Documentation of Family Training

Documentation of Family Training

Behavioral Services
Individuals Name:*
Training Date*

MonthDayYear
Date
Location of Training*
Trainer: *
Other: *
Training Addressed the Following Items:
Current Behavior Plan dated: *
Psychotropic Medications:
Psychotropic Medications:

YesNo
Data Collection:

YesNo
I acknowledge that family/staff were provided training regarding his/her positive behavioral support program. Training was provided directly (by the clinician/trainer) or indirectly (family/staff reviewed the plan without the clinician/trainer present Family/staff were trained in data collection and how to document each behavior. Training was provided directly (by the clinician/trainer) or indirectly (family/staff reviewed the plan without the clinician/trainer present.

YesNo
The individual's Psychotropic medication treatment program was reviewed including current medications and potential side effects If there is a PRN this process was reviewed to ensure family/staff are aware of the proper procedure Training was provided directly by the clinician/trainer or indirectly family staff reviewed the plan without the clinician/trainer present Family/staff have been made aware of how to contact the Behavior Specialist should any new behaviors arise or further assistance or training be needed.

YesNo
Other (Please note)
Type a question
By signing below, I acknowledget I understand the above and have received direct or indirect training on Positive Behavioral Support Program, Psychotropic Medications, and Data Collection/Documentation.
Full Name:
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Documentation of Family Training

Training Addressed the Following Items: