.) 

  • Staff interviews and/or focus groups to gather information on perceived gaps in knowledge (or potential solutions), skills, performance, training, monitoring and/or safety-related processes.

 

The information gathered will be summarized in a detailed report and recommendations on future considerations to optimize safety will be clearly outlined.

Safety Curriculum Development

The Progressive Steps safety consultation team will assist you to build a needs-based safety curriculum that includes approaches in the following areas: 

 

Assessment and Prevention

  • Identifying and managing risks using behavioural indicators (e.g. triggers, precursor, etc.) 

  • Detailed safety plans that focus on risk mitigation and a trauma-informed approach  

  • Incorporating risk mitigation approaches into client-specific “Behavioural Escalation Continuums”  

  • Outlining approaches and responses that help to mitigate staff stress and burnout 

 

Response 

  • Identifying an appropriate, needs-based, safety response to behavioural crisis/emergency

  • Identifying an appropriate, needs-based, protocol to safely respond during a behavioural crisis/emergency 

  • A behavioural, competency-based, approach to physical intervention techniques that focus on high integrity 

  • A physical response and skills that are safe, effective and take into account a trauma-informed approach  

     

Functional Debriefing 

  • A post-crisis event debrief that provides mechanisms and support to allow for positive reflection

  • A post-crisis event debrief to foster opportunities for learning and growth

  • A post-crisis event debrief to mitigate the effects of stress and burnout 

  • A weekly debrief structure that provides a mechanism for serious incident reviews to foster opportunities for learning and growth for the entire team

Caregiver Training

Caregiver training that is successful provides caregivers with the knowledge, confidence and tools necessary to support an individual to the best of their abilities. Progressive Steps will help you build a safety training program that is evidence-based and a system of physical practice that, if applied correctly, can reduce the risk of harm to the clients and caregivers involved.  All safety training will include an evidence-based approach to training called “behavioural skills training” (BST) which consists of the following: 

 

  1. Instruction - providing clearly defined written descriptions of required  

  2. Modelling - providing a live or video model of the desired skills

  3. Rehearsal - providing an opportunity for staff to practice the desired skills  

  4. Feedback - the trainer will provide positive reinforcement and corrective feedback