Psychology Unit and Criteria for PIP's

Project-Re-Organizing the Responsibilities of Thepsychology Unit and Criteria for Submitting PIPs for S-BRC Review

I. Current Status:

• PIP with supervision for behavior and/or with psychotropic medication for behavior musfbe reviewed by the S-BRC.

• All PIP revisions are reviewed by the S-BRC.

• All annual updates of PIPS are reviewed by the S-BRC.

II. Proposed changes:

• PIPs with supervision for behaviors and/or psychotropic medication for behavior will be reviewed by the designated PSFS staff, i.e. will no longer require S-BRC review. Hence for existing, already approved PIPs with only supervision and/or psychotropic medication for behavior each team must determine if the services
  of the BSP (Behavior Support Professional) are still required for reasons other than the oversight and monitoring of the PIP. * If the potential for dangerous behaviors still exists, the team must have a SSP.

• For new PIPs being proposed with the only restriction to be supervision and/or psychotrdpic medication, the PSFS will help the team determine if a BSP is needed. If the BSP is not needed, the PSFS can help the team develop a PIP that will meet policy requirements but not require S-BRC review. In such cases, the team would be responsible for monthly progress notes and annual
  updates.

• From this point on, revisions of the PIPs will not be submitted to the S-BRC. They will be reviewed and approved by the assigned PSFS staff. The PSFS staff will offer technical assistance when the revision is not done properly.

• Annual updates of PIPs are now integrated with the Psychological Services Justification form, and synced with the Annual PIP. POC reviewers will henceforth review annual updates as part of their determination of service justification and service allotment, and will provide feedback as needed to the Behavioral Support Providers.  PSFS staff will complete a review form for each Annual Update, and work with teams as needed to resolve any issues related to
  required documentation or policy compliance. These Annual Update reviews will be filed with other PIP documents on the WDrive and WebXtender. PSFS staff may recommend that an Annual Update go on the S-BRC agenda if there are controversial and/or complex issues that must be addressed.

III. The S-BRC agenda, which has included all PIPs (new PIPs, annual updates, and revisions), will now include new PIPs.

• All new PIPs excepting those with only restrictions of supervision
  and/or psychotropic medications will be on the S-BRC agenda.
  (Note the exception in C. below.)

• If during their initial review, a PSFS staff determines that a PIP with
  only supervision and/or psychotropic medications is nevertheless a
  high risk individual, they may decide that the PIP requires S-BRC
  review and a BSP.

IV. New PSFS duties:

• For any proposed new PIP, the PSFS will assist the team in determining if a BSP and/or S-BRC review is needed.

• The PSFS will independently review and respond to PIP revisions without S-BRC involvement.

• The PSFS will review annual updates for QA purposes, and refer the S-BRC review if the case is problematic.

• The PSFS will assist teams in developing PIPs and PMPIPs when supervision and/or psychotropic medications are the only restrictions included and there is no BSP on the team.

V. Other considerations:

• We could have any POC with two or more BSPs reviewed bv a third party (Director of Psych. Services?) to determine if both are needed.

• PIPs with event-specific supervision such as a Safety or Suicide Protocol will always require a BSP since dangerous behavior is always involved with these procedures.

• If an Annual Update contains new restrictive procedures (other than supervision and/or psychotropic medication), it should be reviewed as a new plan, and hence would be on the S-BRC agenda.