Effective behavior support and management practices begin with support from leadership that encourages an environment in which the need for restrictive interventions is minimized to the greatest extent possible. A culture that promotes respect, healing, and positive behavior, and provides individuals with the support they need to manage their own behaviors, can help prevent emergency situations. Training for personnel and foster parents is an essential component of maintaining a safe work and service environment. Training also prevents injuries and deaths in crisis situations that warrant the use of restrictive interventions as a last resort. Organizations that maintain a process for reviewing incidents when they do occur have the opportunity to make changes in their practices to support the safest environment possible and further reduce the use of restrictive interventions.
Update: Added Second Note, Added Second NA - 06/01/10
Added Second Note and Second NA
Note: All organizations will be required to complete BSM 1, BSM 2, and BSM 3. Any service that uses isolation, manual or mechanical restraint, and/or locked seclusion in facilities, and any foster home that uses manual restraint, will complete the standards in this section, as applicable to the behavior support and management interventions they employ. Restrictive behavior management interventions are those that restrict, limit, or curtail a person’s freedom of movement. Related terms found in COA’s glossary include isolation, manual restraint, mechanical restraint, and locked seclusion.
COA's standards permit most organizations to employ these interventions only to prevent a person from harming him or herself or others. However, when required or authorized by law, organizations serving youth involved with the juvenile justice system may also use restrictive interventions for other purposes, as referenced throughout the standards in this section. Nevertheless, these organizations should still strive to create a culture that promotes respect, healing, and positive behavior, and minimize the use of restrictive behavior management interventions to the extent possible.
Some organizations serving youth involved with the juvenile justice system and accredited under COA's Juvenile Justice Corrections (JJC) service system may lock youth in their rooms for routine purposes (e.g., during sleep periods), as opposed to in response to an incident. Although this practice does restrict a person's freedom of movement, it differs from the types of restrictive behavior management interventions addressed in this section insofar as it is utilized on a routine, ongoing, basis, rather than in response to a specific incident. Accordingly, this practice is addressed in JJC 14, and standards referencing "isolation," "locked seclusion," or "restricted behavior management interventions" do not apply.
Note: BSM does not apply to FEC programs, but in organizations providing multiple services, including FEC, the Standards will apply and must be implemented in the non-FEC programs.
Note: Please see Self-Paced Training: Behavior Support and Management (BSM) in the Tools Index for additional assistance with this standard.
NA The organization does not provide services to individuals face-to-face.
NA The organization provides financial education and counseling (FEC) services only.