Standards for private organizations

2020 Edition

Behavior Support and Management (BSM) 3: Restrictive Behavior Management Intervention Training

Personnel who use restrictive behavior management interventions, are trained and evaluated on an annual basis using a nationally recognized curriculum.
2020 Edition

Currently viewing: BEHAVIOR SUPPORT AND MANAGEMENT (BSM)

VIEW THE STANDARDS

Purpose

The organization’s behavior support and management policies and practices promote positive behavior and protect the safety of service recipients and personnel.
Examples: Training on restrictive behavior management interventions can include:
  1. proper and safe use of interventions, including when it is appropriate to use a restrictive intervention and time limits for use;
  2. understanding the experience of being placed in seclusion or a restraint, including the medical and therapeutic risks related to restrictive interventions and the resulting consequences of the misuse of restrictive interventions, including trauma and re-traumatization;
  3. response techniques to prevent and reduce injury;
  4. evaluating and assessing physical and mental status, including signs of physical distress, vital indicators, and nutrition, hydration, and hygiene needs;
  5. readiness to discontinue use of the intervention;
  6. when medical or other emergency personnel are needed; and
  7. documentation and debriefing.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • A few personnel have not been trained but only work with clients under the oversight of trained personnel.
3
Practice requires significant improvement; e.g.,
  • A significant number of personnel have not been trained.
4
Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
  • The organization does not use a nationally recognized curriculum.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Information about the nationally recognized curriculum used by the organization
  • Documentation tracking staff completion of restrictive behavior management trainings and evaluations
  • Interviews may include:
    1. Program directors
    2. Relevant personnel