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

• Increasing Communication
• Fading Prohibited Practice

• 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.

• 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.

• 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.

• 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.
• 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 .