Page 314 - QAP Manual 2020
P. 314

Background Information

                                         Q#      Q                      Indicator/Intent       Other Notes                        Field Appropriate (Y/N)
                                                                                  BEHAVIORAL SUPPORT NEEDS

                                         BI-64   Please identify the level   Support needed for self-                             N
                                                 of support the person   injurious behavior
                                                 needs to manage self-
                                                 injurious behavior

                                         BI-65   Please identify the level   Support needed for                                   N
                                                 of support the person   disruptive behavior
                                                 needs to manage
                                                 disruptive behavior

                                         BI-66   Please identify the level   Support needed for                                   N
                                                 of support the person   destructive behavior
                                                 needs to manage
                                                 behavior that is
                                                 destructive or harmful to
                                                 others

                                         BI-67   Did the level of needed   Change in level of needed                              N
                                                 behavior support change   behavior support due to
                                                 when the person’s      the COVID-19 pandemic
                                                 routine changed as a
                                                 result of the COVID-19
                                                 pandemic?









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