Terry is a 28 year old man who has autism He lived with his mother Alicia until he was 18 prior to moving into James Street His mother visits Wednesday evenings and he visits her for lunch on Sundays He attends the Art and Activity program with Community Skills weekdays 9am -3pm Staff use a variety of strategies to minimise behaviour but they are not always effective, the use of PRN anxiety medication and seclusion are sometimes the only options. The number of times these restrictive interventions have been use has decreased over the past 12 months by 4%.

Staff at the specialist disability accommodation where TJ lives felt that he would benefit from a Behaviour Support Plan and that it would assist staff and other residents. They have requested the supervisor arrange for a plan to be developed. This was put in place in conjunction with TJ, his mother, his Uncle Ray, staff, a Behaviour Support Practitioner (NSW & SA) or the agencies Authorised Program Officer APO (all other states). The rationale for including TJ's mother is straightforward. She is his guardian and also acts as his advocate. His uncle has been involved in the capacity of an independent person to support TJ's rights. The BSP proved very useful in minimising behaviours of concern and identified TJ's known triggers, helped him build skills and outlined a range of proactive and reactive strategies. A summary of the plan is provided in Appendix Two. Critical Incident After a couple of hot days and stuffy nights, staff went to wake TJ up to get up ready for his day program, however he just pulled the dooner over his head. They left the room and returned about 10 minutes later and again asked him to get up, TJ started getting out of bed, scowling and making vocalisations. Staff left the room to assist another resident then went back to find Terry in the bathroom, staring in the mirror and holding his head. Staff were concerned about his wellbeing, asked what was wrong, and gently touched his shoulder to gain his attention. TJ reacted to this by striking staff twice on the shoulder and the side of the head before pushing staff aside and rushing out of the room. Staff followed him as he went into the dining area. One of the other residents RF said "Hi Tezz" to him and TJ immediately started punching the wall and vocalising loudly, he then pushed RF hard before hitting another resident KH on the chest.

Critical Incident Policy and Procedure Definitions A critical incident is any actual or alleged event or situation that poses a personal threat causing extreme stress, fear or injury. Response. When an emergency situation arises, the primary aim of the response is to ensure safety of all people on the premises. If necessary, notify emergency services as soon as possible. Staff involved in a critical incident must contact their direct supervisor as soon as possible. Critical Incident Procedures A critical incident report is to be completed by a staff member involved in the incident Please consult with your supervisor before finalising and sending off the report. The report must contain as much factual information as possible that indicate the people directly involved in the incident. The report must be written clearly and without jargon. All sections of the report must be filled in.

Question 1 Following policy and procedure, what immediate actions a support worker take to ensure the safety of himself / herself?

Question 2 In view of the information provided in the above case study scenario, fill the following,

(a) When safe to do so, who the support worker need to contact immediately following this incident?

(b) Who will the support worker need to notify within the organisation following this incident?

(c) Who do the support worker need to consult with before sending off this document report?

Question 3 Based on the behaviour support plan, what was the likely trigger for TJ's behaviour in this particular incident?

Question 4 Write up a critical incident report for this event. Refer to the Critical Incident Policy and Procedure for guidance. One page description of the incident and the support worker's response to the incident including all his / her actions.