MANDT Training

If a person has unmet basic human needs, what are they likely to do?

Use behavior that some may consider as manipulative to get their needs met and increase the intensity, frequency, and/or duration of a behavior to get their needs met.

Working as a team:

When team members believe their work is interdependent there is more information sharing, learning, and effectiveness and should involve everyone involved with the person we are supporting.

The relationships we have with others:

Have an effect on our mental and physical health and have an effect on the progress people make working with us.

Annie is having a typical day. She is setting at a table working on her homework. Which one of the following would best fit The Crisis Cycle description of the appropriate staff response?

Check with Annie to see if there is anything you can do to help her and then follow through as best as possible.

Marcus seemed fine but is suddenly beginning to wave his hands in front of him and making noises that sound as if something is wrong. Which one of the following would best fit The Crisis Cycle description of the appropriate staff response?

Try to identify what may have happened or changed for Marcus and what you can do to help him.

You just started working and noticed that Serena is in the hallway, pacing back and forth, repeatedly saying “But I don’t want to do that.” Which one of the following would best fit The Crisis Cycle description of the appropriate staff response?

Using a calm voice, check if Serena would like a read a book, use her IPad, or go for a walk

You have been working one-on-one with Sebastian for about an hour, he was mildly irritated, but now he has just picked up a book and is holding it above his head like he is going to throw it at you. Which one of the following would best fit The Crisis Cycle description of the appropriate staff response?

In a neutral voice, let Sebastian know you can tell he may not be having a great day and suggest you two go outside and shoot some hoops (since you know Sebastian likes basketball), while you gesture towards the door.

You are in the commons room with five people receiving services when you suddenly hear a noise behind you. You turn around and see a chair fly through the air and barely miss Stephanie. Aimee is picking up another chair like she is going to throw it. Which of the following would best fit The Crisis Cycle description of the appropriate staff response?

You tell Stephanie and the other three people to leave the room as you attempt to get Aimee’s attention.

Maleek had been moving quickly around the room yelling at no one in particular for the prior 10 minutes. You asked him if he would like to go for a walk, help collect the trash, or listen to music (three activities you know he enjoys). He now looks at you from across the room and says he would like to listen to music. Which one of the following would best fit The Crisis Cycle description of the appropriate staff response?

Tell him that sounds like a good choice and help him get his headphones and get settled into his room.

You check on Nylah, who has been quietly working on a puzzle for a while after Olivia had attacked her earlier. Nylah looks at you and says she is afraid of Olivia and doesn’t want to be in the same room as her anymore. Which one of the following would best fit The Crisis Cycle description of the appropriate staff response?

Let Nylah know you understand her fear and ask her what she thinks her options may be.

Which of the below are among the five reasons that a person might initiate physical contact with another person according to the Mandt System?

Attention, affection, assistance, and aggression

Which of the following practices are specifically prohibited by the Mandt System?

Striking, pain compliance, and prone restraint

Finding the weak point in grip is important because:

It lets you know where it may be easiest to gain a release and using the weak point allows you to use the least amount of physical interaction.

Generally speaking, people with histories of trauma:

Have a higher baseline than people without trauma histories, have a lower tolerance for stress and escalate more quickly, and need staff to model healthy, trusting, and safe relationships.

Evading or escaping physical contact without making physical contact

Avoiding

Removing someone or something from a physical hold

Releasing

Using the hand or hands to change the direction of an incoming object

Redirecting

Using the forearms to protect vital targets from damage

Covering

Minimizing movement that can cause harm

Stabilizing

The concept of muscle groups is important because:

When you use muscle groups, you don’t need as much strength per muscle, when you use muscle groups, you movements may be smoother, and muscles need to work together to have smooth, relaxed skills.

Proper stance and balance:

Permit a person to move safely and smoothly, are the foundation for all efficient movements within the Mandt System, and must be learned so that they become automatic

Physical interaction means the use of a physical presence, skill, maneuver, or technique to either ______ or _____ a person’s behavior

Assist or limit

The three critical concepts of technical skills include stance and _____ body ______ and movement, and body ______ in relation to the other person.

Balance; mechanics; position

What three questions must be asked to determine if there is clear and present danger?

Is the threat believable? Is the person capable or carrying out the treat? Is the threat of harm immediate?

Restrictive holds are controversial and dangerous. Why might it be necessary for some employees to learn?

It is better to learn appropriate restrictive holds, rather than know nothing at all, and if staff do not know the safest and most appropriate restraint techniques, they may resort to inappropriate physical interaction due to fear, frustration, anger, or desperation.

Which of the below are signs of distress due to restraint use identified in Chapter 4 of the Mandt System?

Absence of breathing, unconsciousness, joint swelling, and nasal flaring

The dangers associated with the use of physical restraint include:

Injury to individuals receiving service and staff members, death of individuals receiving services, re-traumatization of individuals with a trauma history, and damage to relationships

Restrictive holds should only be done for the purpose of ______

Protection

List the four factors of the Mandt System addresses to minimize the risk of restraint associated injuries:

Reduce frequency, reduce duration, reduce intensity, and sale design

Assertive holds help a person who is struggling with balance and should typically be done with a person’s _______

Permission

________ asphyxiation occurs when the position of a restrain inhibits the ability of a person to breathe

Positional

The maximum duration an individual should be restrained before there is an attempt at releasing the person according to the Mandt System is _________ minutes.

Three