Mental Health Behavior Contract Template
The basis of a behavior contract.
Mental health behavior contract template. Behavioral concerns of persons with mental retardation and other developmental disabilities who are served in community programs supported by funding in whole or in part that is authorized by the division of mental health developmental disabilities and addictive diseases dmhddad. Mental health center hereby referred to as abc the purpose of this contract is to establish a collaborative contractual relationship for providing psychiatric consultative services for adults children and families at the. Lists the steps a person will take to stay safe during a mental health crisis. 12 sample behavior contract templates word pages docs.
A behavior contract can be created for two reasons. They usually only address specific behaviors such as angry outbursts or violence. It may be implemented either in an academic institution or within a work environment. Christopher s ebbe s clinical supervisor s self assessment.
Additionally the manual is a resource for the development of individual local program policies for behavioral support planning and programming. Outlines rules of behavior or the environment that will keep the person safe. If so show empathy and willingness to help. Determine root cause of behavior a.
Using a behavior contract might be beneficial when working with patients who have. At its core a mental health safety contract is a document that. Individual supervision template arcc evaluation forms. Provides options to soothe the person in distress.
Describes triggers that might set the person off. This means no kicking pushing shoving hitting throwing things spitting at someone. The patient s caregivers nurse s and physician s should assess the patient s clinical. Curfew is 9 00pm on weekends rule 1.
Treat family members respectfully. A behavior contract is an agreement between an individual and an entity who would like to enforce corrective measures for the betterment of a person s behavior. Sharp healthcare 11 26 2013 b. Behavior contracts also can be used to support the process of terminating the provider patient relationship.
Negative behavior contracts these contracts are created on an as needed basis with employees to address negative behaviors in the office. Often a contract will also explain what happens if the patient stops complying. Intern trainee evaluation fcs phd intern evaluation chc supervision outcomes survey starlight self assessment forms. Potential interventions including behavioral modification measures and a behavioral contract.
Individualize behavioral contracts preadolescent female s contract parents will determine if a rule has been broken.