(a)

1. (1) The facility must develop and implement written policies and procedures that govern the management of inappropriate client behavior.
2. (2) These policies and procedures must be consistent with the provisions of 20 CAR § 413-801.

3. (3) These procedures must:

   1. (A) Specify all facility-approved interventions to manage inappropriate client behavior;
   2. (B) Designate these interventions on a hierarchy to be implemented, ranging from most positive or least intrusive, to least positive or most intrusive;
   3. (C) Ensure, prior to the use of more restrictive techniques, that the client's record documents that programs incorporating the use of less intrusive or more positive techniques have been tried systematically and demonstrated to be ineffective; and
   4. (D) Address the following:

(i) The use of physical restraints;

1. (ii) The use of drugs to manage inappropriate behavior;

   1. (iii) The application of painful or noxious stimuli;

      1. (iv) The use of time out;
      2. (v) The staff members who may authorize the use of specified interventions; and
      3. (vi) A mechanism for monitoring and controlling the use of such interventions.

(b) Intervention to manage inappropriate client behavior must be employed with sufficient safeguards and supervision to ensure that the safety, welfare, and civil and human rights of the clients are adequately protected.

1. (c) Techniques used to manage inappropriate client behavior must never be used for disciplinary purposes, for the convenience of staff, or as a substitute for an active treatment program.

   1. (d) The use of systematic interventions to manage inappropriate client behavior must be incorporated into the client's individual program plan, in accordance with 20 CAR § 413-727(d) – (f).

(e)

1. (1) Standing or as needed programs to control inappropriate behavior are not permitted.
2. (2) All behavior programs must be individualized.