1. Behavior Support and Management Stephanie Pacinella Standards Development and Performance Measurement April 2006

2. August 15© Council on Accreditation 2005 All Rights Reserved Service Delivery Administration and Management Administrative and Service Environment (ASE) Client Rights (CR) Training and Supervision (TS) Behavior Support and Management (BSM) –7 th Edition: G10 Behavior Management –Promote supportive culture –BSM addresses full continuum of behavior support interventions

3. August 15© Council on Accreditation 2005 All Rights Reserved Behavior Support and Management (BSM) Purpose Standard The organization’s behavior support and management policies and practices promote positive behavior and protect the safety of service recipients and staff.

4. August 15© Council on Accreditation 2005 All Rights Reserved What are Indicators of Strong Behavior Support and Management Practices? Leadership that promotes and supports a well established philosophy and policy A safe, therapeutic environment that promotes positive behavior An ongoing, competency-based training program A system to monitor incidents and make changes

5. August 15© Council on Accreditation 2005 All Rights Reserved 6 BSM Core Concepts BSM 1. Philosophy and Organization Policy BSM 2. Behavior Support and Management Practices BSM 3. Safety Training

6. August 15© Council on Accreditation 2005 All Rights Reserved 6 BSM Core Concepts BSM 4. Restrictive Behavior Management Intervention Training BSM 5. Restrictive Behavior Management Interventions BSM 6. Debriefing and Documentation

7. August 15© Council on Accreditation 2005 All Rights Reserved Does Every Core Concept Apply to All Organizations? Philosophy and Organization Policy Behavior Support and Management Practices Safety Training

8. August 15© Council on Accreditation 2005 All Rights Reserved Noteworthy Core Concepts Restrictive Behavior Management Interventions combines four sections from the 7 th edition – G10.4, G10.5, G10.6, G10.7 Debriefing and Documentation

9. August 15© Council on Accreditation 2005 All Rights Reserved Essential Life and Safety A total of 10 essential life and safety standards in BSM Fundamental to practice Must be implemented to achieve accreditation

10. August 15© Council on Accreditation 2005 All Rights Reserved Essential Life and Safety BSM 2.03 Interpretation: Chemical restraints do not include situations when a psychopharmacological drug: (1) is used according to the requirements for treatment authorized by a court; nor (2) is administered in an emergency to prevent immediate, substantial, and irreversible deterioration of a person's mental status when prescribed by a physician or other qualified medical practitioner. Note: Refer to COA's glossary for a definition of chemical restraint.

11. August 15© Council on Accreditation 2005 All Rights Reserved Other Noteworthy Revisions Foster parent language added Risk management training incorporated Debriefing for staff and service recipients

12. August 15© Council on Accreditation 2005 All Rights Reserved Standards Implementation Evidence of Implementation Pre-site –Procedures –Training Documents On-site –Case Records –Behavior Management Logs –Interviews

13. August 15© Council on Accreditation 2005 All Rights Reserved Thank you! Council on Accreditation 120 Wall Street, 11 th Floor New York, NY 10005 866-262-8088 www.coanet.org Stephanie Pacinella, spacinella@coanet.orgspacinella@coanet.org (518-373-8626) Melissa Lavigne, mlavigne@coanet.org (ext. 239)mlavigne@coanet.org