Standards for Canadian organizations

2020 Edition

Behaviour Support and Management (CA-BSM) 3: Restrictive Behaviour Management Intervention Training

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




The organization’s behaviour support and management policies and practices promote positive behaviour and protect the safety of service recipients and personnel.
Examples: Training on restrictive behaviour 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.
The organization's practices reflect full implementation of the standard.
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.
Practice requires significant improvement; e.g.,
  • A significant number of personnel have not been trained.
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 behaviour management trainings and evaluations
  • Interviews may include:
    1. Program directors
    2. Relevant personnel