Standards for public agencies

2020 Edition

Behavior Support and Management (PA-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




The agency’s behavior support and management policies and practices promote positive behavior and protect the safety of service recipients and staff.
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.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed administration and management infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
  • Information on the nationally recognized curriculum used by the agency 
State Administered Agency (Regional Office)
  • No Self-Study Evidence
All Agencies
  • Documentation tracking staff completion of restrictive behavior management trainings and evaluations
All Agencies
  • Interviews may include:
    1. Program directors
    2. Relevant personnel