WHO IS ACCREDITED?

Private Organization Accreditation

CSS Healthcare Services provides Community based health services to the young, the elderly and to Individuals with Developmental Disability. Founded in 1997, we have the ability to offer a variety of quality community-based services to our clients, which has greatly contributed to our growth and success.
read more >>

VOLUNTEER TESTIMONIAL

Harry Hunter, MSW, MBA, Ph.D.

Volunteer Roles: Peer Reviewer; Team Leader

Peer Reviewer for the month of January 2013, Dr. Hunter has been volunteering for COA since 2005, conducting five site reviews.
read more>>

Purpose

The agency’s behavior support and management policies and practices promote positive behavior and protect the safety of service recipients and staff.

Introduction

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. Agencies 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.

NA The agency does not provide services to individuals face-to-face.

NA The agency provides financial education and counseling (PA-FEC) services only.

NA The agency provides Employee Assistance Program (PA-EAP) services only.

Note: COA’s Standards for Public Agencies have been updated in order to correspond with the work of state-administered agencies. Please see the tip sheet How to Read the Standards and Tables of Evidence - Public for further information on interpreting requirements according to public agency structure.

Note: All agencies are 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 all the standards in this section, as applicable to the behavior support and management interventions they employ. BSM 4, BSM 5, and BSM 6 are not applicable in agencies that prohibit the use of restrictive behavior management interventions. Restrictive behavior management interventions are those that restrict, limit, or curtail a person’s freedom of movement and include isolation, manual restraint, mechanical restraint, and locked seclusion. Related definitions can be found in COA’s glossary.

COA’s standards permit most agencies to employ these interventions only to prevent a person from harming him or herself or others. However, when required or authorized by law, agencies 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 agencies 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 agencies serving youth involved with the juvenile justice system and accredited under COA’s Juvenile Justice Residential Services (PA-JJR) service section 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 PA-JJR 15, and standards referencing "isolation," "locked seclusion," or "restrictive behavior management interventions" do not apply.

Note: PA-BSM does not apply to PA-FEC programs, but in agencies providing multiple services, including PA-FEC, the Standards will apply and must be implemented in the non-FEC programs.

Note: Please see PA-BSM Reference List for a list of resources that informed the development of these standards.

Behavior Support and Management Narrative

Self-Study Evidence
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity 
    • Describe  the agency's approach to behavior support and management and how it is implemented in practice to promote positive behavior:
      1. Include the full spectrum of behavioral support interventions that the agency utilizes (e.g., point programs, level systems, time out, manual restraint, etc.).
      2. If the agency uses any restrictive interventions (e.g., isolation, manual restraint, locked seclusion, and mechanical restraint), provide the agency's rationale for their use.
    • Does the agency use restrictive behavior management under any circumstances?
    • Identify a part of the agency’s behavior support and management policies and practices that have been:
      1. the most difficult to advance, and indicate the reasons why; and
      2. the least difficult to advance, and indicate the reasons why. 
    • Describe the agency’s use of any established or evidence-informed behavior support and management interventions.
    • Provide any additional information about the agency's behavior support and management policies and procedures that would increase the Peer Team's understanding of how the practice(s) support a safe environment and reduce the need for restrictive interventions.
    State Administered Agency (Regional Office)
    • Provide any regional information (related to programs located in the region) that would increase the Peer Team's understanding of how the practice(s) support a safe environment and reduce the need for restrictive interventions.
Copyright © 2018 Council on Accreditation. All Rights Reserved.  Privacy Policy and Terms of Use