Table 4 Borich Needs Assessment, LF Classification, and Priority of Challenging Behavior Intervention Competencies Among Disability Welfare Institution Staff

Domain Category Specific Competencies (Behavioral Indicators) Borich LF Priority
System Understanding 1 Understand how to create an environment that prevents challenging behaviors 8 HH Top
2 Understand the individual characteristics of adults with developmental disabilities 15 HH Top
Environment 3 Clearly separates rest areas from educational(activity) areas 3 LH Secondary
4 Design spaces that ensure safety and comfort for activitie. 4 HH Top
5 Minimize unnecessary noise in the environment 2 LH Secondary
6 Ensure activity spaces have appropriate lighting (or natural light) 21 LH Secondary
7 Maintain activity spaces at a temperature suitable for the weather 38 LL
Activity 8 Structure activities to allow all participants to be actively engaged 24 LL
9 Prepare alternative activities for participants who cannot engage in the main activity 10 LH Secondary
10 Inform participants of the start and end times of activities 47 HL Secondary
11 Provide a schedule overview to participants in advance 50 HL Secondary
12 Ensure consistency in activity schedules and daily routines 44 HL Secondary
13 Appropriately allocate time between activities and breaks 42 HL Secondary
Habit 14 Apply the same behavioral rules to all participants 12 HH Top
15 Interact with participants using consistent language and behavior (without being influenced by personal emotions) 5 HH Top
16 Avoid using strongly scented cosmetics or perfumes 49 LL
17 Avoid wearing clothing with distracting or overly complex patterns 48 LL
Collaboration 18 Establish a team dedicated to participant support 22 LL
19 Define the roles and responsibilities of team members 16 HH Top
20 Discuss team objectives and goals collectively 18 HL Secondary
21 Establish guidelines for effective team collaboration 11 HH Top
22 Determine meeting schedules and formats through a democratic process 30 HL Secondary
23 Work to enhance the professional competencies of team members 14 HH Top
24 Develop effective support plans for participants as a team 26 HL Secondary
25 Provide necessary support to facilitate team collaboration 6 LH Secondary
26 Determine modifications to behavior support plans through team discussions 17 LH Secondary
27 Celebrate and acknowledge team successes in challenging behavior interventions 31 LL
Interaction 28 Create an atmosphere that encourage open and honest discussion among team members 34 LL
29 Ensure meetings start and end at the designated times 36 LL
30 Conduct meetings following established procedures 35 LL
31 Allow team members to participate whenever necessary 45 LL
Positive Interdependence 32 Distribute leadership responsibilities across roles (e.g., recorder, encourager, agenda verifier) 25 LL
Relationships 33 Introduce new team members to team norms 19 LH Secondary
34 Provide communication channels for absent team members 20 LH Secondary
Team 35 Use democratic decision-making methods 40 HL Secondary
36 Encourage and develop interpersonal skills for effective team collaboration 28 LL
Implementation Information Collection 1 Identify participants’ personal and background information (e.g., name, date of birth, gender, disability type and details, family information) 43 HL Secondary
2 Collect interview and preliminary data for challenging behavior intervention 27 HL Secondary
3 Identify the reinforcers preferred by participants 32 HL Secondary
Challenging Behavior 4 Prioritize intervention for challenging behaviors based on participant needs rather than staff preferences 39 HL Secondary
5 Determine intervention priorities based on the severity of challenging behaviors (e.g., aggressive behavior, disruptive behavior, mild disturbances) 23 HL Secondary
6 Conduct a Functional Behavior Assessment (FBA) to identify the function of the challenging behavior 9 LH Secondary
7 Observe and record the antecedent conditions leading to challenging behavior 29 HL Secondary
8 Observe and record the consequences following the challenging behavior 41 HL Secondary
9 Measure challenging behaviors using systematic behavior units such as frequency and duration 7 LH Secondary
10 Provide positive reinforcement to participants exhibiting appropriate behaviors 33 HL Secondary
Multi-Domain Approach 11 Conduct caregiver training on challenging behavior interventions 1 LH Secondary
12 Identify available institutional support for participants 13 LH Secondary
13 Monitor medications taken by participants 46 HL Secondary
14 Identify support services participants receive from other institutions 37 HL Secondary