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Behavioral Support Plan

A "Behavior Support Plan" (BSP) is a plan that assists a member in building positive behaviors to replace or reduce a challenging/dangerous behavior. This plan may include teaching, improved communication, increasing relationships, and using clinical interventions, etc. When a Behavior Support Plan is not effective in reducing a challenging/dangerous behavior, a Behavior Intervention Plan (BIP) using restrictive measures may be needed and added to the Behavior Support Plan.

We've compiled training materials and additional information to help you develop a behavior support plan for residents in your facility.

Behavior Support Plan Tips

  • Physiological issues, illness, or discomfort must first be investigated and ruled out. 
  • Behaviors serve a specific purpose or need and are effective and efficient for the purpose they serve. 
  • The purpose that a behavior serves or the need that it fulfills may be elusive and difficult to identify, and sometimes trial and failure may be required. 
  • Behavior can improve even if a member’s motivations or their conditions do not or cannot change.
  • Some member’s behaviors have been longstanding and impacting them may take time, reinforcement, and encouragement.
  • What causes trouble is trouble – if behaviors cause trouble, a Behavior Support Plan should be written.  If supports alone don’t keep people safe, then restrictive measures interventions may be required.   
  • Behavior Support Plans that are simple are easiest to implement, evaluate, and often the most effective.
  • Behavior Support Plans must be member specific and should be as individualized as the member’s themselves. 
  • Specific behaviors are what need to be targeted, but the purpose or need that the behaviors reflect is what the Behavior Support Plan should address.
  • Accommodations and supportive environments are usually the least restrictive options to assist members with problem behaviors.  Restrictive measures that limit voluntary movement, isolate the member, or use protective equipment that the member cannot easily remove are the most restrictive measures allowed and only with approval, if used repetitively. 
  • Member rights restrictions are not a Behavior Support Plan, but may be part of the Behavior Support Plan with proper approval and documentation.
  •  If a Behavior Support Plan does not work after reasonable trials, document them so they are not repeated, and address other possibilities.
  • Reviewing and adjusting Behavior Support Plans to elicit the best outcomes is the goal.
  • Decide the review date for a Behavior Support Plan when it is written.  The plan may be reviewed sooner if needed, but give a plan a chance to be effective.        

Community Care programs offer autonomy and comfort

Community Care offers programs that meet the many needs of both frail, older adults and disabled adults. They manage all health, medical and social services needed to restore or preserve the individual’s independence.

Learn more about our programs.