WAC 388-828-4380. What exceptional behavioral support activities are evaluated to assess your behavioral support needs?

The SIS exceptional behavioral support needs scale measures your personal support needs for the following behaviors: # Behavioral supports needed No support needed Some support Needed Extensive support needed 1. Prevention of emotional outbursts 0 1 2 2. Prevention of assault or injury to others 0 1 2 3. Prevention of property destruction (e.g., fire setting, breaking furniture) 0 1 2 4. Prevention of stealing 0 1 2 5. Prevention of self-injury 0 1 2 6. Prevention of self-neglect 0 1 2 7. Prevention of suicide attempts 0 1 2 8. Prevention of PICA (ingestion of inedible substances) 0 1 2 9. Prevention of nonaggressive but inappropriate behavior (e.g., exposes self in public, exhibitionism, inappropriate touching, gesturing, talk, or advances) 0 1 2 10. Prevention of sexual aggression 0 1 2 11. Prevention of substance abuse 0 1 2 12. Prevention of wandering 0 1 2 13. Maintenance of mental health treatments (e.g., prevent disruption of mental health care) 0 1 2 14. Managing attention-seeking behavior* 0 1 2 15. Managing uncooperative behavior* 0 1 2 16. Managing agitated/over reactive behavior* 0 1 2 17. Managing obsessive/repetitive behavior* 0 1 2 18. Prevention of other serious behavior problem(s) - Specify: 0 1 2 Subtotal scores of 1s and 2s: Add subtotals scores for 1s and 2s for total exceptional behavioral support needs scores: * #14-17 are questions added by DDA. They are used as part of the DDA behavior acuity scale and are not used to calculate SIS percentiles. # Behavioral supports needed No support needed Some support Needed Extensive support needed 1. Prevention of emotional outbursts 0 1 2 2. Prevention of assault or injury to others 0 1 2 3. Prevention of property destruction (e.g., fire setting, breaking furniture) 0 1 2 4. Prevention of stealing 0 1 2 5. Prevention of self-injury 0 1 2 6. Prevention of self-neglect 0 1 2 7. Prevention of suicide attempts 0 1 2 8. Prevention of PICA (ingestion of inedible substances) 0 1 2 9. Prevention of nonaggressive but inappropriate behavior (e.g., exposes self in public, exhibitionism, inappropriate touching, gesturing, talk, or advances) 0 1 2 10. Prevention of sexual aggression 0 1 2 11. Prevention of substance abuse 0 1 2 12. Prevention of wandering 0 1 2 13. Maintenance of mental health treatments (e.g., prevent disruption of mental health care) 0 1 2 14. Managing attention-seeking behavior* 0 1 2 15. Managing uncooperative behavior* 0 1 2 16. Managing agitated/over reactive behavior* 0 1 2 17. Managing obsessive/repetitive behavior* 0 1 2 18. Prevention of other serious behavior problem(s) - Specify: 0 1 2 Subtotal scores of 1s and 2s: Add subtotals scores for 1s and 2s for total exceptional behavioral support needs scores: * #14-17 are questions added by DDA. They are used as part of the DDA behavior acuity scale and are not used to calculate SIS percentiles.