Core BI Responsibilities
To support brain development and regulation, a BI must lead at least this many neuro-stimulating activities per shift.
What is 3–5 neuro-stimulating activities per shift?
This part of the brain is responsible for survival responses like fight, flight and freeze.
What is the "Downstairs Brain" (Brainstem & Limbic System)?
This is the supervisor’s review of BI documentation to ensure accuracy, completeness, and compliance with agency standards.
What is shift note audit?
This type of task is usually avoided by the client but can be turned into a neuro-stimulation opportunity by embedding engaging elements.
What is a non-preferred activity?
This type of on-the-job training allows a new BI to observe an experienced BI working with a client to learn role expectations and strategies.
What is a shadow shift?
Teaching or correcting behavior is ineffective at this time because the child’s thinking brain is offline.
What is dysregulated?
This formal review summarizes a BI’s strengths, areas for growth, and overall job performance, usually completed at 90 days and then annually.
What is performance review?
Neuro-stimulation activities always start with this because it regulates the brainstem first.
What is rhythm?
Every neuro-stimulation activity or intervention is guided by this document, which outlines the client’s goals and strategies for support.
What is behavioral plan?
Signs of this include aggression, withdrawal, refusal to communicate, or emotional volatility.
What is "stuck in the brainstem" (downstairs brain)?
This monthly report summarizes staff performance, tracks outputs, and helps supervisors monitor program activity and workload.
What is End-of-Month (EOM) Report?
For a neuro-stimulation activity to be effective, it must match the child’s developmental level and interests, making it this.
What is relevant?
The overarching goal of a BI is to achieve this outcome with the client and their family over time.
What is empowering the client and family so BI services are no longer needed?
According to Dr. Bruce Perry, this must happen before a child can reason or learn.
What is regulated?
Conducted by the supervisor, this evaluates BI skills, fidelity to procedures, and helps provide formal feedback.
What is an observation shift?
According to Dr. Perry, the brain develops and heals in this order, starting with the brainstem before moving to higher-level thinking areas.
What is bottom up?