December 21, 2016
Unsafe Wandering or Exit-Seeking Behavior: Protect Residents with Person-Centered Planning!
Last week, CMS released FAQs cocerning Medicaid Beneficiaries in Home and Community-Based Settings who Exhibit Unsafe Wandering or Exit-Seeking Behavior. These FAQs give states and stakeholders guidance on how to protect individual choice and adhere to the requirements of person-centered planning for those individuals with dementia and who exhibit unsafe wandering and exit-seeking behaviors.
In the FAQs, CMS highlights that "person-centered planning, staff training and care delivery are core components of provider operations to meet HCBS requirements while responding to unsafe wandering or exit-seeking behavior in an individualized manner."
The FAQs address:
- That person-centered planning involves identifying the individuals' needs, conditions, history, daily routine, and creating strategies to ensure interaction with others and community integration. Even when providers are utilizing controlled-egress, the providers must honor the individuals' autonomy while minimizing safety risks.
- Staffing training requirements, the need to provide flexible supervision from resident to resident, suggested activites to prevent under-stimulation, and proper environmental design strategies to help create sensory stimulation and allow unrestricted access to safe and secured spaces outdoors.
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