Riverview Hospital Staff Manuals. Richard J. Wiseman

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СКАЧАТЬ holes, that is one incident. Throwing the chair twice causing one hole is one incident of destruction.

      SMOKING AND/OR POSSESSION OF MATCHES:

      Any child caught with a lit or unlit cigarette, cigar or pipe will be fined. If any child is caught with any part of a matchbook or with an unstruck match will be fined. Children found in possession of cigarette butts will naturally be fined. Any child found with smoke on his breath will also be fined.

      AWOL:

      Any child who is off grounds, off ward without permission, or not where he or she is supposed to be will be considered to be AWOL and fined.

      SUICIDE ATTEMPT:

      Any child who harms him- or herself intentionally will be considered to have made a suicide attempt. Such things as sticking pins in various parts of the child’s body, purposely scratching self, cutting self, eating or drinking non-food substances, etc. are considered to be a suicide attempt and will be fined.

      INTERACTING WITH GROUNDED CHILDREN:

      Any child who talks to, touches, makes faces at, or in any way interacts with a child who is at ground zero will be fined.

      ENTERING A ROOM OTHER THAN YOUR OWN WITHOUT PAYING:

      Any child who enters another child’s room without paying or permission from a staff member will be fined.

      STEALING:

      Any child who takes anything which is not his or which is not supposed to be used at that moment or which he does not have permission to have will be fined. This is especially true of others’ dollars or belongings or things taken from the Nurses’ station. Stealing also includes taking part in an activity for which the child did not pay.

      SWEARING:

      Any child who uses any of the traditional Anglo-Saxon off-color words will be fined per word. All derogatory words, slang expressions and variations, including gestures, will be fined. Including: Hell, Damn, Fuck, Shit, Bastard, Goddamn, etc.

      FINE PROCEDURES

      IDEA:

      To stop the immediate incident and decrease its probability of re-occurrance. To clearly communicate to the child that he or she has been fined, the exact reason for the fine, the amount of the fine and that the behavior should stop. To do this in a business-like, non-challenging, non-punitive, non-sarcastic, but firm manner.

      PROCEDURE:

      Staff will cite infraction, amount fined, and ask child to stop any fined activity. For example, “David, you hit Joey. Stop hitting him! You are fined 20 dollars.” If the child stops, the staff will issue a fine slip, take the dollars from the child and give the child instructions to take part in the (an) ongoing activity. If the fine reduces a child to ground zero, then ground zero procedures will be followed.

      If the fine procedure does not stop the behavior, a second fine can be given. If that does not stop the behavior, the Beyond Fine procedure should be followed.

      RULES:

      1. Always fine liquid assets first, then savings.

      2. No child can ever be placed in a debt situation. A child can only be fined to zero liquid and savings assets.

      3. As soon as a child has no liquid assets, he is considered to be at ground zero. (See below.)

      DAILY ENTRANCE INTO THE SYSTEM:

      Any child who is not up (see definition for getting up) by 7:30 will not take part in the token economy that morning. His door will be locked at 7:30 and the child will be ignored until 12:00. At 12:00 a tray with Basic Lunch Meal #1 will be placed in the child’s room and the door relocked. The child is approached again at 7:00 a.m. the next morning. If the child refuses to get up and enter the system a second day, the same procedure is followed. If the child refuses to enter the system, a third day, the procedure is followed again. Every time a child refuses to enter the system three times, a case specific decision will be made by the staff.

      As noted above, a child who refuses to enter the system by not getting up will receive lunch, dinner and a bed during the time he is out of the system. He will not receive breakfast simply because he slept through breakfast! Child will be allowed access to bathroom during meals, but this should be the bathroom off his room. There should be a minimum of contact and bathroom should be locked after meal.

      GROUND ZERO:

      Definition – Any child who has entered the system, but due to fines, poor behavior, etc. has no liquid assets, will be considered to be at ground zero. If the program is at a point where no liquid assets can be earned, the child will be asked if he or she wants to earn. If the child says yes, he is presented with the list of make-up activities and asked to choose an activity. Upon completion of the task, the child is given his dollars and can buy any activity for which he has enough dollars. A child will continue in a make-up activity until either he has completed the activity and has liquid assets or until the ward program allows an opportunity to earn dollars. At the completion of a make-up activity, the child can cash in for one of the make-up rewards or save the dollars for another activity.

      If a child has no liquid assets and the group schedule does not allow for earning and the child refuses to do a make-up activity, he or she is placed in his or her room and the door is locked. The child is approached every 1/2 hour and asked: “Are you ready to earn?” If the child says yes, he then either chooses to do a make-up activity or he joins the schedule, assuming that there are earning opportunities. If there are no earning activities, a child can only choose a make-up activity. If the child chooses not to earn, his door is relocked and he is approached again 1/2 hour later.

      Come meal times, or bed time, any child who is still at ground zero will be provided Basic Meals and a mattress. The only difference between ground zero and not entering the economy is that at ground zero the child will be approached every 1/2 hour and asked if he is ready to rejoin the economy. Basic Menus and Mattress with betting will be provided.

      MAKE-UP ACTIVITIES

      Any child who is at ground zero is allowed to earn during those periods when no earnings are possible by choosing and completing a make-up activity.

      Make-Up Activities:

      1. Homework – Per assignment correct with a score of 80% or better $4

      2. Ward Jobs

a. Wash out showers, baths, toilets	2
b. Hop Long Hall	2
c. Sweep Long Hall	2
d. Mop and sweep office	2
e. Wash doors and walls in room	2
f. Wash doors and one side of walls in long hall	2

      3. Calisthenics

a. 20 jumping jacks	)
b. 10 sit-ups	)
c. 4 push-ups	)	Within 10 minutes	2
d. 30 toe touches	)
e. 20 deep knee bends	)

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