Current through Reg. 48, No. 66; April 5, 2022
(1) All authorizations for a reactive
strategy must include a clear rationale for its use.
(2) Reactive strategies must not be
implemented automatically or as part of a deceleration plan for undesirable
behaviors, as punishment, as a substitute for an implementation plan, or for
the convenience of staff.
the onset of seclusion or restraint implementation, staff will notify the
appropriate authorizing agent of the conditions leading up to the use of the
reactive strategy. The authorizing agent is responsible for terminating any
procedure not in compliance with this rule.
(4) Each use of a reactive strategy requires
continuous staff monitoring.
reactive strategy must provide for the least possible restriction consistent
with its purpose.
(6) A reactive
strategy must be terminated immediately when the emergency ends.
(7) Reactive strategies must be implemented
in a manner that permits the greatest possible amount of comfort and protection
from injury to the individual.
The Agency may disapprove the use of any emergency procedure, system, strategy,
or program that does not meet the above requirements or that contains
procedures the Agency determines to be unsafe.
(9) If an individual exhibits behavior
requiring a reactive strategy at a frequency of more than two times in any
thirty-day period, or six times in any twelve-month period, then the facility
or provider should submit a request for behavior analysis services for that
individual, including documentation of the frequency of reactive strategy
(10) The facility or provider
must provide written behavioral criteria for termination of a reactive
strategy, conforming to the Agency-approved emergency procedure curriculum, to
all staff trained in those techniques.
(11) Reactive strategies must be terminated
within five minutes after predetermined behavioral criteria have been met.
Providers and facilities may seek an exemption from this requirement through
the variance and waiver process authorized by Section 120.542, F.S.
(12) Reactive strategies must be limited to
one hour in duration; additional time for a reactive strategy requires