(1) No procedures
should be used for behavior management which result in physical or emotional
harm to the individual.
Corporal punishment, seclusion, aversive stimuli, chemical restraint, and
denial of a nutritionally adequate diet must not be used.
(3) Restraint, (personal holding, mechanical
restraint), drugs for behavior management, time-out rooms, or other techniques
with similar degrees of restriction or intrusion must not be employed except as
an integral part of an individual support plan.
(4) Restrictive or intrusive
behavior-management procedures must not be used until after less restrictive
alternatives for dealing with the problem behavior have been systematically
tried or considered and have been determined to be inappropriate or
(5) Prior to the
implementation of a written program incorporating the use of a highly
restrictive or intrusive technique, the program must be reviewed and approved
by the individual or the individual's legal guardian/conservator, with
documentation, and a Human Rights Committee must review and approve the written
(6) Procedures such as
personal holding, mechanical restraint, and time out which are used in
emergency situations to prevent an individual from inflicting bodily harm may
not be repeated more than three (3) times within six (6) months without being
incorporated into a written behavior management program that is part of an
individual support plan.
Behavior management drugs may be used only when authorized in writing by a
physician for a specific period of time.
(8) The program for the use of a mechanical
restraint must specify the extent and frequency of the monitoring according to
the type and design of the device and the condition of the
(9) An individual
placed in mechanical restraint must be released for a minimum of ten (10)
minutes at least every two (2) hours and provided with an opportunity for
motion, exercise, liquid intake, and toileting.
(10) Personal restraint/physical holding may
be used only until the individual is calm.
(11) An individual placed in time out must be
released after a period of not more than sixty (60) minutes.
(12) The ability of an individual to exit
from time out must not be prevented by means of keyed or other locks, and
locations used for time out must allow for the immediate entry of