Part I · Chapter 24
Safety Client Protocol (Crisis Management)
Risk assessment, ongoing monitoring, and crisis-management documentation.
Services shall be delivered in accordance with:
- The Behavior Analyst Certification Board Ethics Code for Behavior Analysts
- Applicable state and federal laws including Medicaid regulations
- OSHA safety standards
- State-mandated reporting requirements
Scope:
This policy applies to all clinical and contracted staff providing ABA services, including BCBAs, BCaBAs (when applicable), and RBTs.
Intake Safety Evaluation
Initial Risk Assessment
At intake, the supervising behavior analyst shall evaluate potential safety risks, including:
- History of aggression
- Self-injurious behavior
- Elopement
- Property destruction
- Medical conditions (e.g., seizures, allergies)
- Environmental hazards in the service setting
- Emergency medical information and relevant crisis history
Ongoing Monitoring
Client safety needs shall be continuously monitored throughout treatment. Risk levels shall be reassessed during treatment plan reviews, reassessments, and when clinically indicated. Safety procedures shall be updated accordingly.
Documentation ()
All crisis events must include:
- Description of the incident
- Interventions implemented
- Notifications made (analyst, parents, authorities if applicable)
- Any injuries or safety concerns
- Plan for follow-up or modification
Restraint and Restrictive Procedures
Where a behavioral crisis presents a risk of imminent physical harm, staff respond in accordance with the Restraint, Seclusion, and Restrictive Procedures policy, which sets out the Company's prevention-first approach and the narrow, emergency-only conditions under which a physical intervention may be used.
Policy Review
This policy shall be reviewed annually or when required by regulatory, payer, or clinical changes.