BEHAVIOR SUPPORT AND MANAGEMENT

The use of specialized interventions to guide, control, and redirect client behaviors. Examples of behavior management approaches used in residential treatment settings include mediation, time out, locked seclusion, and physical restraint.		  
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  PRACTICE

Established actions or ways of proceeding in the regular performance of organizational duties. Policies and procedures often guide practice.		  
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  SERVICE RECIPIENT

The individuals, groups, organizations, or communities that use, receive, or benefit from programs and services. Service recipients can include consumers, patients, family members, legal guardians, advocates, public/private organizations, employers, and purchasers. All are regarded as significant stakeholders served in a variety of agencies and practice settings.		  
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  PERSONNEL

The body of employees and/or volunteers that carries out the organization's tasks under the organization's administration and/or supervision. This definition does not include foster parents who are specifically referenced in relevant standards		  
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  FOSTER PARENTS

State- or county-licensed adults who provide a temporary home for children whose birth parents are unable to care for them. Foster parents are not considered employees or personnel and are specifically referenced in all relevant standards. 		 
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  TRAINING

Instruction so as to make fit, qualified, or proficient in a skill or body of knowledge.		  
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  SERVICE

One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.		  
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  PROCEDURES

Written instructions that outline the steps for performing a task(s) or operationalizing an administrative or service delivery process. A procedure can be written as a step-by-step set of instructions or as a narrative description of a process. A procedure tells someone how to do something not just what to do.

Unlike policies, procedures do not need to be approved or reviewed by the governing body, and need not be associated with a specific policy. For example, whereas a broad anti-discrimination policy requires grievance or other procedures in order to be operationalized within an organization, assessment procedures do not require a governing body approved assessment policy.

Note: Procedures are sometimes referred to as administrative policies.

  
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  MANAGEMENT

See ADMINISTRATION		  
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Behavior Support and Management
  
Private Org Public Agency  

BSM 3: Safety Training*

 
Personnel and foster parents receive behavior support training that promotes a safe work and service environment, and a reduction in emergency situations.
related TS 1,  TS 2
Note: Refer to ASE for standards regarding safety in the service environment.

BSM 3.01

 
All personnel and foster parents receive initial and ongoing competency-based training, appropriate to their responsibilities, on the organization’s behavior support and management intervention policies, procedures, and practices.
Interpretation: For example, non-direct service personnel should be trained on how to appropriately respond to incidents of out-of-control behavior that they may observe.

BSM 3.02

 

Personnel and foster parents receive training that includes:

  1. recognizing aggressive and out-of-control behavior, psychosocial issues, medical conditions, and other contributing factors that may lead to a crisis;
  2. understanding how staff behavior can influence the behavior of service recipients; and
  3. limitations on the use of restrictive interventions.
Interpretation: Training should also address management of age-appropriate, but potentially dangerous behavior, for example, ways to protect a child who runs into the street so as not to harm him/her.

BSM 3.03

 

Training addresses methods for de-escalating volatile situations, including:

  1. listening and communication techniques, such as negotiation and mediation;
  2. involving the person in regaining control and encouraging self-calming behaviors;
  3. separation of individuals involved in an altercation;
  4. offering a voluntary escort to guide the person to a safe location;
  5. time out to allow the person to calm down; and
  6. other non-restrictive ways of de-escalating and reducing episodes of aggressive and out-of-control behavior.
Research Note: Literature indicates that when staff are trained and supported in the use of alternate methods in crisis situations, the use of seclusion and restraint is reduced dramatically.
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PURPOSE: The organization’s behavior support and management policies and practices promote positive behavior and protect the safety of service recipients and staff.
 
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