Putting Behavioral

Information in the ISP

Office of Developmental Programs

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Agenda

• The Importance of Behavioral Information

• ISP Areas:

– Know and Do

– Psychosocial

– Social/Emotional

– Understanding Communication

• Behavioral information identified in the assessment process

• Up-to-date information

• Why it’s important in the AAW

• Examples

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THE IMPORTANCE OF BEHAVIORAL

INFOMATION

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Capturing Behavioral Information

4

….Behavior = Communication

Remember….

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Presenting Behaviors vs. Diagnosis

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• What is important and how is the person

behaving in response to what is going on in

his or her life?

• What do others (providers) need to know in

order to deliver needed services effectively?

• What is currently happening in this person's

life?

• Did everything from the previous year get

captured?

Relevant & Up-to-Date Information

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Purpose of Behavioral Information

• All team members are informed

• Better able to provide respective services cognizant

of person’s behaviors and needs

• More consistent approaches used

• Change in staff/providers

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LET'S TALK ABOUT THE ISP

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Behavioral Information and Assessments

• Behaviors identified in the assessments (SIB-R and

PRE) are found in:

• Know and Do

• Psychosocial

• Social/Emotional

• Understanding Communication

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Know & Do Section

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Carrie- Know & Do

Carrie lives with her family. When at home, she spends time working on her jewelry bead work and using the computer to look at jewelry making supplies and equipment. She also enjoys watching certain shows on TV, especially on Thursday night. She likes going out with her older sister on Saturday afternoon to the local craft shop and to buy more beads to make jewelry. Carrie likes to have a schedule and know what activities will take place well in advance of them occurring. Should her schedule change or she is not prepared to go somewhere, she will yell and sometimes bang her wrist to her head. Her mother states that when this occurs, she talks to Carrie in a soft voice, provides her with an explanation and mentions alternative activities that she can select to do instead. This helps Carrie calm down and not feel overwhelmed. Carrie recently stopped her Friday morning volunteer work at her church where she helped her mother for years inserting the music into the Sunday service booklet. Carrie will still ask on Friday mornings if they are going to volunteer that day; when told no, she will frequently refuse to get up and begin her morning routine. Carrie’s mother stated that when this occurs, she reminds her of other activities are on the schedule for that day. Carrie is sensitive to hot food and mother serves her dinner lukewarm. Carrie has no risk related to her natural supports.

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• Likes, interest, relationships

etc.

• Needs and likes to follow a

schedule

• Doesn’t like change in routine

• Sensitivity to hot food

Behaviors she exhibits:

• Yells and bangs her wrist

against her head

• Refusing to do morning routine

What others should do:

• Talk to Carrie in a calm voice

• Provide explanation

• Redirect her to other choices

• Serve hot food to her at

lukewarm temperature

What do people need to know about Carrie?

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Psychosocial Section

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Carrie- Psychosocial

Carrie experiences anxiety and depression. When she is experiencing anxiety, her symptoms include heart racing, sweaty palms and an increase in her banging her wrist against her head. Since the family moved into a new home back in June, Carrie has experienced more anxiety. She also has become more anxious when out in the community with her mother, stating that she doesn’t like the stores in their new neighborhood. On 2 occasions in the last few months, when she became separated from her mother in a store, she became very anxious and began to yell.

While the medication she has been on for depression has proven helpful, there was a time period of about 3 weeks, shortly after the family moved into their new house, that she became increasingly withdrawn not wanting to come out of her room and was also not eating well.

Carrie does not have any concerns in the area of law enforcement,

sentinel events or substance abuse.

.

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What behavioral issues has Carrie experienced in the last 12 months?

Anxiety

Since family moved into new house in new community, an increase

in her banging her wrist against her head, heart racing and sweaty

palms; yelling when frightened in store.

Depression

Has become increasingly withdrawn not wanting to come out of her

room and not eating well especially for about 3 weeks shortly after

the family moved to new home.

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Social Emotional Section

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Carrie- Social Emotional

When Carrie was a pre-school and elementary school, she

would frequently bang her wrist against her head so severely

that she would have bruises on her forehead and wrist Carrie

often yelled while doing this behavior. Often this would

happen when her school schedule changed or there were

different activities going on at school.

More recently, she exhibits this behavior much less frequently

and only when things in her environment change very

unexpectedly and to a much less preferred result. However,

in the last 6 months, she has exhibited more difficulty in this

area since moving to her new house.

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What are Carries ongoing historical issues?

Historical

Pre-school and elementary school:

– Self-Injurious Behaviors: Bang wrist on head causing bruising

– Yelling

Ongoing

Last 6 months showing an increase in these behaviors since family

moved to new house and neighborhood although not as severe and

as frequent as when she was younger.

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Understanding Communication Section

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Understanding Communication: 4 Questions

• When this happens: In what circumstance or

condition

• The Individual does: Behavior exhibited

• We think it means: What we think person is

communicating

• We should: What approaches have been effective

and helpful

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Carrie- Understanding Communication

When this is

happening…:

The individual

does…:

We think it

means…:

We should…:

When Carrie’s

schedule of

preferred activities

changes

She will bang her

wrist against her

head and

sometimes yell

She is unhappy

and wants to avoid

having to deal with

the change in her

schedule

Talk to her in a

calm tone of voice

provide a brief

explanation for

change and offer

alternative activities

from which she

may choose

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How is this information useful?

• It informs the team about what kind of goals should

be addressed in the ISP.

• It highlights and documents whether BSS serves

are warranted or not.

• It ensures that all providers have equal access to

important and relevant information about person’s

needs.

• It chronicles the persons past and present and

informs what is needed to help the person achieve

their goals and develop their potential.

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In Summary

• Be specific in your notation of behaviors.

• Be sure that each section represents information listed

in the SIB-R and/or PRE

– Noting any behaviors of concern

– Identify if the behaviors warrant BSS

– Even if BSS is not deemed necessary, include

current behaviors, supports, needs and status of

participant respective to behaviors noted.

• Be sure that information is aligned and is consistent

across 4 sections to ensure consistency for service

providers.

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Thank you for attending!Please email any questions or comments about

the training to

ra-basprovidersupprt@pa.gov

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