punishment, for the convenience of in immediate danger of harming staff persons or as a substitution for oneself and/or others and individual support. Prone position risk mitigation strategies are physical protective restraints are ineffective. Restraints are only prohibited. permitted when the conditions Mechanical restraints such as outlined below are met. handcuffs, anklets, wristlets, Manual restraints, referred to as camisoles, papoose boards, chest protective restraints”, “physical restraints, and other locked are permitted. A physical restraints are prohibited. protective restraint is a hands-on Chemical restraints are prohibited. hold of an individual. Physical During licensing surveys and protective restraints may not be oversight monitoring activities, the used for a period of more than 15 Department and ODP validates that minutes within a 2-hour period. A restraints, if administered, were physical protective restraint may applied in accordance with not be used as a behavioral requirements. intervention, consequence, Restrictive intervention plans must retribution, punishment, for the be developed and approved by a convenience of staff persons or as human rights committee prior to a substitution for individual implementation. The restrictive support. Prone position physical procedure plan must be reviewed, protective restraints are and revised, if necessary, according prohibited. to the time frame established by the human rights committee, not to exceed 6 months. The following restraints are The restrictive intervention plan prohibited: must include: Prone position physical • The specific behavior to be restraints and any physical • addressed and the suspected restraint that inhibits digestion antecedent or reason for the or respiration, inflicts pain, behavior. causes embarrassment or The single behavioral outcome humiliation, causes • desired stated in measurable terms. hyperextension of joints, applies Methods for modifying or pressure on the chest or joints or • eliminating the behavior, such as allows for a free fall to the floor changes in the individual’s physical is prohibited. and social environment, changes in
punishment, for the convenience of staff persons or as a substitution for individual support. Prone position physical protective restraints are prohibited. Mechanical restraints such as handcuffs, anklets, wristlets, camisoles, papoose boards, chest restraints, and other locked restraints are prohibited. Chemical restraints are prohibited. During licensing surveys and oversight monitoring activities, the Department and ODP validates that restraints, if administered, were applied in accordance with requirements. Restrictive intervention plans must be developed and approved by a human rights committee prior to implementation. The restrictive procedure plan must be reviewed, and revised, if necessary, according to the time frame established by the human rights committee, not to exceed 6 months. The restrictive intervention plan must include: • The specific behavior to be addressed and the suspected antecedent or reason for the behavior. • The single behavioral outcome desired stated in measurable terms. • Methods for modifying or eliminating the behavior, such as changes in the individual’s physical and social environment, changes in in immediate danger of harming oneself and/or others and risk mitigation strategies are ineffective. Restraints are only permitted when the conditions outlined below are met. Manual restraints, referred to as “physical protective restraints”, are permitted. A physical protective restraint is a hands-on hold of an individual. Physical protective restraints may not be used for a period of more than 15 minutes within a 2-hour period. A physical protective restraint may not be used as a behavioral intervention, consequence, retribution, punishment, for the convenience of staff persons or as a substitution for individual support. Prone position physical protective restraints are prohibited. The following restraints are prohibited: • Prone position physical restraints and any physical restraint that inhibits digestion or respiration, inflicts pain, causes embarrassment or humiliation, causes hyperextension of joints, applies pressure on the chest or joints or allows for a free fall to the floor is prohibited.
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