Experiential Abuse and Neglect Prevention Training
Bo Butterfield Scenario

Scenario Overview:
Bo Butterfield is a 25-year-old male resident of Sunnyfield
Community-Based Residential Facility (CBRF). Bo has Cerebral Palsy and
Seizure Disorder. He also has a history of verbal and physical aggression.
Since moving to Sunnyfield six months ago, he has worked closely with his
therapist Maria to manage his anger. Bo has developed a trusting
relationship with Maria.
One day, Bo is scheduled to go to the Activity Center. Bo usually likes
to work on his arts and crafts at the Activity Center. On this occasion
though, Bo refuses to go, saying he doesn’t feel well. CNA Ann Anderson
manages to get Bo on the van to go to the center, but her tactics
disregard Bo’s rights and may even be abusive. Ann’s actions are
observed by two other caregivers, Bailey and Kim.
After Bo tells Maria about the incident, she convinces Bo to report it
to the administrator, Toua Yang. Toua informs Bo’s parents of the
incident and immediately begins an investigation into possible caregiver
misconduct.
Scenario Learning Points:
- Recognize signs of possible caregiver misconduct.
- Review duty to report abuse by other caregivers.
- Recognize ways to practice effective communication with a coworker.
- Identify strategies for working with residents with challenging
behaviors.
Facilitator’s Guide:
Life Binders:
- Bo Butterfield, a CBRF resident
(PDF, 105 KB)
- Maria Garcia, Occupational Therapist
(PDF, 111 KB)
- Kim Carson, CNA with 2 years of experience
(PDF, 111 KB)
- Bailey Barnes, a new caregiver being mentored
by CNA Ann (PDF, 111 KB)
- Toua Yang, Administrator of Sunnyfield CBRF
(PDF, 106 KB)
- Deena Butterfield, Bo’s mother
(PDF, 105 KB)
- Dan Butterfield, Bo’s father (Optional)
(PDF, 105 KB)
- Ron Records, Documentation Specialist (Optional)
(PDF, 101 KB)
Handouts:
Posters:
Support Materials:
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Training Page
Last Revised:
May 26, 2009
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