Tier 3

Prohibited Practice Referral Form to be completed for suspected or discovered prohibited practices.  Form should be sent to prohibitedpractice@dmh.mo.gov.  

Prohibited Practice Modules

• Module 1 & 2 - What They Are and What To Do About Them
• Module 3 - Increasing Communication
• Module 4 - Fading Prohibited Practice

• The Area Behavior Analysts (ABAs) conduct ongoing risk review to help predict, prevent, and reduce risk with special attention given to providers supporting individuals deemed high-risk.
• The Crisis Rating Scale is a tool used to identify the severity of challenging situations.

• Utilizing the Tiered Supports risk criteria, the ABAs identify challenging situations occurring across the state and the specific individuals in need of intensive support.
• Integrity data is examined to measure whether we are effectively doing what we say we are and whether the desired impact is achieved.

• BSRC New Committee Member Training-Process and Tool Part 1 and Part 2.
• We offer live virtual training in addition to in person events. Contact your local Tiered Supports representative to learn more about Tier 3 training opportunities.
• CSR Webinar
• Recorded content:
  • Contracted Behavior Services
  • Regional Behavior Support Review Committee New Team Training Part 1
  • Regional Behavior Support Review Committee New Team Training Part 2
  • Regional Behavior Support Review Committee New Team Training Part 3
  • Regional Behavior Support Review Committee New Team Training Part 4
  • Regional Behavior Support Review Committee: What’s it all about

• The team works with you to examine complex situations, offer solutions, and facilitate action-planning to help you succeed through effective collaboration.  Contact the ABA in your area to schedule your very own Tier 3 problem solving meeting.
• Tier 3 Informational Meeting Brochure
• Tier 3 Informational Meetings
  • September 26, 2022
    • Recording
    • Powerpoint
  • October 31, 2022
    • Powerpoint
  • November 28, 2022
    • Recording
    • Powerpoint
  • January 30, 2023
    • Recording
    • Powerpoint
  • February 27, 2023
    • Recording
    • Powerpoint
  • March 27, 2023
    • Recording
    • Powerpoint
  • April 24, 2023
    • Recording
    • Powerpoint

• The Behavior Support Review Committee (BSRC) meets statewide, to provide a virtual, safe, and positive place for the entire treatment team to review the Behavior Support Plan (BSP) and Individual Support Plan (ISP) for those individuals who are at a risk of poor outcomes due to challenging behavior and when prohibited practices are found as outlined by Division Guideline #85.
• The goal of the BSRC is to:
  • Offer consultation and problem-solving assistance.
  • Promote the implementation of best practice strategies that lead to greater independence and enhanced quality of life for individuals with challenging behaviors. 
  • Develop the overall effectiveness of behavioral services across the state. 
    • To facilitate the peer review process for behavior analysts the Behavior Support Plan (BSP) Checklist is used by the Committee. The BSP Checklist is a tool comprised of critical elements for a comprehensive BSP that is technologically sound. 
  • Ensure the use of best practice strategies are used to address challenging behaviors in ISPs by reviewing ISP documents
  • To celebrate success as risk is reduced and quality of life is increased.
• Teams receive a consultation summary form and an action planning tool at the conclusion of the review. Additional follow up may be documented on the action planning tool along with the consultation summary follow up form.
• The BSRC is also required by 9 CSR 45 3.090 and the timelines and requirements are outlined in Division Guideline #84.
• A referral can be made to the committee by completing the referral form, submitting the necessary documents and emailing the information to bsrc@dmh.mo.gov .