Or. Admin. R. 309-022-0170

Current through Register Vol. 63, No. 6, June 1, 2024

Section 309-022-0170 - Emergency Safety Interventions

Providers of ITS services shall:

(1) Adopt policies and procedures for emergency safety interventions as part of a crisis prevention and intervention policy. The policy shall be consistent with the provider's trauma-informed services policies and procedures.

(2) Inform the individual and their parent or guardian of the provider's policy regarding the use of personal restraint and seclusion during an emergency safety situation by both furnishing a written copy of the policy and providing an explanation in the individual's primary language that is developmentally appropriate.

(3) Obtain a written acknowledgment from the parent or guardian that they are informed of the provider's policies and procedures regarding the use of personal restraint and seclusion.

(4) Prohibit the use of mechanical restraint, chemical restraint and prone restraints.

(5) Prohibit the use of supine restraints unless licensed as a SCIP or SAIP program.

(6) Establish an emergency safety interventions committee or designate this function to an already established quality assessment and performance improvement committee. Committee membership shall minimally include a program staff with designated clinical leadership responsibilities, the person responsible for staff training in crisis intervention procedures, and other clinical personnel not directly responsible for authorizing the use of emergency safety interventions. The committee shall:

(a) Monitor the use of emergency safety interventions to assure that individuals are safe-guarded and their rights are always protected;

(b) Meet at least monthly and shall report in writing to the provider's quality assessment and performance improvement committee at least quarterly regarding the committee's activities, findings, and recommendations;

(c) Analyze emergency safety interventions to determine opportunities to prevent their use, increase the use of alternatives, improve the quality of care and safety of individuals receiving services, and recommend whether follow up action is needed;

(d) Review and update emergency safety intervention policies and procedures annually;

(e) Conduct individual and aggregate review of all incidents of personal restraint and seclusion; and

(f) Report the aggregate number of personal restraints and incidents of seclusion to the Division within 30 days of the end of each calendar quarter.

Or. Admin. R. 309-022-0170

MHS 8-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14; MHS 5-2014, f. & cert. ef. 2-3-14; BHS 16-2018, temporary amend filed 07/17/2018, effective 08/01/2018 through 01/27/2019; BHS 24-2018, amend filed 12/27/2018, effective 1/25/2019; BHS 4-2023, amend filed 01/27/2023, effective 2/1/2023

Statutory/Other Authority: ORS 161.390, 413.042, 430.256, 426.490 - 426.500, 428.205 - 428.270, 430.640 & 443.450

Statutes/Other Implemented: ORS 109.675, 161.390 - 161.400, 179.505, 413.520 - 413.522, 426.380 - 426.395, 426.490 - 426.500, 430.010, 430.205 - 430.210, 430.240 - 430.640, 430.850 - 430.955, 443.400 - 443.460 & 443.991