State DD Agency Policies
on the Use of Restrictive Procedures
This web page provides a comprehensive listing of state statutes, regulations, policies, and procedures regarding the use of emergency or planned physical, chemical, mechanical, or other restraints. Additional documents offer information on positive behavior support guidelines, training manuals, and other policy-related materials. Many emphasize the use of positive or non-aversive interventions. Links are provided to access documents on many state DD agency websites. Please review the materials and links listed for your state to make sure that all relevant information is included and appropriately referenced. Send additional articles, revisions, comments, and suggestions to Chas Moseley.
To Find a State Agency Policy on the Use of Restrictive
Procedures...
Click on the state on the map.
|
To Open a Document...
Left Click on the appropriate document title (e.g., Behavioral
Protocol Data Guidelines).
To Save a Document to your Computer...
Right Click on the appropriate document title and Select "Save Link As"
from the drop down menu.
To Visit a State Agency's Website...
Left Click on the appropriate state name link below.
ALABAMA
Behavioral
Protocol Data Guidelines (Word 61kb)
Behavioral
Support Plan Guideline (Word 42kb)
Introduction
to Behavior Guidelines 1-06 (Word 36kb)
Levels of Intervention (Word
137kb)
Procedures-Behavioral
Program Review (Word 53kb)
Risk Levels Guideline
(Word 41kb)
ICFMR Policy on the Use
of Restrictive Procedures (PDF 51kb)
ALASKA
Assisted
Living Regulations-Resident Rights AS 47 (Word 40kb)
Waiver
Participant Safeguards Concerning Restraints (PDF 1134kb)
ARIZONA
Regulation
Statute Managing Inappropriate Behaviors (Word 54kb)
Statute Definitions
(Word 25kb)
Statute Prohibitions
(Word 25kb)
ARKANSAS
Behavior
Management Policy for HDCs DDS-Service 3011-D (Word 62kb)
Positive
Behavior Management in Community Programs (Word 45kb)
CALIFORNIA
Psychiatric/Behavior
Management Medication (Word 49kb)
Restrictive
Behavioral Interventions-NonMedication Policy (Word 70kb)
Summary
of Laws & Regulations (Word 90kb)
Title
17 Chapter 3 Community Services (Word 33kb)
COLORADO
Abuse Restraint
Rules (Word 148kb)
Consensus
Guidelines: Treatment of Behavioral Emergencies (PDF 888kb)
Dental Restraints
Policy (Word 32kb)
MEMO
Prohibition for Use of Prone Physical Restraint (PDF 34kb)
Quality Standards (PDF
181kb)
Restraint
Policies Summary Information (Word 38kb)
CONNECTICUT
Behavior
Modifying Medications Policy (Word 79kb)
Behavior
Support Plans Procedures (Word 82kb)
Incident
Reporting Guidelines (PDF 62kb)
Program Review Committee
(Word 80kb)
DELAWARE
Behavior/Mental
Health Support Policy (PDF 309kb)
DISTRICT
OF COLUMBIA
Restrictive
Procedures Policy (PDF 251kb)
FLORIDA
Reactive Strategies
Rule (Word 72kb)
GEORGIA
Guidelines
for Supporting Adults Challenging Behaviors (PDF 1088kb)
Seclusion/Restraint
Nursing Evaluation & Physician Order Sheet (Word 51kb)
Seclusion/Restraint
Monitoring Record (Word 56kb)
Seclusion/Restraint
Debriefing Form (Word 39kb)
Seclusion/Restraint
Policy 3.104 DHDDAD Hospitals (PDF 898kb)
HAWAII
Hawaii DDD Position
Statement (Word 24kb)
Positive
Behavioral Supports 11-27-06 (PDF 27kb)
IDAHO
Idaho DDA Rules (PDF 1212kb)
Rules Governing Certified
Family Homes (PDF 791kb)
Rules Governing
Residential Habilitation Agencies (PDF 351kb)
ILLINOIS
Behavior
Treatment in Residential Child Care Facilities (PDF 61kb)
Human Rights
Committees (Word 51kb)
Medical Immobilization
(Word 42kb)
Time-Out Use in
SODCs (Word 40kb)
Restraint
Use in State Operated Developmental Centers... (Word 183kb)
Illinois DDD
Retraint-Seclusion Summary (Word 44kb)
INDIANA
Indiana Restraint Policy
(PDF 412kb)
IOWA
Glenwood Time Out
Policy/Procedure Statement (Word 121kb)
Glenwood
Emergency Mechanical Restraint Policy... (Word 133kb)
Glenwood Medical Restraints
Policy... (Word 121kb)
Glenwood
Emergency Behavior Modifying Medication Policy... (Word 131kb)
Glenwood
Physical Restraints Policy/Procedure Statement (Word 91kb)
Glenwood Restrictive
Measure Log and Report (Word 75kb)
Woodward Restraint
Policy (PDF 91kb)
Woodward
Time Out Restrictive Procedure Policy (PDF 39kb)
KANSAS
Medications-Restrictive
Interventions-Behavioral Mgmt Committee (Word 29kb)
Targeted Case Management
Training Manual (PDF 469kb)
DSRS Policies on Restraint-Related
Links (Word 24kb)
KENTUCKY
Kentucky MR/DD Incident
Reporting Forms (Word 24kb)
MR/DD Waiver Program
Regulations: Restraint Usage (Word 40kb)
Physical
Restraint Reduction Plan Template (Word 274kb)
Supports
for Community Living Restraint Record (Word 85kb)
LOUISIANA
Medical
Protective Supports and Procedures (Word 138kb)
Behavioral
Protective Supports and Procedures (Word 126kb)
Waiver
Protective Supports and Procedures Draft (Word 102kb)
MAINE
Maine Overview (Word 24kb)
Regulations
Governing the Use & Review of Safety Devices-Draft (Word 49kb)
Regulations Governing Emergency
Interventions... (Word 82kb)
MARYLAND
Behavioral
Principles & Strategies....Guidelines (PDF 186kb)
Incident
Investigation Report Appendix 7 (Word 81kb)
Policy on
Reportable Incidents & Investigations (PDF 325kb)
Incident
Report Protocol Appendix 6 (PDF 39kb)
Incident
Reporting Form Appendix 4 (Word 185kb)
Incident
Reporting Form Appendix 5 (Word 71kb)
Agency
Investigation Report Form Appendix 7 (Word 124kb)
Mortality
Report Appendix 3-3A (PDF 13kb)
New Techniques Approved
for Use Memo (PDF 1667kb)
DDA Restraint
Policies (Word 26kb)
Restraint FAQ
4-09-1 (Word 34kb)
Restraint Definition
draft3 (PDF 78kb)
Tecniques memo (PDF
1667kb)
TIC
Provider Memo Letterhead (PDF 64kb)
MASSACHUSETTS
DMR Regulations
(Word 30kb)
DMR Statutes (Word 34kb)
MICHIGAN
Behavioral
Treatment Plan Review Technical Requirement (PDF 186kb)
MINNESOTA
Overview (Word 20kb)
Rule 40 Use of Aversive &
Deprivation Procedures (Word 166kb)
MISSISSIPPI
Use of Restraints
Standards (Word 49kb)
MISSOURI
DMRDD 2008
Positive Behavior Supports Guidelines (PDF 1572kb)
Use
of Restraints and Time Out Regulations (PDF 78kb)
MONTANA
DD Program
Aversive Procedures (Word 89kb)
DD Program
Incident Management Policy (Word 1003kb)
Regulations
Governing the Definition and Use of Restraints (Word 22kb)
NEBRASKA
Regulations
for Certification of a DD Service Provider-Chapter 4 (PDF 68kb)
HCBS Service Standards-Chapter
3 (PDF 42kb)
Lincoln
Regional Center Restraint & Seclusion Policy (PDF 58kb)
Regulations (Word 26kb)
NEVADA
Policies
on Restraint-Seclusion (PDF 278kb)
NEW
HAMPSHIRE
Recipient Rights
(Word 114kb)
NEW
JERSEY
Behavior Modification
Programming Policies (PDF 126kb)
Behavior Management
Committee Policies (PDF 70kb)
Emergency Chemical Restraint
Policy (PDF 89kb)
Policy Circulars
(Word 20kb)
Mechanical Restraint
& Safeguarding Equipment (PDF 52kb)
Defensive Techniques
& Personal Control Techniques (PDF 67kb)
NEW
MEXICO
Human Rights Committee
Requirements (PDF 156kb)
Aversive
Intervention Prohibitions Policy (PDF 167kb)
Crisis
Prevention/Intervention Plan (PDF 121kb)
Medical
Immobilization/Protective Stabilization & Pre-sedation Policy (PDF
20kb)
Policy Links (Word 20kb)
Psychotropic
Medication Use Policy (PDF 156kb)
NEW
YORK
Codes, Rules, and Regulations
(Word 57kb)
Surgical and Invasive
Procedure Protocol (PDF 105kb)
Informed
Consent Protection of Rights ICFMR (Word 221kb)
Recipient
Rights and Responsibilities (Word 202kb)
Regulations (Word 24kb)
Reportable Incidents
Defined (Word 97kb)
Crisis
Intervention & Prevention Strategies (PDF 2935kb)
Proposed
Agency Action-633.16 and .99 (PDF 5393kb)
NORTH
CAROLINA
Seclusion Rules
(PDF 12kb)
Protective Devices
(PDF 12kb)
Restraint Rules (PDF
11kb)
Training
on Restraints 1 (PDF 92kb)
Training
on Restraints 2 (PDF 87kb)
Training
on Restraints 3 (PDF 93kb)
Training
on Restraints 4 (PDF 88kb)
NORTH
DAKOTA
Century Code (Word 20kb)
Provider Manual for Dental
Services (PDF 725kb)
Restraints Summary
(Word 24kb)
OHIO
(Ohio files require Office 2007 or a patch for Office 2003 to read documents)
Assessment Tool Draft
(Word 2007 38kb)
Aversive
Behavior Support Summary (Excel 2007 12kb)
Restraint/Seclusion
Data Collection Explanation & Instructions (Word 2007 18kb)
Incidents Adversely Affecting
Health & Safety (Word 2007 31kb)
Individual
Rights-Revised Code 5123 (Word 2007 12kb)
Positive
Intervention Culture Information Notice (Word 155kb)
Positive
Intervention Culture Data Collection Requirement Notice (Word 2007 99kb)
Positive
Intervention Pledge (Word 162kb)
Phase One Progress Report
(PDF 535kb)
Policy on Restraints
(Word 2007 33kb)
OKLAHOMA
Prohibited Procedures
(Word 29kb)
Protective
Intervention Plan (Word 46kb)
Psychotropic
Medication Policy (Word 32kb)
Reporting
& Monitoring the use of Restrictive or Intrusive Procedures (Word
35kb)
Risk Assessment
Policy (Word 22kb)
Selected Definitions
(Word 36kb)
Statewide
Behavior Review Committee (Word 33kb)
OREGON
Chapter
418-Child Welfare Services (Word 24kb)
PENNSYLVANIA
Elimination of Restraints
through Positive Practices (PDF 148kb)
Restraint
Regulatory Language (Word 101kb)
RHODE
ISLAND
Rules, Regulations, and Standards
for Licensing (Word 24kb)
SOUTH
CAROLINA
Behavior Support Plans
(PDF 150kb)
SOUTH
DAKOTA
Highly
Restrictive Procedures (Word 26kb)
Physical
Restraints, Protective Devices, and Fall Prevention Memo (Word 176kb)
TENNESSEE
Behavioral Health Policy
(PDF 228kb)
Behavioral
Health Provider Manual (PDF 228kb)
Behavior Provider
Qualifications (PDF 29kb)
Glossary of Terms (PDF 406kb)
Restraints & Protective
Equipment (PDF 74kb)
Restraint
Guidelines & Procedures (Word 75kb)
TEXAS
DOJ
Agreemt 5-09 use of restraints pages 5-6, 8-10.pdf
Links to Rules (Word
25kb)
Excerpts
from the HCBS Restraints Program Rules: Restraints (Word 30kb)
UTAH
Incident Report
Form (Word 75kb)
Links to Administrative Rules
(Word 24kb)
Waiver
GRS-CB-7 28 08-Revision (Word 120kb)
VERMONT
Behavior Support
Guidelines (PDF 371kb)
Guidelines for Critical
Incident Reporting (PDF 109kb)
Human
Rights Committee Guidelines (PDF 17kb)
VIRGINIA
Departmental
Instruction: Medical & Protective Restraints (PDF 718kb)
Departmental Instruction:
Use of Restraints (PDF 17kb)
Policies Overview (Word 24kb)
Regulations (Word 24kb)
WASHINGTON
Client Rights 5.06
(PDF 39kb)
Community
Protection Program Identification & Eligibility 15.01 (PDF 67kb)
Community
Protection Program Exit Criteria15.05 (PDF 44kb)
Community
Protection Program Services 15.02 (PDF 40kb)
Community
Protection Standards Employment-Day Programs15.03 (PDF 37kb)
Human
Rights Committee 5.10 (PDF 63kb)
Physical
Intervention Techniques 5.17 (PDF 32kb)
Positive
Behavioral Support for Children and Youth 5.19 (PDF 387kb)
Positive
Behavioral Supports 5.14 (PDF 89kb)
Protection
from Abuse Mandatory Reportingpolicy 5.13 (PDF 117kb)
Restraint Policy
5.11 (PDF 61kb)
Restrictive
Procedures & Physical Intervention Children Youth 5.20 (PDF 173kb)
Standards
for Community Protection Residential Services 15.04 (PDF 142kb)
Use
of Psychoactive Medications 5.16 (PDF 69kb)
Use
of Restrictive Procedures 5.15 (PDF 158kb)
WEST
VIRGINIA
MRDD Waiver
Manual Chapter 513 (PDF 962kb)
WISCONSIN
Prohibited Practices
(PDF 1243kb)
Guideline
for Supporting People with Challenging/Difficult Behavior (Word 326kb)
WYOMING
Chapter 45
Medicaid Rules (Word 344kb)
Restrictive Procedures Links
(Word 24kb)
Instructions
for Developing the Individual Plan of Care (PDF 1075kb)
Resources