Policy: It is the policy of all RIABAI teams to ensure the health and safety of clients and staff during the provision of services.

Procedures:  To ensure the health and safety policy is carried out, the following guidelines have been put in place:

  • Services will be provided in homes that are safe for our clients and staff
  • Treatment area is to remain free of dangerous objects
  • During services, families are to refrain from smoking and alcohol
  • Treatment area is to be kept neat and tidy
  • House must be kept free of structural issues that may present danger
  • Clients and staff will observe our agency’s Illness Policy
  • If incident occurs, clinical supervisor is to be notified and incident report is to be filed within 24 hours
  • All staff will receive training in the following health related areas:
    • CPR
    • First Aid
    • Bloodborne Pathogens
  • All staff will receive training in the following safety related areas:
    • Mandated reporting
    • Crisis Intervention
    • Emergency Preparedness
  • All medication will be administered and monitored by client’s family only
  • At least one caregiver must be present in the home during all provided services

The State of the Art in Behavioral Safety

All RIABAI team training programs provide the skills and competencies necessary to effectively prevent, minimize, and manage behavioral challenges with dignity, safety, with the possibility of change.  Using the newest and most effective technologies from Applied Behavior Analysis (ABA) and Positive Behavior Interventions & Supports (PBIS), our safety education programs provide the FBS team with strategies for not only preventing and managing behavioral challenges, but also to effectively teaching replacement behaviors.  Appropriate for individuals experiencing developmental, neurologic, psychiatric and other impairments, our programs seek to result in a more positive reinforcement based approach, the development of new skills, and fewer restraints.

Proper safety education programs provide the tools needed to be safe when working with behaviorally challenging individuals.

The RIABAI teams safety commitment :

  • Understand how and why crisis events happen, and ways in which we might inadvertently contribute to them
  • Prevent crises using a variety of supportive interaction strategies
  • Apply simple, evidence-based de-escalation strategies that are effective for any population
  • Respond appropriately and safely to dangerous behavior
  • Prevent the need for restraint
  • Intervene after a crisis to reduce the chance that it will happen again

RIABAI Team Core Principles of Safety

  • Respectful, humane, non-coercive interventions
  • Emphasis on prevention over management
  • Evidence-based procedures are the basis of intervention. While the course material avoids jargon and is designed to be taught and used in a variety of contexts, the protocols are based on procedures that have been validated in many studies as broadly effective. These include basic applications of functional assessment, differential reinforcement, antecedent management, functional communication training, and behavioral momentum.
  • Positive reinforcement is embedded throughout the course
  • Effective staff training requires an evidence-based approach incorporating error free teaching strategies whenever possible
  • A least restrictive approach requires a range of options. Staff learn a series of interventions that can be flexibly adapted to the specific circumstances. Whenever an agitated individual demonstrates a decrease in agitation, staff learn to shape and reinforce that decrease by moving to a less restrictive intervention
  • Physical procedures are designed to be simple, effective, safe, and have minimal abuse potential
  • Restraint must be used only when there are no other safe options and must end as quickly as possible
  • Consistent standards that reduce risk