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PDFWAC 388-828-4380

What exceptional behavioral support activities are evaluated to assess your behavioral support needs?

The SIS exceptional behavioral support needs scale measures your personal support needs for the following behaviors:
#
Behavioral supports needed
No support needed
Some support Needed
Extensive support needed
1.
Prevention of emotional outbursts
0
1
2
2.
Prevention of assault or injury to others
0
1
2
3.
Prevention of property destruction (e.g. fire setting, breaking furniture)
0
1
2
4.
Prevention of stealing
0
1
2
5.
Prevention of self-injury
0
1
2
6.
Prevention of suicide attempts
0
1
2
7.
Prevention of PICA (ingestion of inedible substances)
0
1
2
8.
Prevention of nonaggressive but inappropriate behavior (e.g., exposes self in public, exhibitionism, inappropriate touching or gesturing)
0
1
2
9.
Prevention of sexual aggression
0
1
2
10.
Prevention of substance abuse
0
1
2
11.
Prevention of wandering
0
1
2
12.
Maintenance of mental health treatments
0
1
2
13.
Managing attention-seeking behavior*
0
1
2
14.
Managing uncooperative behavior*
0
1
2
15.
Managing agitated/over reactive behavior*
0
1
2
16.
Managing obsessive/repetitive behavior*
0
1
2
17.
Prevention of other serious behavior problem(s) - Specify:
0
1
2
Subtotal scores of 1s and 2s:
 
 
Add subtotals scores for 1s and 2s for total exceptional behavioral support needs scores:
 
* #13-16 are questions added by DDA. They are used as part of the DDA behavior acuity scale and are not used to calculate SIS percentiles.
[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 19-02-020, § 388-828-4380, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-4380, filed 4/23/07, effective 6/1/07.]
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