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please help, need advice, I work in a Residential Treatment Center (RTC).....
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<blockquote data-quote="timer lady" data-source="post: 403643" data-attributes="member: 393"><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">I'm assuming that you've gotten training for your position in the girls unit. Especially on PTSD & Reactive Attachment Disorder (RAD). These 2 particular diagnosis's fairly often present themselves as ODD. in my humble opinion, ODD is just a symptom of so much more going on.</span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'"></span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">Saying the above, as a male, I would not on any level ever do a restraint of a female resident with-o another female staff person in the room. Attachment disordered & PTSD children have the tendency to report false allegations of abuse on every level. Additionally, many of these children have no concept of what is abuse & what isn't ~ therefore the false allegations.</span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'"></span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">I'm going to assume there is a treatment plan in place along with other staff members on board. </span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">What are the steps before a physical restraint is used? </span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">Is there an area where the resident is given time to cool off by herself? </span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">Is the resident being taught self calming? </span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">Are residents being given therapy? What about medications & PRNs? </span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'"></span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">Knowing that the young women there have PTSD & Reactive Attachment Disorder (RAD) you should be aware that any touch, any restraint of this nature can bring on flight or fight responses. Flashbacks of abuse or worse. </span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'"></span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">Restraint should be the very last option ~ period. </span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'"></span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'">What you should do is get the treatment teams together & come up with a better plan. For your safety as well as the safety of your residents.</span></span></p><p><span style="font-size: 12px"><span style="font-family: 'Comic Sans MS'"></span></span></p></blockquote><p></p>
[QUOTE="timer lady, post: 403643, member: 393"] [SIZE=3][FONT=Comic Sans MS]I'm assuming that you've gotten training for your position in the girls unit. Especially on PTSD & Reactive Attachment Disorder (RAD). These 2 particular diagnosis's fairly often present themselves as ODD. in my humble opinion, ODD is just a symptom of so much more going on. Saying the above, as a male, I would not on any level ever do a restraint of a female resident with-o another female staff person in the room. Attachment disordered & PTSD children have the tendency to report false allegations of abuse on every level. Additionally, many of these children have no concept of what is abuse & what isn't ~ therefore the false allegations. I'm going to assume there is a treatment plan in place along with other staff members on board. What are the steps before a physical restraint is used? Is there an area where the resident is given time to cool off by herself? Is the resident being taught self calming? Are residents being given therapy? What about medications & PRNs? Knowing that the young women there have PTSD & Reactive Attachment Disorder (RAD) you should be aware that any touch, any restraint of this nature can bring on flight or fight responses. Flashbacks of abuse or worse. Restraint should be the very last option ~ period. What you should do is get the treatment teams together & come up with a better plan. For your safety as well as the safety of your residents. [/FONT][/SIZE] [/QUOTE]
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