460 IAC 6-18-2 - Behavioral support plan standards
Authority: IC 12-9-2-2; IC 12-11-1.1-9; IC 12-11-2.1-12
Affected: IC 12-11-1.1; IC 12-11-2.1
Sec. 2.
(a) A behavioral support plan shall meet the standards set out in this section.
(b) A behavioral support plan shall operationally define the targeted behavior or behaviors.
(c) A behavioral support plan shall be based upon a functional analysis of the targeted behaviors.
(d) A behavioral support plan shall contain written guidelines for teaching the individual functional and useful behaviors to replace the individual's maladaptive behavior.
(e) A behavioral support plan shall use nonaversive methods for teaching functional and useful replacement behaviors.
(f) A behavioral support plan shall conform to the individual's ISP, including the needs and outcomes identified in the ISP and the ISP's specifications for behavioral support services.
(g) A behavioral support plan shall contain documentation that each person implementing the plan:
(1) has received specific training as provided in the plan in the techniques and procedures required for implementing the behavioral support plan; and
(2) understands how to use the techniques and procedures required to implement the behavioral support plan; regardless of whether the person implementing the plan is an employee or agent of the behavioral support services provider.
(h) A behavioral support plan shall contain a documentation system for direct care staff working with the individual to record episodes of the targeted behavior or behaviors. The documentation system shall include a method to record the following information:
(1) Dates and times of occurrence of the targeted behavior.
(2) Length of time the targeted behavior lasted.
(3) Description of what precipitated the targeted behavior.
(4) Description of what activities helped alleviate the targeted behavior.
(5) Signature of staff observing and recording the targeted behavior.
(i) If the use of medication is included in a behavioral support plan, a behavioral support plan shall contain:
(1) a plan for assessing the use of the medication and the appropriateness of a medication reduction plan; or
(2) documentation that a medication use reduction plan for the individual was:
(A) implemented within the past five (5) years; and
(B) proved to be not effective.
(j) If a highly restrictive procedure is included in a behavioral support plan, a behavioral support plan shall contain the following:
(1) A functional analysis of the targeted behavior for which a highly restrictive procedure is designed.
(2) Documentation that the risks of the targeted behavior have been weighed against the risk of the highly restrictive procedure.
(3) Documentation that systematic efforts to replace the targeted behavior with an adaptive skill were used and found to be not effective.
(4) Documentation that the individual, the individual's support team and the applicable human rights committee agree that the use of the highly restrictive method is required to prevent significant harm to the individual or others.
(5) Informed consent from the individual or the individual's legal representative.
(6) Documentation that the behavioral support plan is reviewed regularly by the individual's support team.
Notes
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