Service providers who are using physical interventions with clients must have a physical intervention techniques system that includes at least the following:

1. (1) Discussion of the need for positive behavior support;
2. (2) Communication styles that help the client to calm down and resolve problems;
3. (3) Techniques to prevent escalation of behavior before it reaches the stage of physical assault;
4. (4) Techniques for staff to use in response to clients and their own fear, anger, aggression, or other negative feelings;
5. (5) Cautions that physical intervention technique(s) may not be changed except as needed for individual disabilities, medical, health, and safety issues. A health care professional and a program trainer must approve all modifications;
6. (6) Evaluation of the safety of the physical environment;
7. (7) Issues of respect and dignity of the client;
8. (8) Use of the least restrictive physical interventions depending upon the situation;
9. (9) Identification of division of developmental disabilities approved and prohibited physical intervention techniques;
10. (10) The need to release clients from physical restraint as soon as possible;

11. (11) Instruction on how to support physical interventions as an observer, recognizing signs of:

    1. (a) Distress by the client; and
    2. (b) Fatigue by the staff; and
12. (12) Discussion of the importance of complete and accurate documentation.

[WSR 16-14-058, recodified as § 388-101D-0435, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388-101-3910, filed 12/21/07, effective 2/1/08.]