Standards for Canadian organizations

2020 Edition

Behaviour Support and Management (CA-BSM) 5: Documentation and Debriefing

The organization assesses restrictive behaviour management incidents and effects to reduce future preventable occurrences and untoward consequences.
Youth Custody Services

Interpretation

When organizations serving youth in the youth custody system use mechanical restraints to prevent escape during transport, rather than in response to an incident, some elements of the BSM 5 practice standards may not apply.   
2020 Edition

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Purpose

The organization’s behaviour support and management policies and practices promote positive behaviour and protect the safety of service recipients and personnel.
Note: Please see the Case Record Checklist for additional guidance on this standard.
1
The organization's practices fully meet the standard, as indicated by full implementation of the practices outlined in the CA-BSM 5 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the CA-BSM 5 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the CA-BSM 5 Practice standards.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the CA-BSM 5 Practice standards.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • BSM procedures, including debriefing procedures
  • Restrictive behaviour management intervention logs
  • Documentation of debriefing

 

  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  •  Review case records

 
Fundamental Practice

CA-BSM 5.01

The use of restrictive behaviour management interventions is documented, including:
  1. the justification, use, circumstances, and length of application in the individual’s case record;
  2. all attempts made prior to the use of a restrictive behaviour management intervention in order to preempt it, including the strategies identified in the individual’s behaviour management plan; and
  3. names of the service recipient and personnel involved, reasons for the intervention, length of intervention, and verification of continuous visual observation in a log.
Youth Custody Services

Interpretation

Element (b) may not apply when a youth custody program uses mechanical restraints to prevent escape during transport. 
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • Procedures need clarifying; or
  • In a few instances documentation was not complete.
3
Practice requires significant improvement; e.g.,
  • Procedures are inadequate; or
  • Documentation problems are common but corrective action is being taken.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 
Fundamental Practice

CA-BSM 5.02

Debriefing occurs in a safe, confidential setting within 24 hours of the incident and includes the service recipient, frontline and clinical personnel, other appropriate personnel, and parents/legal guardians, when possible, to:
  1. evaluate physical and emotional well-being;
  2. identify the need for counseling, medical care, or other services related to the incident;
  3. identify antecedent behaviors and modify the service plan as appropriate; and
  4. facilitate the person’s reentry into routine activities.

Interpretation

The organization ensures the service recipient’s participation in the debriefing process. In situations where the individual initially refuses to participate, the organization should make continued attempts to involve the individual.
 

Interpretation

If the parent or legal guardian is unable to be reached within the 24 hour period, all attempts to reach them should be documented and there should be continued outreach attempts past the 24 hour period to notify them of the incident.

Youth Custody Services

Interpretation

Element (c) may not apply when a youth custody program uses mechanical restraints to prevent escape during transport. 
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • One of the elements is not regularly addressed; or
  • In a few instances debriefing occurred after 24 hours; or
  • In a few instances one of the required attendees was absent.
3
Practice requires significant improvement; e.g.,
  • Two of the elements are not regularly addressed; or
  • In several instances debriefing occurred after 24 hours; or
  • In several instances one or two of the required attendees was absent.
4
Implementation of the standard is minimal or there is no evidence of implementation at all;
  • One of the elements is not addressed at all; or
  • Timeframes are routinely exceeded; or
  • One or more of the required attendees is routinely absent or excluded.

 

CA-BSM 5.03

Program personnel involved in the incident are debriefed to assess:
  1. their current physical and emotional status;
  2. the precipitating events; and
  3. how the incident was handled and necessary changes to procedures and/or training to avoid future incidents.
Youth Custody Services

Interpretation

Element (b) and the second half of element (c) (regarding changes to avoid future incidents) may not apply when a youth custody program uses mechanical restraints to prevent escape during transport.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • In a few instances one of the elements was not addressed.
3
Practice requires significant improvement; e.g.,
  • In several instances one of the elements was not addressed; or
  • In a few instances staff were not debriefed.
4
Implementation of the standard is minimal or there is no evidence of implementation at all;
  • One of the elements is not addressed at all; or
  • Staff are frequently not debriefed.

 

CA-BSM 5.04

Any other person involved in or witness to the incident is debriefed to assess their current physical and emotional status.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • In a few instances the debriefing did not occur.
3
Practice requires significant improvement; e.g.,
  • In several instances the debriefing did not occur.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.