WAC 388-828-4380:

388-828-4360 << 388-828-4380 >> 388-828-4400

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.]