Services provided to the consumer are determined by the Indiana Medicaid Waiver which sets the fees for service for consumers served. A consumer’s Notice of Action (NOA) provides DDSi will the specifics on number of hours per month that our clinicians are to provide to each consumer.
DDSi has a contract with DSA, Inc to provide behavior consultation to their consumers living within their 16 group homes. DDSi behavior consultants provide assessments, behavior development plans, training and support to the consumers and staff within the group homes.
Our clinicians use a variety of assessments to create individual behavior development plans (BDPs) based on person-centered outcomes, and the results of a functional assessment and/or analysis using the least restrictive alternative that is likely to be effective in supporting the consumer. A BDP is a plan based on environmental, quality of life and functional assessments that is designed to look at the individual’s lifestyle holistically. The plan assists the individual in building positive/desired behaviors that replace or reduce the individual’s needs for challenging behavior.
Assessments Used to Create BDPs Include:
Quality of Life Assessment—this type of assessment measures the person’s access to friends, community members, places in the community, control over the immediate environment, ability to have needs met independently or with assistance or other relevant areas of social living. This is the area to review first in determining how to best support a person. For many individuals, increased opportunities to have the quality of life a person chooses may reduce the need to have Behavior Development Programs that include restrictive measures.
Environmental Assessment—the type of assessment evaluates the noise level, individual space (crowding), accessibility of materials, and other relevant environmental factors. More broadly defined, this could include:
Access to favorite materials
How staff members communicate with the person (e.g., supportive listening, interactions beyond demands)
The attractiveness and cleanliness of the person’s environment
Interactions with staff, friends, etc.
Opportunities for choices
How things are presented to the individual
Person-Centered Planning—a process to identify the person’s dreams, desires, and hopes for his/her future. Areas of particular interest include the person’s vision for the future, non-negotiables, preferences, a healthy life and other areas that help define the person’s desired quality of life.
Functional Assessment—any of a number of procedures including checklists, questionnaires, and direct observation and recording methods designed to identify the purpose(s) of the challenging behavior for the individual. This assessment involves examining the behavior from the individual’s perspective.
Functional Analysis—a systematic manipulation and study of antecedent and consequent events suspected to influence behavior in order to develop preferred activities and relationships for the individual that replace or reduce the need to engage in challenging behavior.
Role of Behavior Consultants
The responsibility of behavior consultants shall be to provide care and to enhance development of the consumers’ daily living skills and behavior. This includes training each consumer in the development of self-help and social skills, and other skills designated to promote growth, development and independence.