Dealing effectively with inappropriate behaviors entails looking at why our patients and clients display inappropriate behaviors. This involves a root cause analysis, using the “Rule of 9,” as I presented in a previous article, and using the bio-psycho-social and cultural approach. Traumatic brain injury and substance use are two biological-contributing factors.
In my articles and during SWEET seminars, I often talk about the problem-solving process, and I remind clinicians that part of the process is to first formulate and agree upon the exact defining problem. I also explain that the next step is to seek to understand what is causing the problem in the first place. No, I am not talking about the immediate cause. I am talking about the root cause, and for that we need to go through the process of a root cause analysis. A root cause analysis may come across as a daunting task. While it is, indeed, far from a quick fix, we can adopt the “Rule of 9” to help simplify it.
“I need to make a decision. I have been working for the past eight months with him, but there has been no progress.” Maria explained this to Jena, the new clinical supervisor, only one week on the job. Maria was referring to Ken, already introduced in a previous article entitled, Dealing Effectively with Inappropriate Behaviors: The Why.
“I have been giving him the benefit of the doubt, but things have been worsening. Now I dread meeting with him, and I drag myself to work on the days I know he is scheduled to see me.”
Maria was teary when she articulated these words to Gaelle, one of her co-workers.