NORTHPOINTE BEHAVIORAL HEALTHCARE SYSTEMS
POLICY TITLE: Use of Behavioral Analysis
MANUAL: Clinical
ORIGINAL EFFECTIVE DATE: 5/1/02
REVIEWED/REVISED ON DATE: 4/16/15
REVISIONS TO POLICY STATEMENT:
YES
NO
PAGE: 1 of 2
SECTION: Miscellaneous
BOARD APPROVAL DATE: 9/26/13
CURRENT EFFECTIVE DATE: 5/1/14
OTHER REVISIONS:
YES
NO
APPLICATION:
All individuals receiving services at Northpointe.
POLICY:
It is the policy of NBHS to assure clinically appropriate, timely and cost effective use of behavioral analysis services.
The use of these services shall be determined based on individual need and the person centered planning process.
PURPOSE:
To assist in ensuring the appropriate use of behavioral healthcare resources.
PROCEDURES:
1.
Services shall be provided by those professionals who have been granted privileges to do so through NBHS
credentialing and privileging procedures.
2.
Screening can occur based on the recommendation of the provider/treatment team, whereas all assessments
must be upon the order of a physician, and new/initial assessments authorized by the supervisor.
3.
Required for a Referral:
a.
b.
c.
d.
e.
f.
4.
Criteria for Referral:
a.
b.
c.
d.
e.
5.
A physician’s order for professional assessments is completed by the individual’s primary provider.
The individual meets the criteria for DSM-IV diagnosis and priority population.
Medical conditions that may contribute to the behavior have been ruled out or treated.
The individual is medically stable and is able to respond for the purposes of the assessment.
Observation of the individual and/or meeting with the individual may be necessary and as appropriate,
relevant caregivers, family/guardian, and team members to gather information.
Amount, frequency, length of face to face contacts in minutes and units, and duration of services must
be specified in the IPOS.
Individuals who are a danger of harming self or others due to self-abuse or physical aggression.
Individuals who have engaged in significant property damage.
Individuals who are at risk of losing their placement or may be placed in a more restrictive placement.
Interventions necessary to control the behavior of concern exceed what other staff are able to do.
Restrictive or intrusive procedures may be necessary requiring Behavioral Treatment Committee
approval with supporting data collection.
Behavioral Services must be addressed in the IPOS or Periodic Review with approved authorizations. Levels of
behavioral services include the following:
a
Informal Consultation
i.
A physician’s order is not required.
ii.
This may include informal discussions to assist a provider or other team member to work with an
individual; a consult note that no behavioral services are needed or to make suggestions on how to
address a person’s needs.
iii.
Informal consultation may result in documentation in the progress notes.
iv.
After such consultation, if deemed necessary by the behavioral psychologist, a formal referral for
assessment and/or therapy will be recommended to appropriate clinician.
NORTHPOINTE BEHAVIORAL HEALTHCARE SYSTEMS
POLICY TITLE: Use of Behavioral Analysis
PAGE: 2 of 2
MANUAL: Clinical
SECTION: Miscellaneous
ORIGINAL EFFECTIVE DATE: 5/1/02
BOARD APPROVAL DATE: 9/26/13
REVIEWED/REVISED ON DATE: 4/16/15
CURRENT EFFECTIVE DATE: 5/1/14
b
Behavioral assessment with recommendations
i.
A physician’s order and authorization by supervisor is required for new referrals. Following
assessment this level of service is determined appropriate by the behavioral psychologist based
on individual’s need.
ii.
Includes comprehensive assessment of past, recent and current behavioral data leading to
assessment of behavioral status.
iii.
This level of behavioral care typically includes recommendations or development of a
behavioral plan, which must be included in the IPOS and specify amount, frequency, and
duration of services.
c
Written Behavioral Procedure without data collection or BMC review.
i.
A physician’s order and authorization by supervisor is required for new referrals. Following
assessment this level of service is determined appropriate by the behavioral psychologist based
on individual’s need.
ii.
This level of care may include direct interventions and periodic monitoring, which must be
included in the IPOS and specify amount, frequency, and duration of services.
iii.
Direct observation should occur on a regular schedule as authorized in IPOS.
d
Written Behavior Plan with data collection, but no BTC review.
i.
A physician’s order and authorization by supervisor is required for new referrals. Following
assessment this level of service is determined appropriate by the behavioral psychologist based
on individual’s need.
ii.
This level of service should include direct interventions and formal monitoring, which must
be included in the IPOS and specify amount, frequency, and duration of services.
iii.
Training needs for staff should be discussed with Behavior Psychologist.
iv.
Direct observation should occur on a regular schedule.
v.
Data is collected on a regular schedule (at least semi-annually).
e
Written Behavior Plan with data collection and BTC review.
i.
A physician’s order and authorization by supervisor is required for new referrals. Following
assessment this level of service is determined appropriate by the behavioral psychologist based
on individual’s need.
ii.
This level of service should include direct interventions (with at least one restrictive
intervention) and formal monitoring, which must be included in the IPOS and specify amount,
frequency, and duration of services. Data is collected on a monthly basis for analysis.
iii.
Training needs for staff should be discussed with Behavior Psychologist.
iv.
Direct observation should occur on a regular schedule.
v.
Restrictive intervention is reviewed by BTC as deemed necessary.
NOTE: Behavioral Procedures are intended to provide structure to maintain skills or behavior and to ensure consistency
across staff. Behavior Plans are intended to address the habilitative or rehabilitative focus to improve an individual’s
adaptive skills and behavioral repertoire.
CROSS REFERENCE:
BTC Policy & Procedure (cl.122, cl.123 forms)
Physician’s Order for Professional Assessments (Form Cl.121)
DSM-IV TR Manual
Behavioral Assessment Template (cl.124)