Page 177 - QAP Manual 2020
P. 177

NCI™ ADULT IN-PERSON SURVEY (IPS) 2020-21



            BI-34  Does this person currently have a behavior plan?

                   Behavior plan: A plan based on an assessment of an individual’s challenging behavior. The plan
                   includes a description of the individual’s strengths, preferences, and interests; goal(s) related to
                   diminishing and/or eliminating the challenging behavior; and applicable information about the
                   nature of the behavior and potential triggering events. The plan should describe the
                   interventions and accommodations that will contribute to the goal(s). It should also include the
                   ways in which progress will be monitored, the staff who will be responsible for the
                   interventions, and the length of time the plan will be in place.

                □  1. No
                □  2. Yes
                □  99. Don’t know

            Residence

            BI-35  How long has this person lived in his/her current residence?

                □  98. Not applicable — homeless
                □  1. Less than one year
                □  2. One to three years
                □  3. Four to five years
                □  4. Over five years
                □  99. Don’t know











































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