CDS-E: Safety

Related Competencies


CDS-E: Safety

College of Direct Support (CDS)

The College of Direct Support (CDS) is a competency based training and development tool. These competency sets are nationally validated and/or come from expert consensus. The foundation of competencies makes lessons and courses easier to use in a coordinated way. They can be selected to develop a person’s overall competence. They can be used to create a meaningful development plan. These lists provide you with the competency sets that reinforce the CDS content. They indicate the specific competencies covered by this lesson or course.

NADSP Competency Areas

The following competency areas and skill statements are used by the National Alliance on Direct Support Professionals (NADSP). The NADSP set is based on the Community Support Skills Standards (HSRI, 1996). The CSSS are a nationally validated set of competencies for DSPs. The ones listed below are only part of the whole set. They are the knowledge and skills a learner must be able to demonstrate at a basic level of competence having completed the content. See the full set of NADSP competencies and to learn more about the NADSP.

Area 1: Participant Empowerment

The Direct Support Professional enhances the ability of the participant to lead a self-determining life by providing the support and information necessary to build self-esteem, and assertiveness; and to make decisions.

Skill Statements

Area 6: Community Living Skills & Supports

The Direct Support Professional has the ability to match specific supports and interventions to the unique needs of individual participants and recognizes the importance of friends, family and community relationships.

Skill Statements

Area 12: Documentation

The Direct Support Professional is aware of the requirements for documentation in his or her organization and is able to manage these requirements efficiently.

Skill Statements

Area 14: Provide Person Centered Supports

Skill Statements

Area 15: Supporting Health and Wellness

Promotes the health and wellness of all consumers.

Skill Statements

The Centers for Medicare and Medicaid Services (CMS)- Direct Support Workforce Core Competencies.

The CMS core competencies for the Direct Service Workforce (DSW) were part of an initiative to improve access to high quality LTSS for all populations. The competencies are designed to improve worker quality. These competencies are designed to inform direct support service delivery and promote best practices in community-based LTSS. They are also a core foundation to career development. Only some of the competencies are listed here. These are the ones a learner should be able to demonstrate basic competence in once completing the content. Read the full set of CMS-DSW competencies.

Area 3: Evaluation and Observation

The DSW closely monitors an individual’s physical and emotional health, gathers information about the individual, and communicates observations to guide services.

Skill Statements:

The Direct Service Worker:

Area 4: Crisis Prevention and Intervention

The DSW identifies risk and behaviors that that can lead to a crisis, and uses effective strategies to prevent or intervene in the crisis in collaboration with others.

Skill Statements:

The Direct Service Worker:

Area 5: Safety

The DSW is attentive to signs of abuse, neglect or exploitation and follows procedures to protect an individual from such harm. S/he helps people to avoid unsafe situations and uses appropriate procedures to assure safety during emergency situations.

Skill Statements:

1. Abuse and Neglect

The Direct Service Worker:

Skill Statements:

2. Emergency Preparedness

The Direct Service Worker:

Area 7: Empowerment & Advocacy

The DSW provides advocacy, and empowers and assists individuals to advocate for what they need.

Skill Statements:

The Direct Service Worker:

Area 11: Cultural Competency

The DSW respects cultural differences, and provides services and supports that fit with an individual’s preferences.

Skill Statements:

The Direct Service Worker:

NADD An Association for Persons with Developmental Disabilities and Mental Health Needs DSP Competency Standards

Supporting people with co-occurring intellectual disabilities and mental illnesses well takes special skill, knowledge, and effort. The NADD competency standards were to define critical areas of skill that people need to do this well. There are several levels of competencies developed by national experts in this area. The ones listed below are only part of the set for direct support professionals. They are the ones that a learner should be able to demonstrate at a basic level of competence having completed the course. Read the full set of NADD competencies and related certification and accreditation efforts.

Competency Standard 1: Assessment and Observation

The qualified direct support professional (DSP) is competent in the area of “assessment and observation” as it relates to individuals with Intellectual or Developmental Disabilities and Mental Illness (IDD/MI).

Benchmark 1B: Use of Assessment and Observation Tools

The qualified DSP demonstrates proficiency in the use of assessments and observation methods to support needs of individuals served.

Benchmark 1B Performance Indicators

In the area of “assessment and observation tools,” the qualified DSP:

  1. Recognizes and responds to signs of changes in health or behavioral status.
  2. Shares critical information regarding informal daily assessments in effective and timely ways.

Competency Standard 3: Crisis Prevention and Intervention

The qualified direct support professional (DSP) is competent in the area of “crisis prevention and intervention” as it relates to individuals with Intellectual or Developmental Disabilities and Mental Illness (IDD/MI).

Competency Standard 4: Health and Wellness

The qualified direct support professional (DSP) is competent in the area of “health and wellness” as it relates to individuals with Intellectual or Developmental Disabilities and Mental Illness (IDD/MI).

Benchmark 4A: Knowledge of Health and Wellness

The qualified DSP has skills in basic health support. He/she uses proper infection control procedures. The DSP recognizes and responds to signs and symptoms of illness. He/she helps people obtain preventative and responsive medical services as needed. The qualified DSP recognizes health and wellness as holistic. He/she supports activities, choices and lifestyles that lead happiness and satisfaction on the part of the person. The DSP supports overall quality of life despite barriers. The DSP helps people develop and maintain positive relationships, valued social roles, and new opportunities.

Benchmark 4A Performance Indicators

In the area of “health and wellness,” the qualified DSP:

  1. Recognizes signs and symptoms of infection or injury and responds appropriately.
  2. Recognizes signs of health crisis and obtains correct help in a timely way.
  3. Supports positive lifestyle options for good health, illness management and recovery (i.e. sufficient sleep, proper nutrition, regular physical activity, and stress management, etc.).
  4. Encourages and assists individuals to be engaged in their own health maintenance in ways adapted to their abilities and understanding.
  5. Provides health and wellness information and education to individuals as needed and adapted to needs and preferences.
  6. Facilitates problem-solving and planning skills around life planning appropriate to the individual’s abilities.

Benchmark 4E: Documentation and Communication Related to Health and Wellness

The qualified DSP recognizes that for people with IDD/MI behavioral symptoms are often a key component to the diagnosis and treatment of health disorders. The DSP takes time to maintain accurate and complete documentation in accordance with agency/ organizational guidelines. He/she organizes and communicates this information in useful ways. The DSP teaches skills to assist individuals in monitoring their symptoms and maintaining personal records.

Benchmark 4E Performance Indicators

In the area of “documentation and communication,” the qualified DSP:

  1. Recognizes critical information to document and share with others.
  2. Communicates information regarding health and behavior effectively and in a timely way to appropriate team members.