1. (a) If an individual is demonstrating behaviors that are harmful to self or others, the residence administrator shall notify the service coordinator. In collaboration with others supporting the individual, the service coordinator shall facilitate the planning, implementation, and monitoring of any behavioral change program determined necessary.
2. (b) A behavioral change program or any form of restrictive strategy shall only be implemented by a community residence when such has been approved in writing by the individual, their guardian, the individual's team, and the applicable area agency’s human rights committee, established pursuant RSA 171-A:17. All behavioral change programs or forms of restrictive strategy shall be reviewed annually.
3. (c) A provider agency shall have written policies and procedures which address behavioral supports. These policies and procedures shall be directed toward maximizing the growth and development of the individual by incorporating a hierarchy of methods that emphasize positive approaches to behavioral support.

4. (d) Behavioral support policies and procedures shall:

   1. (1) Address the following concepts:

      1. a. Behavior is a form of communication and efforts should be made to understand its purpose;
      2. b. There are different learning styles, skills, and motivations of individuals;
      3. c. Relationships, environments, and personal histories have an impact on effecting behavioral change; and
      4. d. Intentional and unintentional responses to behavior, such as ignoring, redirecting, and reinforcing, that affect behavior;

   2. (2) Include the following behavior change strategies:

      1. a. Preventing behavioral difficulties by adjusting the environment, responses to the individual’s behavior, or both;
      2. b. Creating opportunities for meaningful participation in daily life, such as employment;
      3. c. Teaching mutual respect within relationships; and
      4. d. Redirecting and de-escalating behaviors that are harmful to self or others;
   3. (3) Outline training requirements for providers using the program; and
   4. (4) Indicate the mechanism to be used to monitor the implementation of any behavior change program and gauge its effectiveness.

Source. (See Revision Note at part heading for He-M 1001) #5867, eff 9-1-94, EXPIRED: 9-1-00; amd by #6582, eff 9-19-97 New. #7681, eff 4-23-02; ss by #9696, INTERIM, eff 4-23-10, EXPIRES: 10-20-10; ss by #9776-A, eff 10-1-10, EXPIRED: 10-1-18 New. #12650, INTERIM, eff 10-24-18, EXPIRED 4-22-19 New. #12775, eff 5-7-19; ss by #14255, eff 5-23-25, EXPIRES: 5-23-35