1. A. Physical management techniques employed in an emergency to manage a sudden, intense, or out-of-control behavior shall:

   1. 1. Use the least amount of intervention necessary to safely physically manage an individual.
   2. 2. Be used only when less restrictive methods were unsuccessful or are inappropriate.
   3. 3. Be used only when necessary to prevent the individual from harming self or others or causing severe damage to property.
   4. 4. Be used concurrently with the uncontrolled behavior.
   5. 5. Be continued for the least amount of time necessary to bring the individual’s behavior under control.
   6. 6. Be appropriate to the situation to ensure safety.

2. B. When an emergency measure, including the use of behavior modifying medications pursuant to R6-6-909(D), is employed to manage a sudden, intense, out-of-control behavior, the person employing that measure shall:

   1. 1. Immediately report the circumstances of the emergency measure to the person designated by the Division and to the responsible person.
   2. 2. Provide, within one working day, a complete written report of the circumstances of the emergency measure to the responsible person, the case manager, the chairperson of the Program Review Committee, and the Human Rights Committee.
   3. 3. Request that the case managers reconvene the ISPP team to determine the need for a new or revised behavior treatment plan when any emergency measure is used two or more times in a 30-day period or with any identifiable pattern.

3. C. Upon receipt of a written report as specified in subsection (B)(2) above, the PRC shall:

   1. 1. Review, evaluate and track reports of emergency measures taken; and
   2. 2. Report, to a person designated by the Division, instances of possible excessive or inappropriate use of emergency measures on a case-by-case basis for corrective action.

Historical Note

Adopted effective February 21, 1990 (Supp. 90-1). Amended effective June 7, 1993, under an exemption from A.R.S. Title 41, Chapter 6 (Supp. 93-2). Former Section R6-6-908 renumbered to R6-6-907, new Section R6-6-908 renumbered from R6-6-909 and amended effective September 30, 1993, under an exemption from A.R.S. Title 41, Chapter 6 (Supp. 93-3).