1. CCCW Behavior Support Oversight Committee

2. Why have a written plan?  Increases quality of life.  Supports health and safety.  Increases the quality of care.  Consistency  Helps train new staff  Everyone is on the same page

3. Portions of a Plan to Be Covered  Introduction  Proactive supports  Behavior supports

4. Introduction  Individual story.  Strength based.  Things that the person likes.  Things the person dislikes.  Any health considerations.

5. Proactive Support Plans  Interventions that proactively work to decrease maladaptive behaviors.  Should include ways for staff to interact with the individuals.  Very individualized in order to have it be successful.  How do we create an environment for people to learn to be independent?

6. Proactive Support Strategies  Building Rapport  What is the best way to get to know this individuals.  Does it take time?  How can you use the things someone likes to open up lines of starting a relationship.

7. Proactive Support Strategies  Effective communication  This is key to an effective plan.  A large amount of behaviors are due to communication barriers.  Identify how the individual communicates and how staff can communicate effectively with them.  Any adaptations that need to be looked at.

8. Proactive Support Strategies  Relationships  How do staff preserve the current relationships?  How do staff support the creation of new relationships.  How do staff work with the individual to support difficult relationship in their life.

9. Proactive Support Strategies  Choice and control:  How is choice and control offered within their everyday life.  Offering control and choice back into someone's life goes a long way.  Can be as simples as decide when I shower, and as complex as allowing some risk to make mistakes.

10. Proactive Support Strategies  Environmental  Sensory interventions.  Home modifications.  Visual aids.  Someone doesn’t like big crowds.  Someone doesn’t like being alone or down time.

11. Proactive Support Strategies  Routine  Structure throughout the day.  Effective communication around making changes to the day.  Offering choices.

12. Proactive Support Strategies  Identifying learning opportunities.

13. Proactive Support Strategies  Medical Interventions  Bowel movement plans.  Ear infections.  UTI.  Diabetes monitoring.

14. Proactive Support Strategies  Mental Health Interventions  Therapists  Medications  Other supports that are in place to assist with stabilization of any mental health symptoms.

15. Behavioral Support  Define the behavior  Objective  Repeatable  Measureable  Identify frequency  Baseline

16. Behavioral Support  Stress triggers  Ties to proactive supports  Awareness  Function  Physical, verbal, para-vebal signs  Non negotiable

17. Behavioral Support Target Behavior:Staff Interactions Behavioral signs:1.) 2.) 3.)

18. Behavioral Support  Simple  Clear  Concise steps

19. Behavioral Support  Is there a crisis plan in place?  What are the steps?

20. Behavioral Support  Talk out  How to process and lead into a teaching moment.  For both the individual and staff  This is often overlooked

21. Behavioral Support  Documentation/data collection  Assist with evaluating effectiveness  Determining function  Consistency from staff

22. Behavioral Support  Review schedule.  Who is involved  Create objective bench marks  Signatures (do not forget the individual the plan is created around)

23. Resources for Questions  For providers contact the members CCCW IDT.  For IDT contact your site Behavior Support Oversight Committee lead.