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Date of
Plan: 8-
16-16
Who was in attendance?: Mom, Client, Wellness Coach
Predict (What is the most likely thing to go wrong with the family? Please indicate antecedents,
precursors and triggers that lead to problem):
Clientpresents behaviors when:
1) Being told no by mom
2) If something doesn’tfit into what clienthad planned
3) Fear of the unknown
4) When sibling is doing actions that bother client
When clientgets upset the following behaviors occur:
Clientwill start to pace back and forth, and clench fists. Clientmay begin to raise voice and start to yell “I
hate you” or “get away from me”. Client’s physical aggression includes hitting,pushing,and throwing
items. When client is upset, clientis encouraged to breathe,and go to a safe place. Behaviors can range
from 1-5 minutes.
Prevent (include things such as solution patterns, preventative measures,etc.)?:
Ways to help prevent these behaviors are as follows:
1) Have clear expectations set for client.
2) Let clientknow if any changes occur in upcoming plans.
3) Reinforcementofpositive behaviors with sibling.
4) Allow clientspace.
5) Encourage clientto use their room as safe space
Plan (Include a step by step outline from beginning to end of what will be done if the problem
behavior occurs, who will do what, and the role community plays):
When clientis escalated:
1) Encourage clientto use techniques to calm down (deep breathing)
2) Ask client if he would like space for himself
3) Remain calm
4) Acknowledge and validate feelings
5) praise often for positive behaviors
Phone Numbers
Teen SupportLine 1-800-248-TEEN
Youth Crisis Center: 1-800-448-4663
National Lifeline Network:800-273-8255
Wellness Coach:
Team Lead:
CM
Maricopa Crisis Hotline:602-222-9444
Poison Control:800-222-1222
If Bx becomes DTO/DTS Call the Police: 9-1-1

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Support Plan Outline Example

  • 1. Date of Plan: 8- 16-16 Who was in attendance?: Mom, Client, Wellness Coach Predict (What is the most likely thing to go wrong with the family? Please indicate antecedents, precursors and triggers that lead to problem): Clientpresents behaviors when: 1) Being told no by mom 2) If something doesn’tfit into what clienthad planned 3) Fear of the unknown 4) When sibling is doing actions that bother client When clientgets upset the following behaviors occur: Clientwill start to pace back and forth, and clench fists. Clientmay begin to raise voice and start to yell “I hate you” or “get away from me”. Client’s physical aggression includes hitting,pushing,and throwing items. When client is upset, clientis encouraged to breathe,and go to a safe place. Behaviors can range from 1-5 minutes. Prevent (include things such as solution patterns, preventative measures,etc.)?: Ways to help prevent these behaviors are as follows: 1) Have clear expectations set for client. 2) Let clientknow if any changes occur in upcoming plans. 3) Reinforcementofpositive behaviors with sibling. 4) Allow clientspace. 5) Encourage clientto use their room as safe space Plan (Include a step by step outline from beginning to end of what will be done if the problem behavior occurs, who will do what, and the role community plays): When clientis escalated: 1) Encourage clientto use techniques to calm down (deep breathing) 2) Ask client if he would like space for himself 3) Remain calm 4) Acknowledge and validate feelings 5) praise often for positive behaviors Phone Numbers Teen SupportLine 1-800-248-TEEN Youth Crisis Center: 1-800-448-4663 National Lifeline Network:800-273-8255 Wellness Coach: Team Lead: CM Maricopa Crisis Hotline:602-222-9444 Poison Control:800-222-1222 If Bx becomes DTO/DTS Call the Police: 9-1-1