{"report_id":213,"form_id":"23","user_id":81,"organization_id":10,"question_id":"116","question_type":"Free_Text","text_answer":"The services being terminated for a person due to concerns for staff safety were impacted by increased staff injuries. The physical aggression displayed by the person was increasing, which led to the increased staff injuries and the person damaging the house. Staff were not always able to be consistent when redirecting behavior with just one staff which impacted the increased staff injuries. The pressure from the worker\u2019s compensation agency influenced the services terminated due to the concerns for staff safety. The number of workman\u2019s comp claims influenced the pressure from this agency, which was impacted by the increased injuries to staff.\r\n\r\nThe attempts and barriers to create the right service environment were also an influence to the terminating the person\u2019s services due to concerns for staff safety. This was due to the 2:1 staff not being able to be reimbursed as previously mentioned because the staffing in the home changed but not the person\u2019s needs. It also was influenced by county\u2019s denial of the request to develop a new site around the person\u2019s sensory needs. Subsequently, previous attempts to terminate service were not followed through on due to lack of providers which was impacted by the view that a part of the continuum of care for people with challenging behaviors statewide is missing. This missing part of the continuum is influenced by the lack of crisis respite providers, a lack of service availability between crisis residential services and hospitals, and few services for adults with autism. The effort to eliminate institutions and the DWRS has impacted the missing part of the continuum. The goal of the elimination of institutions to promote community living is generally seen as good; however, the lack of alternatives is what is most problematic to serve this population.","created_by":81,"updated_by":81,"updated_at":"5\/25\/2021 10:22:03 am","created_at":"5\/25\/2021 10:22:03 am","id":15776}