OAR 411-348-0350
Behavior Supports and Physical Restraints
(1)
BEHAVIOR SUPPORTS. Professional behavior services and behavior supports must be delivered in accordance with OAR 411-323-0060 (Policies and Procedures).(2)
PROFESSIONAL BEHAVIOR SERVICES. Professional behavior services may be provided to a child based on the child’s specific identified need for services to address challenging behavior in accordance with OAR chapter 411, division 304.(a)
When professional behavior services are provided to a child, a program provider, including the in-residence caregiver and staff, must:(A)
Coordinate with the behavior professional and the child’s ISP team to ensure the professional behavior services and behavior supports being provided are sufficient to meet the behavioral support needs of the child; and(B)
Implement the Positive Behavior Support Plan, or appropriate portions therein, as agreed upon by the child’s ISP team.(b)
A Host Home Program may deliver professional behavior services to a child under the following conditions:(A)
The Host Home Program must be endorsed to OAR chapter 411, division 304 for professional behavior services in accordance with OAR chapter 411, division 323;(B)
The behavior professional must meet the qualifications described in OAR 411-304-0170 (Qualifications and Standards for Behavior Professionals);(C)
The behavior professional must be the choice of the child’s parent or guardian for professional behavior services;(D)
Professional behavior services are not delivered to children enrolled to receive services in a Host Home for the convenience of the behavior professional or program provider; and(E)
The Host Home Program meets the requirements as an enrolled Medicaid Provider as described in OAR chapter 411, division 370, and has a separate and distinct Medicaid Provider number for the provision of professional behavior services.(c)
A Positive Behavior Support Plan must be developed and implemented when Department funds are used for professional behavior services. The provision of professional behavior services must be authorized by a child’s case manager and identified in the child’s ISP.(3)
SAFEGUARDING INTERVENTIONS AND SAFEGUARDING EQUIPMENT.(a)
A designated person must only utilize a safeguarding intervention or safeguarding equipment when:(A)
BEHAVIOR. Used to address a child’s challenging behavior, the safeguarding intervention or safeguarding equipment is included in the child’s Positive Behavior Support Plan written by a qualified behavior professional as described in OAR 411-304-0150 (Professional Behavior Service Planning) and implemented consistent with the child’s Positive Behavior Support Plan.(B)
MEDICAL. Used to address a child’s medical condition or medical support need, the safeguarding intervention or safeguarding equipment is included in a medical order written by the child’s licensed health care provider and implemented consistent with the medical order.(b)
The child’s parent or guardian must provide consent for the safeguarding intervention or safeguarding equipment through an individually-based limitation in accordance with OAR 411-348-0430 (Individual Support Plan).(c)
Prior to utilizing a safeguarding intervention or safeguarding equipment, a designated person must be trained.(A)
For a safeguarding intervention, the designated person must be trained in intervention techniques using an ODDS-approved behavior intervention curriculum and trained to the child’s specific needs. Training must be conducted by a person who is appropriately certified in an ODDS-approved behavior intervention curriculum.(B)
For safeguarding equipment, the designated person must be trained on the use of the identified safeguarding equipment.(d)
A designated person must not utilize any safeguarding intervention or safeguarding equipment not meeting the standards set forth in this rule even when the use is directed by the child or the child’s parent or guardian, regardless of the child’s age.(4)
EMERGENCY PHYSICAL RESTRAINTS.(a)
The use of an emergency physical restraint when not written into a Positive Behavior Support Plan, not authorized in a child’s ISP, or not consented to by the child’s parent or guardian in an individually-based limitation, must only be used when all of the following conditions are met:(A)
In situations when there is imminent risk of harm to the child or others or when the child’s behavior has a probability of leading to engagement with the legal or justice system;(B)
Only as a measure of last resort; and(C)
Only for as long as the situation presents imminent danger to the health or safety of the child or others.(b)
The use of an emergency physical restraint must not include any of the following characteristics:(A)
Abusive.(B)
Aversive.(C)
Coercive.(D)
For convenience.(E)
Disciplinary.(F)
Demeaning.(G)
Mechanical.(H)
Prone or supine restraint.(I)
Pain compliance.(J)
Punishment.(K)
Retaliatory.
Source:
Rule 411-348-0350 — Behavior Supports and Physical Restraints, https://secure.sos.state.or.us/oard/view.action?ruleNumber=411-348-0350.