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10.22.10.00.htm 10.22.10.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 22 DEVELOPMENTAL DISABILITIES Chapter 10 Behavior Support Services Program Service Plan Authority: Health-General Article, §7-904; Health Occupations Article, §17-6A-01 et seq. Annotated Code of Maryland
10.22.10.01.htm 10.22.10.01. 01 Additional Regulatory Compliance.. In addition to this chapter, a person who provides behavior support services to an individual shall comply with the following regulations of this subtitle:A. COMAR 10.22.01;. B. COMAR 10.22.02;. C. COMAR 10.22.03;. D. COMAR 10.22.04; and. E. COMAR 10.22.05..
10.22.10.02.htm 10.22.10.02. 02 Rationale.. A. The Administration serves individuals who exhibit challenging behaviors and require a variety of supports to achieve success in exercising the individual's choices responsibly.B. Behavior support services are designed to assist individuals who exhibit challenging behaviors in acquiring skills, gaining social acceptance, and becoming full participants in the community.
10.22.10.03.htm 10.22.10.03. 03 Scope.. A. A licensee who provides services to an individual in the community or in an SRC whose record indicates a need for a behavior plan shall meet the requirements of this chapter.B. A licensee who contracts for behavior support services shall ensure that its contractor meets the requirements of this chapter and is knowledgeable about the Administration's service delivery system.C. Behavior support services include:. 1) Behavioral consultation;.
10.22.10.04.htm 10.22.10.04. 04 Staffing and Training.. In addition to the training requirements in COMAR 10.22.02.11A―D, the licensee shall ensure that staff who provide behavior support services, before being assigned independent duties, receive training in the:A. Principles of behavioral change; and. B. Appropriate methods of preventing or managing challenging behaviors, which may include the use of mechanical restraints.
10.22.10.05.htm 10.22.10.05. 05 Behavior Plan (BP). A. A licensee shall ensure that a BP is developed for each individual for whom it is required.. B. The licensee shall ensure the BP:. 1) Is developed, in conjunction with the team, by a licensed psychologist, psychology associate under the supervision of a licensed psychologist, licensed behavior analyst, licensed physician, licensed certified social worker, or licensed or certified professional counselor, who shall have training and experience in applied
10.22.10.06.htm 10.22.10.06. 06 Use of Restrictive Techniques.. A. The licensee shall ensure that the use of restrictive techniques in any BP:. 1) Represents the least restrictive, effective alternative, or the lowest effective dose of a medication; and2) Is only implemented after other methods have been:. a) Systematically tried, and. b) Objectively determined to be ineffective.. B. The licensee shall collect and present objective data to the authorizing licensed health care practitioner to indicate whe
10.22.10.07.htm 10.22.10.07. 07 Use of Medications to Modify Challenging Behavior.. A. In addition to the requirements in Regulations .05 and .06 of this chapter, the licensee shall ensure that a BP which includes the use of medication includes:1) The specific medications that have been prescribed;. 2) The rationale for prescribing each medication;. 3) Any alternate methods of management being used to bring challenging behavior under control; and. 4) Objective data collected by staff and presented
10.22.10.08.htm 10.22.10.08. 08 Use of Physical Restraint.. A. Physical restraint may only be used when the individual's behavior presents a danger to self or serious bodily harm to others.B. The licensee shall ensure that only staff who have been trained in the management of disruptive behavior, or other curriculum approved by the Administration, may use a physical restraint and may only do so as specified in the curriculum.C. In addition to the requirements in Regulation .06 of this chapter, the l
10.22.10.09.htm 10.22.10.09. 09 Use of Mechanical Restraint and Support.. A. Use of Mechanical Restraint for Behavioral Purposes.. 1) A mechanical restraint may only be used:. a) To prevent an individual from engaging in self-injurious behaviors such as head banging, teeth gnashing, and similar behavior;b) To prevent serious bodily harm to others; or. c) As required by an individual's treating licensed health care practitioner to allow an individual to recuperate from surgery or injury.
10.22.10.10.htm 10.22.10.10. 10 Use of Chemical Restraint.. A. Chemical restraint may only be used when the individual's behavior presents a danger to self or serious bodily harm to others.B. A licensee may only use a chemical restraint in a behavioral emergency when:. 1) Ordered by a licensed health care practitioner; and. 2) Administered and monitored by a licensed health care practitioner.. C. In addition to the requirements in Regulation .06 of this chapter, the licensee shall document in
10.22.10.11.htm 10.22.10.11. 11 Monitoring Use of Medications to Modify Behavior and Restrictive Techniques.. The licensee shall monitor the use of restrictive techniques through its internal quality assurance process as required by COMAR 10.22.02.14B(4)
10.22.10.12.htm 10.22.10.12. 12 IBMP ― Alternative Living Arrangements.. After the effective date of this chapter, a licensee providing residential services which specializes in behavior support services shall comply with the requirements of this chapter and COMAR 10.22.08.
10.22.10.9999.htm 10.22.10.9999. Administrative History Effective date: July 29, 1985 (12:15 Md. R. 1517). Regulations .01―10 repealed effective January 23, 1989 (16:1 Md. R. 70) ―. Regulations .01―11 adopted effective January 23, 1989 (16:1 Md. R. 70). Regulation .09B amended as an emergency provision effective May 3, 1989 (16:10 Md. R. 1102) adopted permanently effective October 30, 1989 (16:21 Md. R. 2261)Regulation .09G amended effective January 6, 1992 (18:26 Md. R. 2830) ―. Chapter, Intensive Behavi
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