DirectCourse MN Crosswalks

Using the College of Direct Support to Meet the Minnesota Positive Support Rule Training Requirements

Updated 9/2022 to reflect changes in CFSM content.

Introduction

This crosswalk is a tool that shows how DirectCourse: College of Direct Support (CDS) can support your organization’s efforts to meet the Minnesota Positive Support Rule (PSR) Training Requirements. In addition to the lessons suggested in this crosswalk, the license holder must also provide training on agency-specific practices, policies, and procedures and provide information about the individuals being supported and their Positive Support Plans. License holders are responsible for determining if the training offered to employees will meet specific requirements and the training needs of the organization and this training plan will help make that determination.

We recommend learning administrators assign learning modules to Frontline Supervisors and Managers first so they are familiar with the content, can reinforce learning, can answer questions, and can discuss the information and implementation of the training with the Direct Support Professionals/staff they supervise.

In addition to the CDS content in this crosswalk, additional content is available as a training module in the MNNew site or at Minnesota’s Positive Support Rule (PSR).

Note: Many of the content recommends Linked Content or Annotations. Learning administrators are able to link information to better inform and train employees on agency-specific or person-specific content.

Crosswalk of PSR Training Requirements to Applicable CDS Content

This crosswalk is based on the Requirements of the Positive Supports Rule .

The following tables give recommendations as to how DHS Linked Content and CDS Lessons can help meet the training requirements of the Positive Supports Rule. All of the learning modules suggested in this document have been created and are globally available to assign to your learners on the MN DHS DirectCourse: College of Direct Support website.

Core Training (8 hours) covers:

Summary of Minnesota Administrative Rules (Chapter 9544, Positive Support Strategies and Restrictive Interventions 9544.0090 Staff Qualifications and Training)	CDS Suggested Content that supports the training topics in PSR
A. de-escalation techniques and their value;	Positive Behavior Supports Lesson 4: Preventing Challenging Behavior Lesson 5: Responding to Challenging Behavior An Introduction to Mental Health and Mental Illness Lesson 4: Supporting People with Mental Health Conditions in the Community Lesson 5: DSP Support Strategies
B. principles of person-centered service planning and delivery, and how they apply to direct support services provided by staff;	DHS-MN Positive Supports Rule [1] 2. Positive Support Strategies and Person-Centered Planning Person-Centered Planning Lesson 1: Foundations of Person-Centered Planning Lesson 4: Bringing Person-Centered Plans to Life Community Inclusion Community Inclusion Lesson 1: The DSP Role in Community Inclusion You’ve Got a Friend You’ve Got a Friend Lesson 1: The Importance of Relationships Lesson 4: Supporting Family Networks
C. principles of positive support strategies, such as positive behavior supports, the relationship between staff interactions with the person and the person’s behavior, and the relationship between the person’s environment and the person’s behavior;	DHS-MN Positive Supports Rule [1] 2. Positive Support Strategies and Person-Centered Planning Positive Behavior Supports Lesson 1: Understanding Behavior Lesson 2: Functions and Causes of Behavior Functional Assessment Lesson 3: Understanding Positive Approaches Functional Assessment Lesson 1: Understanding Behavior and Participating in the Functional Assessment Process Teaching People with Developmental Disabilities Lesson 1: Understanding Teaching Lesson 3: Teaching Strategies Individual Rights and Choice Lesson 1: Overview of Individual Rights Lesson 4: Your Role In Supporting Rights and Facilitating Choice- Making Safety Lesson 2: Balancing Risk with Individual Safety and choice Civil Rights and Advocacy Lesson 1: Your Role in Effective Advocacy Lesson 4: Challenges and Strategies for Exercising Civil Rights
D. what constitutes the use of restraint, including chemical restraint, time out, and seclusion;	DHS-MN Positive Supports Rule [1] 3. Prohibited and Allowed Procedures in the PSR
E. the safe and correct use of manual restraint on an emergency basis;	License Holder must provide agency-specific trainings on the EUMR policy and instruction on how to perform the specific procedures allowed by the license holder (i.e. arm hold, supine restraint, etc). This can be done through Linked Content, Ontrack, or Classroom Event.
F. staff responsibilities related to prohibited procedures; why the procedures are not effective for reducing or eliminating symptoms or interfering behavior; and why the procedures are not safe;	DHS-MN Positive Supports Rule [1] 3. Prohibited and Allowed Procedures in the PSR Positive Behavior Supports Lesson 1: Understanding Behavior - License Holder should add an annotation that addresses why the procedures are not effective for reducing or eliminating symptoms or interfering behavior; and why the procedures are not safe.
G. staff responsibilities related to restricted and permitted actions and procedures;	DHS-MN Positive Supports Rule [1] 3. Prohibited and Allowed Procedures in the PSR Maltreatment: Prevention and Response Maltreatment content should be completed within 72 hours of first direct contact and annually Lesson 6: Balancing Rights with Protection Lesson 7: The Ethical Role of the DSP Lesson 16: Responding to Potential Maltreatment Lesson 17: Where to Report Potential Maltreatment Lesson 18: How to Report Potential Maltreatment Lesson 19: Follow-Up to Potential Maltreatment Reports Linked Content, Ontrack or Classroom Event - Agency Specific Policies and Procedures
H. the situations in which staff must contact 911 services in response to an imminent risk of harm to the person or others;	DHS-MN Positive Supports Rule [1] 4. The Roles of Professionals in the PSR An Introduction to Mental Health and Mental Illness Lesson 4: Supporting People with Mental Health Conditions in the Community Lesson 5: DSP Support Strategies Direct Support Professionalism Lesson 1: Becoming a Direct Support Professional Lesson 3: Applying Ethics in Everyday Work Linked Content, Ontrack or Classroom Event - Agency Specific Policies and Procedures
I. the procedures and forms staff must use to monitor and report use of restrictive interventions that are part of a positive support transition plan;	DHS-MN Positive Supports Rule [1] 5. Documentation and Reporting in the PSR Linked Content, Ontrack or Classroom Event - Agency Specific Policies and Procedures
J. the procedures and requirements for notifying members of the person’s expanded support team after the use of a restrictive intervention with the person;	DHS-MN Positive Supports Rule [1] 4. The Roles of Professionals in the PSR Linked Content, Ontrack or Classroom Event - Agency Specific Policies and Procedures
K. understanding of the person as a unique individual and how to implement treatment plans and responsibilities assigned to the license holder;	Person-Centered Planning Lesson 1: Foundations of Person-Centered Planning Lesson 4: Bringing Person-Centered Plans to Life Teaching People with Developmental Disabilities Lesson 1: Understanding Teaching Lesson 3: Teaching Strategies
L. cultural competence; and	Cultural Competence Lesson 6: Daily Support Lesson 7: DSP Roles in Culturally Competent Organizations
M. personal staff accountability and staff self-care after emergencies.	Direct Support Professionalism Lesson 1: Becoming a Direct Support Professional Lesson 3: Applying Ethics in Everyday Work CFSM CFSM-E: Supervision and Leadership: Understanding the FLS Role

Function-Specific Training (4 hours) covers:

Summary of Minnesota Administrative Rules (Chapter 9544, Positive Support Strategies and Restrictive Interventions 9544.0090 Staff Qualifications and Training)	CDS Suggested Content that supports the training topics in PSR
A. functional behavior assessments;	Positive Behavior Supports Lesson 1: Understanding Behavior Lesson 2: Functions and Causes of Behavior Lesson 3: Understanding Positive Approaches Lesson 4: Preventing Challenging Behavior Lesson 5: Responding to Challenging Behavior Functional Assessment Lesson 1: Understanding Behavior and Participating in the Functional Assessment Process
B. how to apply person-centered planning	Person-Centered Planning Lesson 1: Foundations of Person-Centered Planning Lesson 4: Bringing Person-Centered Plans to Life
C. how to design and use data systems to measure effectiveness of care; and	Positive Behavior Supports Lesson 6: Behavior Support Plans (Screens 33-38)
D. supervision, including how to train, coach, and evaluate staff and encourage effective communication with the person and the person’s support team.	CFSM CFSM-E: Business Practices and Organization Development: Using Competencies in Core Business Practices CFSM-I: Supervision and Leadership: Employee Development CFSM-I: Supervision and Leadership: Starting Out with Employee Coaching

Management Training (2 hours) covers:

Summary of Minnesota Administrative Rules (Chapter 9544, Positive Support Strategies and Restrictive Interventions 9544.0090 Staff Qualifications and Training)	CDS Suggested Content that supports the training topics in PSR
A. how to include staff in organizational decisions;	CFSM CFSM-M: Workforce Development: Management Approaches and Employee Retention
B. management of the organization based upon person-centered thinking and practices, and how to address person-centered thinking and practices in the organization; and	Person-Centered Planning Lesson 1: Foundations of Person-Centered Planning Lesson 4: Bringing Person-Centered Plans to Life
C. evaluation of organizational training as it applies to the measurement of behavior change and improved outcomes for persons receiving services.	CFSM CFSM-M: Business Practices and Organization Development: Understanding Training CFSM-I: Workforce Development: Choosing Training Topics CFSM-M: Business Practices and Organization Development: Choosing Training Methods CFSM-I: Supervision and Leadership: Understanding Employee Assessment CFSM-M: Workforce Development: Orientation Practices
Additional Content developed by MN DHS to help providers meet the PSR training requirements.	DHS-MN Positive Supports Rule 1. Introduction to the Positive Supports Rule (PSR) 2. Positive Support Strategies and Person-Centered Planning 3. Prohibited and Allowed Procedures in the PSR 4. The Roles of Professionals in the PSR 5. Documentation and Reporting in the PSR

This suggested training plan has been reviewed by MN DHS licensing staff. They are in agreement that it will meet mandated training requirements.

CDS was approved for the International Association for Continuing Education and Training (IACET) Continuing Education Units in February 2015. As a result, all lessons were time studied and awarded contact hours based on these time studies. To receive CEUs learners must complete all lessons in a course. Contact hours are awarded for individual lessons in learning modules. Further, note that CEUs are different than contact hours: 1 CEU equals 10 contact hours.

Suggested DHS – MN Positive Support Rule (PSR) Core 8 Training Module

This module consists of the following three content pieces (all training hours are approximate):

License Holder (LH) Policy, Procedures, Practices and Forms – Training provided to learners through Linked Content or classroom training venues and Ontrack or classroom and events features

Lesson/Module	Approx. Training Time
College of Direct Support can support License Holders train staff on these items in the following ways: Upload content through Content Linking and/or through the Annotation features in the College of Direct Support’s (CDS) learning management system (LMS). Provide this training in a classroom setting or one-on-one with a supervisor. Either method can be tracked in the CDS LMS using Ontrack or Classroom & Events features. LH is responsible for setting this training item up and adding it to this PSR Core Training Module to fulfill the 8 hours of training needed for this module.	0.2 hrs.

Lesson/Module

Approx. Training Time

College of Direct Support can support License Holders train staff on these items in the following ways:

Upload content through Content Linking and/or through the Annotation features in the College of Direct Support’s (CDS) learning management system (LMS).
Provide this training in a classroom setting or one-on-one with a supervisor. Either method can be tracked in the CDS LMS using Ontrack or Classroom & Events features. LH is responsible for setting this training item up and adding it to this PSR Core Training Module to fulfill the 8 hours of training needed for this module.

0.2 hrs.

Suggested DHS Linked Content

Lesson/Module	Approx. Training Time
DHS - MN Positive Supports Rule (PSR) Module is globally available for assignment on the MN DHS CDS site or at Minnesota Positive Supports Rule (PSR). Introduction to the Positive Supports Rule (PSR) Positive Support Strategies and Person-Centered Prohibited and Allowed Procedures in the PSR The Roles of Professionals in the PSR Documentation and Reporting in the PSR	1 hrs.

Lesson/Module

Approx. Training Time

DHS - MN Positive Supports Rule (PSR) Module is globally available for assignment on the MN DHS CDS site or at Minnesota Positive Supports Rule (PSR).

Introduction to the Positive Supports Rule (PSR)
Positive Support Strategies and Person-Centered
Prohibited and Allowed Procedures in the PSR
The Roles of Professionals in the PSR
Documentation and Reporting in the PSR

1 hrs.

Suggested CDS Content (6.8 hrs.)

Lesson/Module	Approx. Training Time
Positive Behavior Support Lesson 1: Understanding Behavior - With the following Annotations: F. staff responsibilities related to prohibited procedures under Minnesota Statutes, section 245D.06, subdivision 5; why the procedures are not effective for reducing or eliminating symptoms or interfering behavior; and why the procedures are not safe; on screens 40, 44, and 58. Annotations are globally available in this lesson, but license holders can add local annotations.	1.5 hrs.
Positive Behavior Support Lesson 4: Preventing Challenging Behavior	1.2 hrs.
Positive Behavior Support Lesson 5: Responding to Challenging Behavior	1.2 hrs.
Person-Centered Planning Lesson 1: Foundations of Person-Centered Planning	1.1 hrs.
Cultural Competence Lesson 7: DSP Roles in Culturally Competent Organizations	0.8 hrs.
Individual Rights and Choice Lesson 1: Overview of Individual Rights	1 hr.

Total Number of Training Hours in this suggested in the Core 8 module is equal to approximately 8 hours when the License holder’s policies, procedures, practices and forms are included in the module. If using the CDS suggested content and the DHS linked content, the module is equal to approximately 7.8 hours. If using only the DHS – MN Positive Support Rule (PSR) linked content, the module is only equal to 1 hour of training. This DHS – MN Positive Support Rule (PSR) Core Training Module has been created and is available for assignment on the MN DHS DirectCourse: College of Direct Support website .

Suggested DHS - MN Positive Support Rule (PSR): Subp. 2. Function Specific “A” +4 Hrs. Module (4.0 hrs.)

Lesson/Module	Approx. Training Time
CDS: Functional Assessment Lesson 2: Strategies for Gathering and Organizing Functional Assessment Information	1.4 hrs.
CDS: Positive Behavior Support Lesson 6: Behavior Support Plans - Annotation adds the following resources: PSR DHS Manual4-7-2016.pdf, Quality Improvement, Systems Change, and Supporting Staff Working with People who Challenge Services Annotation: The following is a list of additional resources. These are provided by the MN Department of Human Services to help you better understand the Positive Supports Rule in Minnesota. The first link will take you to the DHS PSR frequently asked question page and the second is a link to the Positive Supports Resource Manual. And finally, the last link is to the MN PSR Statue 9544. MN DHS PSR Webpage MN DHS Positive Supports Resource Manual Guidelines for Positive Supports in DHS-Licensed Settings CHAPTER 9544, DEPARTMENT OF HUMAN SERVICES POSITIVE SUPPORT STRATEGIES AND RESTRICTIVE	1.1 hrs. (including annotation)
CDS: Person-Centered Planning Lesson 4: Bringing Person-Centered Plans to Life	0.9 hrs.
CFSM CFSM-I: Supervision and Leadership: Starting Out with Employee Coaching	0.6 hrs.

This Training Module has been created and is available for assignment on the MN DHS DirectCourse: College of Direct Support website.

Suggested DHS - MN Positive Support Rule (PSR): Subp. 2. Function Specific “B” +2 Hrs. Module (2.1 hr.)

This is part of the additional two hours of required training under MN’s Positive Support Rule. It is intended for License holders, executives, managers, and owners in nonclinical roles - as described in the statute (see below). It consists of two lessons and is equal to 2.1 hours of training as follows:

Lesson/Module	Approx. Training Time
CFSM CFSM-I: Supervision and Leadership: Starting Out with Employee Coaching For Stand Alone Sites: Optional suggested annotation to use on screen 1 for this lesson: “Note: No matter how large or small your agency is using Positive Person-Centered Supports is essential so individuals with disabilities live good lives. As you review this lesson think of ways you might use the strategies suggested to help your employees provide the best possible Positive Person-Centered Supports.”	0.6 hrs.
CFSM CFSM-I: Workforce Development: Choosing Training Topics CFSM CFSM-I: Supervision and Leadership: Employee Development	1.5 hr.

Lesson/Module

Approx. Training Time

CFSM

CFSM-I: Supervision and Leadership: Starting Out with Employee Coaching
- For Stand Alone Sites: Optional suggested annotation to use on screen 1 for this lesson: “Note: No matter how large or small your agency is using Positive Person-Centered Supports is essential so individuals with disabilities live good lives. As you review this lesson think of ways you might use the strategies suggested to help your employees provide the best possible Positive Person-Centered Supports.”

0.6 hrs.

CFSM

CFSM-I: Workforce Development: Choosing Training Topics

CFSM

CFSM-I: Supervision and Leadership: Employee Development

1.5 hr.

MN’s Positive Support Rule

CHAPTER 9544 DEPARTMENT OF HUMAN SERVICES POSITIVE SUPPORT STRATEGIES AND RESTRICTIVE INTERVENTIONS 9544.0090 STAFF QUALIFICATIONS AND TRAINING.

Subp. 2. Function-specific training. In addition to the core training as required by subpart 1 and determining competency as required by subpart 4, the license holder must ensure that staff receive additional training based on their level of responsibility and qualifications, as set out in items A and B, prior to assuming these responsibilities. Equivalent training approved by the commissioner and completed within the previous 12 months fulfills these requirements...

License holders, executives, managers, and owners in nonclinical roles must complete a minimum of two hours of additional training on the following:
how to include staff in organizational decisions;
management of the organization based upon person-centered thinking and practices and how to address person-centered thinking and practices in the organization; and
evaluation of organizational training as it applies to the measurement of behavior change and improved outcomes for persons receiving services.

This Training Module has been created and is available for assignment on the MN DHS DirectCourse: College of Direct Support website .

Suggested DHS – MN Positive Support Rule (PSR)Annual Refresher Modules

DHS - MN Positive Support Rule Annual Refresher for DSP (4 hour)

This module consists of two parts as follows to equal the required 4 hours:

License Holder (LH) Policy, Procedures, Practices and Forms – Training provided to learners through Linked Content or classroom training venues and Ontrack or Classroom & Events features

Training/Module	Approx. Training Time
College of Direct Support can support License Holders train staff on these items in the following ways: Upload content through Content Linking and/or through the Annotation features in the College of Direct Support’s (CDS) learning management system (LMS). provide this training in a classroom setting or one-on-one with a supervisor. Either method can be tracked in the CDS LMS using Ontrack or Classroom & Events features. LH are responsible for setting this training item up and adding it to this PSR Core Training Module to fulfill the 8 hours of training needed for this module.	1.2 hrs.

Training/Module

Approx. Training Time

College of Direct Support can support License Holders train staff on these items in the following ways:

Upload content through Content Linking and/or through the Annotation features in the College of Direct Support’s (CDS) learning management system (LMS).
provide this training in a classroom setting or one-on-one with a supervisor. Either method can be tracked in the CDS LMS using Ontrack or Classroom & Events features. LH are responsible for setting this training item up and adding it to this PSR Core Training Module to fulfill the 8 hours of training needed for this module.

1.2 hrs.

Suggested CDS Content (2.8 hrs.)

Lesson/Module	Approx. Training Time
Community Inclusion Lesson 1: The DSP Role in Community Inclusion (0.9 hr.)	0.9 hr.
Teaching People with Developmental Disabilities Lesson 1: Understanding Teaching (1.2 hrs.)	1.2 hrs.
Cultural Competence Lesson 6: Cultural Competence in Daily Support	0.7 hr.

Lesson/Module

Approx. Training Time

Community Inclusion

Lesson 1: The DSP Role in Community Inclusion (0.9 hr.)

0.9 hr.

Teaching People with Developmental Disabilities

Lesson 1: Understanding Teaching (1.2 hrs.)

1.2 hrs.

Cultural Competence

Lesson 6: Cultural Competence in Daily Support

0.7 hr.

This Training Module has been created and is available for assignment on the MN DHS DirectCourse: College of Direct Support website .

DHS - MN Positive Support Rule Annual Refresher for Supervisor/Manager (4 hour)

This module consists of two parts as follows to equal the required 4 hours:

License Holder (LH) Policy, Procedures, Practices and Forms - Training provided to learners through Linked Content or classroom training venues and Ontrack or Classroom & Events features

Lesson/Module	Approx. Training Time
License Holders must determine how they want to train staff on these items. You can upload your content through Content Linking and or through the Annotation features in the College of Direct Support’s (CDS) learning management system (LMS), which is called the Elsevier Performance Manager (EPM). Or you could choose to provide this training in a classroom setting or one-on-one with a supervisor. Either method can be tracked in the CDS LMS using Ontrack or Classroom & Events features. LH are responsible for setting this training item up and adding it to this PSR Core Training Module to fulfill the 4 hours of refresher training.	0.3 hrs.

Lesson/Module

Approx. Training Time

License Holders must determine how they want to train staff on these items. You can upload your content through Content Linking and or through the Annotation features in the College of Direct Support’s (CDS) learning management system (LMS), which is called the Elsevier Performance Manager (EPM). Or you could choose to provide this training in a classroom setting or one-on-one with a supervisor. Either method can be tracked in the CDS LMS using Ontrack or Classroom & Events features. LH are responsible for setting this training item up and adding it to this PSR Core Training Module to fulfill the 4 hours of refresher training.

0.3 hrs.

Suggested CDS and CFSM Content (3.7 hrs.)

Lesson/Module	Approx. Training Time
CDS - Positive Behavior Supports Lesson 2: Functions and Causes of Behavior	1.1 hrs.
CDS - Person-Centered Planning Lesson 1: Foundations of Person-Centered Planning	1.1 hrs.
CFSM CFSM-E: Business Practices and Organization Development: Using Competencies in Core Business Practices CFSM-M: Workforce Development: Management Approaches and Employee Retention	1.5 hrs.

Lesson/Module

Approx. Training Time

CDS - Positive Behavior Supports

Lesson 2: Functions and Causes of Behavior

1.1 hrs.

CDS - Person-Centered Planning

Lesson 1: Foundations of Person-Centered Planning

1.1 hrs.

CFSM

CFSM-E: Business Practices and Organization Development: Using Competencies in Core Business Practices
CFSM-M: Workforce Development: Management Approaches and Employee Retention

1.5 hrs.

For Stand Alone Sites: Optional suggested annotation to use on screen 1 for all the lessons in this module - PSR Refresher for Supervisors and Managers:

Just a reminder - if this lesson is being used as part of the 4-hour Annual Refresher Training for Positive Supports Rule for it to equal 4 hours of training you must complete all of the following items:

Training on the License Holders/Employer’s policies and procedures related to the Positive Supports Rule. (Approx. 1 hour )
Positive Behavior Supports: Lesson 2: Functions and Causes of Behavior (Approx. 1 hour)
Person Centered Planning: Lesson 1: Foundations of Person-Centered Planning (Approx. 1 hour)
CFSM-E: Business Practices and Organization Development: Using Competencies in Core Business Practices
CFSM-M: Workforce Development: Management Approaches and Employee Retention

This Training Module has been created and is available for assignment on the MN DHS DirectCourse: College of Direct Support website .