BEC/HRC
What does BEC stand for?
Behavior Enrichment Committee
How often do we need guardian approval?
Every year, OR when significant changes are made (new adaptive/maladaptive tracking).
Who should notify us of new clients?
Life Consultant
Monthly Summaries should be completed how often?
Every month.
State requirements require that anyone taking psychotropic medications needs to see the psychiatrist how often?
6 months.
Previously 3, half points if you said 3.
How often do we have to submit plans to BEC?
Every 6 months.
Guardian didnt respond to attempt 1. What next?
Extra 200- Attempt 2, still no response... What next?
Extra 200- Email Lee & he will send certified mail.
A new client joins Aspire and is on my caseload. First, I'll do a file review. What am I looking for?
Past maladaptive behaviors.
Psychotropic medications.
Likes/Dislikes.
Someone's trying to escape demands by yelling. Which is NOT an option.
Call 9-1-1.
Encourage them to use quiet voice.
Give them attention.
Instruct them to leave.
Instruct them to leave.
Only call 9-1-1 if the danger is severe, but be aware it will reinforce it.
True or False-
Every time you write a psych form, you should update the medication section.
False- Updates aren't needed unless changes have been made, but double check the medications against PO sheet periodically.
What is included in the full 'BEC Packet'?
Short Packet (plans/restrictions), Baseline data, Other restrictions (environmental).
Cheat sheet
The signature page should be completed by:
Person served, guardian (if applicable), life consultant, clinical team member, director clinical.
During the transition into Aspire programming, what should I track?
'Maladaptive Behaviors' or 'Behavioral concerns'.
Or specific target behaviors related to psychotropics/previous behaviors we know about.
Which of the following would NOT be included in a monthly summary?
Intervention attempts. Baseline data review. 'Other' data tracking. ABC info. Guardian contacts/attempts. Likes/Dislikes. Staff changes. Medication changes.
Monthly summaries can include ANY relevant info from that month. They don't need ALL that info EVERY month.
When psychotropic medications are changed, clinical is responsible for notifying who?
Life Consultants.
LC's notify all other parties. (Lee will also notify nurse & pharmacy for Cook, Zarah will for Lake).
True or False, and WHY?
We do not always need to get approval for someone to start taking a new psychotropic medication.
True- We only need to get approval to start a new medication if they're prescribed it in our care. If someone is hospitalized, we do not stop it.
Every maladaptive behavior must have the function listed. What must be included for each function identified in a behavior program?
Double points.
Replacement behavior- at least 1 per function. Note the function next to the skill.
Escape- Self Removal.
Attention- App reqs for attention.
Tangible- FCT.
My new client is refusing to get out of bed in the morning. When should I write a plan?
If it's an ongoing issue for over 2 weeks, we should begin to intervene behaviorally.
In the first 2 weeks, seek information about what they like, and enrich their environment at day program in any way possible.
After BEC/HRC, we should update the plan schedule sheet. What boxes should we update?
BEC date, HRC date, Annual date (if relevant).
Medication name, dosage, potential side effects.
Which of the following is NOT included on the HRC form?
HRC number... Restrictions Included in plan... Reason for Restrictions... Date of Birth... Impact of Restriction... Diagnoses. Relevant Information/Changes... Target Behaviors & Functions... Proactive Procedures... Adaptive Behaviors... Reactive Procedures... Target Behaviors fade out plan...
Date of Birth- Year Born instead.
Proactive Procedures- No need to include these.
Reactive Procedures- No need to include these.
Both may be included in the summary only if very relevant.
When writing a plan, what are 3 things we must ALWAYS consider?
1. Is the plan written in a way that DSP's can read/understand it?
2. Have I included the persons preferences as reinforcers?
3. If everyone understands the plan, is it written in a way that it could be run in this environment? If not yes, how can I make it possible.
Which of the following is NOT a step we must take when someone joins Aspire?
Complete preference/reinforcer assessment, submit psychotropic medications to HRC, open baseline tracking, ask them what they like to eat, encourage socialization with peers.
Complete preference/reinforcer assessment- We can casually do a preference assessment.
It's helpful but not always necessary.
Plan complete, approved by guardian, BEC, HRC, scanned, saved into sharepoint.
New plan entered into therap ISP. Trainings complete.
What's the final thing you need to do as part of the annual plan/ addendum update?
Note the date that the plan is being implemented on the program. 'Implementation Date' is the final day of trainings.
After the final appointment of the day, Lee/Zarah will email ALL LC's/clinical team the changes/other notes.
What is the responsibility of the clinical team member after their appointments?
Notify the LC of changes, for them to request verbal approval from guardian. Answer questions.
Send guardian approval letter to guardian.
Verify notes in the consultation log.