Monday, May 11, 2009

State Developmental Disability Agency Restraint Policies

From the National Association of State Directors of Developmental Disability Services

http://www.nasddds.org/RestrictiveProcedures/index.shtml

ALABAMA
Behavioral Protocol Data Guidelines (Word 61kb)
Behavioral Support Plan Guideline (Word 42kb)
Introduction to Behavior Guidelines 1-06 (Word 36kb)
Levels of Intervention (Word 137kb)
Procedures-Behavioral Program Review (Word 53kb)
Risk Levels Guideline (Word 41kb)
ICFMR Policy on the Use of Restrictive Procedures (PDF 51kb)

ALASKA

Psychiatric/Behavior Management Medication (Word 49kb)
Restrictive Behavioral Interventions-NonMedication Policy (Word 70kb)
Summary of Laws & Regulations (Word 90kb)
Title 17 Chapter 3 Community Services (Word 33kb)

COLORADO

Abuse Restraint Rules (Word 148kb)
Consensus Guidelines: Treatment of Behavioral Emergencies (PDF 888kb)
Dental Restraints Policy (Word 32kb)
MEMO Prohibition for Use of Prone Physical Restraint (PDF 34kb)
Quality Standards (PDF 181kb)
Restraint Policies Summary Information (Word 38kb)

CONNECTICUT

Behavior Modifying Medications Policy (Word 79kb)
Behavior Support Plans Procedures (Word 82kb)
Incident Reporting Guidelines (PDF 62kb)
Program Review Committee (Word 80kb)

DELAWARE

Behavior/Mental Health Support Policy (PDF 309kb)

DISTRICT OF COLUMBIA

Restrictive Procedures Policy (PDF 251kb)

FLORIDA

Reactive Strategies Rule (Word 72kb)

GEORGIA

Guidelines for Supporting Adults Challenging Behaviors (PDF 1088kb)
Seclusion/Restraint Nursing Evaluation & Physician Order Sheet (Word 51kb)
Seclusion/Restraint Monitoring Record (Word 56kb)
Seclusion/Restraint Debriefing Form (Word 39kb)
Seclusion/Restraint Policy 3.104 DHDDAD Hospitals (PDF 898kb)

HAWAII

Hawaii DDD Position Statement (Word 24kb)
Positive Behavioral Supports 11-27-06 (PDF 27kb)

IDAHO

Idaho DDA Rules (PDF 1212kb)
Rules Governing Certified Family Homes (PDF 791kb)
Rules Governing Residential Habilitation Agencies (PDF 351kb)

ILLINOIS

Behavior Treatment in Residential Child Care Facilities (PDF 61kb)
Human Rights Committees (Word 51kb)
Medical Immobilization (Word 42kb)
Time-Out Use in SODCs (Word 40kb)
Restraint Use in State Operated Developmental Centers... (Word 183kb)
Illinois DDD Retraint-Seclusion Summary (Word 44kb)

INDIANA

Indiana Restraint Policy (PDF 412kb)

IOWA

Glenwood Time Out Policy/Procedure Statement (Word 121kb)
Glenwood Emergency Mechanical Restraint Policy... (Word 133kb)
Glenwood Medical Restraints Policy... (Word 121kb)
Glenwood Emergency Behavior Modifying Medication Policy... (Word 131kb)
Glenwood Physical Restraints Policy/Procedure Statement (Word 91kb)
Glenwood Restrictive Measure Log and Report (Word 75kb)
Woodward Restraint Policy (PDF 91kb)
Woodward Time Out Restrictive Procedure Policy (PDF 39kb)


KANSAS
Medications-Restrictive Interventions-Behavioral Mgmt Committee (Word 29kb) 
Targeted Case Management Training Manual (PDF 469kb)
DSRS Policies on Restraint-Related Links (Word 24kb)

KENTUCKY

Kentucky MR/DD Incident Reporting Forms (Word 24kb)
MR/DD Waiver Program Regulations: Restraint Usage (Word 40kb)
Physical Restraint Reduction Plan Template (Word 274kb)
Supports for Community Living Restraint Record (Word 85kb)

LOUISIANA

Medical Protective Supports and Procedures (Word 138kb)
Behavioral Protective Supports and Procedures (Word 126kb)
Waiver Protective Supports and Procedures Draft (Word 102kb)

MAINE

Maine Overview (Word 24kb)
Regulations Governing the Use & Review of Safety Devices-Draft (Word 49kb)
Regulations Governing Emergency Interventions... (Word 82kb)

MARYLAND

Behavioral Principles & Strategies....Guidelines (PDF 186kb)
Behavioral Health Policy (PDF 228kb)
Behavior Provider Qualifications (PDF 29kb)
Incident Investigation Report Appendix 7 (Word 81kb)
Policy on Reportable Incidents & Investigations (PDF 325kb)
Incident Report Protocol Appendix 6 (PDF 39kb)
Incident Reporting Form Appendix 4 (Word 185kb)
Incident Reporting Form Appendix 5 (Word 71kb)
Agency Investigation Report Form Appendix 7 (Word 124kb)
Mortality Report Appendix 3-3A (PDF 13kb)
New Techniques Approved for Use Memo (PDF 1667kb)
DDA Restraint Policies (Word 26kb)

MASSACHUSETTS

DMR Regulations (Word 30kb)
DMR Statutes (Word 34kb)

MICHIGAN

Behavioral Treatment Plan Review Technical Requirement (PDF 186kb)

MINNESOTA

Behavioral Safeguards (Word 60kb)
Overview (Word 20kb)
Rule 40 Use of Aversive & Deprivation Procedures (Word 190kb)

MISSISSIPPI

Use of Restraints Standards (Word 49kb)

MISSOURI

DMRDD 2008 Positive Behavior Supports Guidelines (PDF 1572kb)
Use of Restraints and Time Out Regulations (PDF 78kb)

MONTANA

DD Program Aversive Procedures (Word 89kb)
DD Program Incident Management Policy (Word 1003kb)
Regulations Governing the Definition and Use of Restraints (Word 22kb)

NEBRASKA

Regulations for Certification of a DD Service Provider-Chapter 4 (PDF 68kb)
HCBS Service Standards-Chapter 3 (PDF 42kb)
Lincoln Regional Center Restraint & Seclusion Policy (PDF 58kb)
Regulations (Word 26kb)

NEVADA

Policies on Restraint-Seclusion (PDF 278kb)

NEW HAMPSHIRE

Recipient Rights (Word 114kb)

NEW JERSEY

Behavior Modification Programming Policies (PDF 126kb)
Behavior Management Committee Policies (PDF 70kb)
Emergency Chemical Restraint Policy (PDF 89kb)
Policy Circulars (Word 20kb)
Mechanical Restraint & Safeguarding Equipment (PDF 52kb)
Defensive Techniques & Personal Control Techniques (PDF 67kb)

NEW MEXICO

Human Rights Committee Requirements (PDF 156kb) 
Aversive Intervention Prohibitions Policy (PDF 167kb)
Crisis Prevention/Intervention Plan (PDF 121kb)
Medical Immobilization/Protective Stabilization & Pre-sedation Policy (PDF 20kb)
Policy Links (Word 20kb)
Psychotropic Medication Use Policy (PDF 156kb)

NEW YORK

Codes, Rules, and Regulations (Word 57kb)
Surgical and Invasive Procedure Protocol (PDF 105kb)
Informed Consent Protection of Rights ICFMR (Word 221kb)
Recipient Rights and Responsibilities (Word 202kb)
Regulations (Word 24kb)
Reportable Incidents Defined (Word 97kb)
Crisis Intervention & Prevention Strategies (PDF 2935kb)
Proposed Agency Action-633.16 and .99 (PDF 5393kb)

NORTH CAROLINA

Seclusion Rules (PDF 12kb)
Protective Devices (PDF 12kb)
Restraint Rules (PDF 11kb)
Training on Restraints 1 (PDF 92kb)
Training on Restraints 2 (PDF 87kb)
Training on Restraints 3 (PDF 93kb)
Training on Restraints 4 (PDF 88kb)

NORTH DAKOTA

Century Code (Word 20kb)
Provider Manual for Dental Services (PDF 725kb)
Restraints Summary (Word 24kb)

OHIO

Assessment Tool Draft (Word 2007 38kb)
Aversive Behavior Support Summary (Excel 2007 12kb)
Restraint/Seclusion Data Collection Explanation & Instructions (Word 2007 18kb)
Incidents Adversely Affecting Health & Safety (Word 2007 31kb)
Individual Rights-Revised Code 5123 (Word 2007 12kb)
Positive Intervention Culture Information Notice (Word 155kb)
Positive Intervention Culture Data Collection Requirement Notice (Word 2007 99kb)
Positive Intervention Pledge (Word 162kb)
Phase One Progress Report (PDF 535kb)
Policy on Restraints (Word 2007 33kb)

OKLAHOMA

Prohibited Procedures (Word 29kb)
Protective Intervention Plan (Word 46kb)
Psychotropic Medication Policy (Word 32kb)
Reporting & Monitoring the use of Restrictive or Intrusive Procedures (Word 35kb)
Risk Assessment Policy (Word 22kb)
Selected Definitions (Word 36kb)
Statewide Behavior Review Committee (Word 33kb)

OREGON

Chapter 418-Child Welfare Services (Word 24kb)

PENNSYLVANIA

Elimination of Restraints through Positive Practices (PDF 148kb)
Restraint Regulatory Language (Word 101kb)

RHODE ISLAND

Rules, Regulations, and Standards for Licensing (Word 24kb)

SOUTH CAROLINA

Behavior Support Plans (PDF 150kb)

SOUTH DAKOTA

Highly Restrictive Procedures (Word 26kb)
Physical Restraints, Protective Devices, and Fall Prevention Memo (Word 176kb)

TENNESSEE

Behavioral Health Provider Manual (PDF 228kb)
Glossary of Terms (PDF 406kb)
Restraints & Protective Equipment (PDF 74kb)
Restraint Guidelines & Procedures (Word 75kb)

TEXAS

Links to Rules (Word 25kb)
Excerpts from the HCBS Restraints Program Rules: Restraints (Word 30kb)

UTAH

Incident Report Form (Word 75kb)
Links to Administrative Rules (Word 24kb)
Waiver GRS-CB-7 28 08-Revision (Word 120kb)

VERMONT

Behavior Support Guidelines (PDF 371kb)
Guidelines for Critical Incident Reporting (PDF 109kb)
Human Rights Committee Guidelines (PDF 17kb)

VIRGINIA

Departmental Instruction: Medical & Protective Restraints (PDF 718kb)
Departmental Instruction: Use of Restraints (PDF 17kb)
Policies Overview (Word 24kb)
Regulations (Word 24kb)

WASHINGTON

Standards for Community Protection Residential Services (PDF 93kb)
Use of Psychoactive Medications (PDF 83kb)
Use of Restrictive Procedures (PDF 107kb)
Client Rights (PDF 39kb)
Incident Reporting (PDF 61kb)
Informed Consent (PDF 120kb)
Physical Intervention Techniques (PDF 44kb)
Policy on Restraints (PDF 27kb)
Positive Behavior Support (PDF 120kb)
Protection from Abuse Policy (PDF 72kb)

WEST VIRGINIA

MRDD Waiver Manual Chapter 513 (PDF 962kb)

WISCONSIN

Prohibited Practices (PDF 1243kb)
Guideline for Supporting People with Challenging/Difficult Behavior (Word 326kb)

WYOMING

Chapter 45 Medicaid Rules (Word 344kb)
Restrictive Procedures Links (Word 24kb)
Instructions for Developing the Individual Plan of Care (PDF 1075kb)

Resources

    No comments: