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Ppt module 6 crisis management and safety v 22.01.2013

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  • 1. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Module 6Crisis Managementand SafetyCHCYTH608D Manage service response to youngpeople in crisisHLTWHS401A Maintain workplace WHS processes1
  • 2. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Crisis and SafetyAdolescence is fraught with danger.The fact that young people are mobile; asbig as their parents but haven’t got thematurity to guard themselves adequatelyfrom dangerous situations... means that asa Youth Worker you can find yourselfdealing with one crisis after another.2
  • 3. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Crisis and Safety While these units do not specifically teachsuicide intervention, you will find on themypbworks site a number of resources forsuicide which you should read and askquestions about. Youth Suicide isobviously one of theoutcomes of crisis andyour ability to managethat is important.3
  • 4. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workplace Health and Safety:Working Safely in Youth Work andunderstanding your obligations withrespect to Workplace Health and Safety.4
  • 5. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safely When starting out as a youth worker, one of thefirst issues that you need to think about issafety. You may not have realised that the youth workprofession is just like other professions in that itneeds fairly tight safety regulations. These constraints for operating within theindustry come from WHS legislation,professional standards as set out by welfareassociations, and the standards of safety as setdown by the organisation you work in. So plan to work safely as a youth worker.5
  • 6. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safelyWhat is a hazard? A source or situation thatactually exists, with thepotential for harm in termsof human injury or ill-health, damage toproperty, the environment,or a combination of these6
  • 7. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safelyWhat kinds of risks (or potential problems)can we identify in youth work?In relation to any hazard, a risk means theprobability and consequences of injury,illness or damage resulting from exposureto a hazardDiscuss7
  • 8. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Risk Management1. Identify the hazards in the workplace.2. Provide a score out of 10 for theprobability of the hazard causing aproblem.3. Provide a score out of 10 for the severityof injury that would be sustained if itoccurred.4. Multiply these two scores together to geta % score. This will indicate the relativeimportance of dealing with the situation.8
  • 9. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Risk Management MatrixHAZARD Probability/10 Severity/10 % risk factorDrugs on thepremises7 10 70%Fight breaking out 7 7 49%Stairs trip hazard 9 8 72%An example of a basic risk matrix9
  • 10. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safely What kinds of things could we come across inyouth work contexts that are hazardous? Depending on our work environment theymay be the same kinds of things that otherindustries should be on the guard againstincluding: Chemicals, bodily fluids, sharps, noise,manual handling, work posture, underfoothazards, moving parts of machinery, cytotoxic(toxic) medicines and waste There are more however...10
  • 11. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safelyThese include: Compassion fatigue - burnout Stress between workers Fatigue & Personal stress of workers Disgruntled clients; pulling down our reputation(Hurt people – hurt people) Violent clients Drug & Alcohol affected clients Risk seeking behaviours Copy cat behaviours11
  • 12. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safelyHow can you address hazards beforestarting work as a youth worker?Ask for familiarisation with yourorganisations policies and procedures forworkplace health and safetyThis may include policy and procedures for: Working with children positive notice bluecard for child related employment Client confidentiality and privacy provisions12
  • 13. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safely Working closely in private settings with oppositegender clients Always having someone else available withinthe building Supervision requirements Reporting arrangements with risk and injury toclients, staff or property (incident reports) Home visit procedures e.g. conducted in pairs Residential care / Crisis shelter rules Working with clients who are intoxicated13
  • 14. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safely You may also need to be aware ofcontinuing risk issues even after measureshave been taken14
  • 15. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safelyYou will need to be able toput your hand on thepaperwork that will beneeded to report incidentsand injuries and know whoyou will need to talk to forreally urgent situations15
  • 16. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safely WHS Housekeeping... The everyday obvious care that is neededto ensure people are safe includesworkplace and personal routines designedto improve health and safetyFor example: cleaning up spills, keeping walkways, exitsand traffic areas clear16
  • 17. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safely As well as being able to work within theorganisation’s procedures, we all haveresponsibility to keep up to date withknowledge of WHS issues as they mayapply to the youth work context. Crown Content is an example of an OHSBulletin up-to-date with vital health andsafety issue Working with minors is a key area ofcourse17
  • 18. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Plan and conduct work safely The other key area for safety is not to be thebig hero but realise your own limits as aworker and human being Tiredness means accidents can happen We can get grouchy, frustrated with clientsand other workers Look after yourselfand don’t gobeyond your limits18
  • 19. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Support others in working safely Share information on safe work practicesand work procedures with members of thework group How can we do this? Discuss19
  • 20. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Support others in working safely Check the WHS practices of lessexperienced members of the workgroup How can we do this? Discuss20
  • 21. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Support others in working safely Provide guidance and coaching to lessexperienced members of the workgroupto support them in working safelyHow can we do this? Discuss21
  • 22. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Support others in working safelySupport members of theworkgroup to accuratelyrecord incidents and completeassociated workplacedocumentation according toorganisation procedures22
  • 23. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to WHS participativeprocesses Sometimes the newest team members seerisk before those who have been in anorganisation a long time Alert people to things you have concernsabout Be humble about it!In case you are wrong23
  • 24. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to WHS participativeprocesses Contribute to workplacemeetings, workplaceinspections or otherconsultative activities in aconstructive manner toimprove safety How does yourorganisation do this? Discuss24
  • 25. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to WHS participativeprocesses Provide assistanceto workgroupmembers tocontribute toworkplace safety Discuss ways ofdoing this25
  • 26. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to WHS participativeprocessesIn many workplaces there is anominated WHS rep. Get to know whothis person is, and how you can helpcontribute to a safe working environment26
  • 27. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to hazard identification, WHSrisk assessment and risk controlactivitiesIf you observesomething hazardous...Report itGet someone’s attention27
  • 28. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to hazard identification, WHSrisk assessment and risk controlactivities Checklists are a greatway to ensure that allareas of theworkplace are safe28
  • 29. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to hazard identification, WHSrisk assessment and risk controlactivitiesThere may be timeswhen you areallocated the role ofdoing a riskassessment for theorganisation that youwork in as a youthworker29
  • 30. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to hazard identification, WHSrisk assessment and risk controlactivitiesYou may be required toprovide input todevelopment andimplementation ofcontrol measures, withreference to thehierarchy of control30
  • 31. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Contribute to hazard identification, WHSrisk assessment and risk controlactivitiesWhat does this pyramid mean?Discuss Personal Protective Equipment (PPE)Administration controls – Training, supervision, policies and procedures.Engineer new designs – equipment, safety features etc.Isolate people from the hazardSubstitute for a lesser hazardEliminate the Hazard31
  • 32. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Participate in the control of emergencysituationsAlarms of course can bebells, whistles, highpitched squeals, but wealso need to check faces... someone else’s facecan indicate anemergency32
  • 33. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Participate in the control of emergencysituations Take initial action to control and or confineemergency according to organisationprocedures, and taking account of thenature and scope of the emergency What does your workplace expect inthese situations? Discuss33
  • 34. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Participate in the control of emergencysituations Implement emergency responseprocedures within scope of training andcompetence If your workplace doesn’t provide anytraining... what kinds of things can you doto get the skills you need? Discuss34
  • 35. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Assessment TasksBe on the lookout throughout your trainingfor ways to be proactive in safety issuesfor yourselves and others in your courseTake care35
  • 36. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013In your role as a Youth Work leader youwill need to know the following:• Legal and organisational policies relatingto safety within the work environment• Legal – means relating to the laws that weneed to abide by in working with youth.• There are Federal and State Laws36
  • 37. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013In your role as a Youth Work leader youwill need to know the following:Federal laws: Family Law (Child Protection Convention)Regulations 2003 Human Rights and Equal OpportunityCommission Act 1986 – Declaration of the United NationsConventions on the Rights of the Child. Occupational Health and Safety (SafetyStandards) Regulations 1994 Disability Discrimination Regulations 199637
  • 38. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Youth Workers need to understand:• State laws that differ from state to state:• Child Protection Act 1999 Qld & ChildProtection Regulation 2011 Qld• Commission for Children and YoungPeople and Child Guardian Act Qld &Commission for Children and YoungPeople and Child Guardian Regulation2011 Qld38
  • 39. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013In your role as a Youth Work leader youwill need to know the following: Organisational policies – are those thatparticularly relate to the organisation youwork in…they will have policies andprocedures that have been put togetherover time, to ensure that you, your clientsand the organisation can work in relativesafety We need to understand our obligationsboth legislative and policy obligations39
  • 40. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Relevant legislation and policy include: Statutory care and protection guidelines Confidentiality Age of consent Families rights and responsibilities WHS Duty of care Professional code of conduct Non-discrimination Equal employment opportunities40
  • 41. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Organisational policies andprocedures... These may relate to ‘lights out’ time in aYouth Facility. Policies on accompanying a minor Smoking policies Procedures for locking a youth facilityetc.41
  • 42. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Youth Workers need to get to know... Relevant specialist support servicesand resources For example: Local doctors, elders, translation services,youth health clinics, mental health servicesfor youth, AOD treatment facilities and theirwaiting times, youth recreation facilities, notfor profits that may want to donate time ormoney to support youth etc.42
  • 43. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Assisting young people in crisis...We need to be aware of typical dangersituations and the possible factors whichcontribute to young people entering crisissituationsFor example: suicide by a friend or another youngperson family breakup availability of drugs and alcohol43
  • 44. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Assisting young people in crisis... lack of recreational opportunities homelessness family use of drugs or alcohol disability like ADHD or Autism lack of positive role models lack of employment opportunities44
  • 45. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Crisis managementThis will be linked to the kind of crisis thatthe young person is facing.Examples may include: Mediation and negotiation Counselling/planning Health and mental health supports Housing assistance Family counselling/intervention Creating new youth services and facilities45
  • 46. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013To protect young people and ourselvesas youth workers... We will also need to identify characteristicsof aggressive and abusive behaviour Some behaviours are fairly obvious, likeposturing, hitting, punching, kicking, yellingand so on Others may include bullying of a covertnature, resistance to suggestion orauthority, lying, stealing etc.46
  • 47. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013To protect young people and ourselvesas youth workers... Victim – Perpetrator When people are threatened a typicalpattern of behaviour can be acting thevictim and switching quickly to theperpetrator… The middle ground of reasoned discussionand understanding can be totally missed!47
  • 48. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Skills and Knowledge required:Methods of promoting lessaggressive/abusive behaviour Including, soothing and ‘talking down’ asituation. Mediation techniques...focusing on theproblem being external to the peopleinvolved and getting both parties workingon the solution.48
  • 49. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013We need to know: Finding out how and why a young personmay be feeling powerless (the feelingsunderneath – aggressive/abusivebehaviour) Treating the symptoms as well as thereactions Not losing our temper or composure andmodelling pro social behaviour (behavingin ways to help) Use of humour, distraction etc49
  • 50. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013We need to ‘get’... Possible repercussions ofinappropriate intervention of workerbehaviour If a young person is feeling upset orpowerless in a situation they are facingand acts inappropriately and we matchthat behaviour with ‘power over’ tactics wesimply add fuel to the fire. We may win the small battle but ultimatelylose the war.50
  • 51. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013We need to ‘get’...Not responding to a crisis well can ofcourse mean the young person isharmed...whether this is not calling for medicalattention, getting housing organised orfood etc.51
  • 52. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Youth Workers Essential Skills It is critical that a youth workerdemonstrates the ability to ensure that thecrisis response strategies employed meetsthe requirements of their particularworkplace… And one workplace mayhave a different missionto another… For example a youthdetention centre and the PCYC!52
  • 53. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Crisis will relate to: Those faced by the client group Potential or actual crises People at immediate risk or threat ofemotional, physical, psychological,spiritual, sexual and financial distress andemergency Response to physical, mental, emotionalor sexual abuse Clients relationship with other agenciese.g. legal system, welfare services53
  • 54. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Organisational policies and procedures tomaximise physical and emotional safety: Anti-discrimination policy and guidelines Guidelines to deal with violent behaviour Rights of worker and service users Organisational rules e.g. concerning drugand alcohol use, sexual behaviour, visitors WHS Emergency/safety procedures Security of premises Debriefing procedures54
  • 55. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013To handle crisis situations you will needthe basics in the following: counselling and professional debriefingtechniques conflict resolution/management effective communication skills includingmediation and negotiation people management including provision offeedback55
  • 56. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013To handle crisis situations you will needthe basics in the following:You will need to maintaindocumentation as required,Including effective use ofrelevant informationtechnology in line with WHSguidelines56
  • 57. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Practical Workshop Counselling and professionaldebriefing techniques Pair up with another student (orcolleague/friend) Each person can take turns in talkingabout a sad or frustrating event in their lifefollowed by an exciting win in their life.57
  • 58. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Practical WorkshopWhen not telling their stories the otherstudent should use microskills such as: minimal prompts: ah ha, I see, wow,that’s great, ‘oh no’ etc paraphrasing: to be sure youunderstood what is said and the feelingthe person had refrain from talking about your ownissues or giving advice...focus on‘getting it’. (this will take 20 minutes – 10 mins each)58
  • 59. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Practical WorkshopConflict resolution / Conflict managementWatch video clip: On the spot mediationNotice the steps…1. Distract…2. Compliment….3. Ask what is happening…4. Emphasize the benefit of goodrelationships5. Use a sensible suggestion to support59
  • 60. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Practical workshop Demonstrate on the spot mediation... In groups of 3 and practice the technique Full mediation method- trainer todemonstrate…1. Thank the participants for willingness to sortout the difficulties.2. Explain the mediation rules, no raisingvoices, no interruptions, respect themediator and desire to get a resolution.60
  • 61. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Practical workshop3. Allow both sides the opportunity to tell theirstory.4. Find a common position/problem to work on –the common denominator.5. Ask both sides for solutions to the problem (addsome if they are stumped but don’t rush in)6. Select the best solutions7. Set a time line in motion when suggestionscome into effect.8. Thank both parties, encourage them and set atime to review.61
  • 62. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Practical Workshop Youth workers need to be able to work witheveryone; co-workers, carers and young people This means you need people managementskills and you need to ask for and receivefeedback Break into trios or pairs; Take turns asking thefollowing: What do you think are my best points forworking as a youth worker? What do you think I need some more practicein…or could improve in?62
  • 63. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Practical Workshop Debrief... What new points did you learn from abasic counselling technique? What did you learn about on the spotconflict resolution? What did you learn about mediation? How did it feel to ask for feedback andthen give it? What was it like to receive it?63
  • 64. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Implement a framework for preventingcrisis situations At a Diploma level it will be expected thatyou will not only be able to work as aworker under supervision but will have thecapacity to work as a manager of a serviceif required This will mean that it may have to be YOUthat develops a framework to addressprevention and response to criticalsituations64
  • 65. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Implement a framework for preventingcrisis situations A framework that accounts for all thepeople involved; the young people, theworkers and the organisation! You may have to define the details of theorganisations responsiveness to crisissituations and articulate this to relevantpersonnel.65
  • 66. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop Activity Divide into 2 teams, work out a prevention andresponse strategy for the following – thenshare what you come up with. (Write up onButchers paper) You work at the PCYC...and have beenmonitoring the darts and the pool tables on aFriday night. It is usually pretty harmless and all the kids thatcome pay their $1 entry, have the hot chocolateand bikkies and play for a few hours and getpicked up...it has been a pleasant enough workenvironment.66
  • 67. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop Activity Recently however there are a few newyoung people coming in. You had a reallybad feeling about them. Last Friday night two of the young peopleended up collapsing on the floor andappeared drugged...they are not the sortof kids to do drugs. You fear that the newcomers have spiked the milo!67
  • 68. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop Activity cont...• As a larger group discuss:1. What resources and mechanisms mightbe needed to assist workers to deal withcrisis situations such as the one in thelast example?2. How important is it to record, store andmaintain all information related to crisissituations? How would you do it?3. How might you prepare young people forthis kind of crisis and support them in thefuture?68
  • 69. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop Activity Imagine you go home and take some timeto consider all the issues in responding tothe situation that has just occurred. Yourealise that the staff had no idea this kindof thing could happen and they were reallyshocked…and really didn’t have a cluewhat they should do. They were panicking. You realise as the leader you need tosupport staff in responding to a crisis.69
  • 70. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop ActivityIn pairs or three’s have a go at designingthe following:1. Good ‘protocols’ for managing potential andactual crisis situations2. Draft some procedures for the managementof crises including communication with staffand other relevant personnel,3. Ensure crisis management proceduresdeveloped are consistent with legal andorganisation obligations and constraints70
  • 71. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop ActivityWhat kind of PD would be needed to assist staff inappropriate crisis response training? Physical restraint strategies Drug use and overdose signs and what todo about them Communication lines What the police and ambulance can doand when to call Supporting youth and families after a crisis Self care and debriefing channels71
  • 72. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop ActivityFollow up crisis situations – DiscussHow a youth worker can do the followingpractically:1. Complete all required reporting andensure it is comprehensive, accurate andconsistent with organisations policies andprocedures2. Define debriefing procedures andimplement routinely72
  • 73. (c) Copyright CTA CODE of Course CHC51408, MODULE 6 Version Date: 22.01.2013Workshop Activity3. Provide opportunity for participation inreview and evaluation of organisationresponsiveness4. Identify needs of all specific parties whicharise from a crisis situation and developstrategies to ensure they are addressed73

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