Tracking# 2006-01132

I:/06092501.rtf
[I:/06092501.doc]

[Note: Statement of Basis and Purpose (12 CCR 2509-1) has been incorporated with Tracking# 2006-01135.]
(12 CCR 2509-8)
[Instructions/guidelines:  replace lines 1135111 through 1135137.]
7.714.4  PROGRAM DESCRIPTION AND INDIVIDUAL CHILD'S PLAN [Rev. eff. 2/1/07]
A.  The facility shall have a written overall program description for the facility. The written description shall include the following:
1.  The title of the person who has overall responsibility for the development, implementation, and coordination of the treatment program.
2.  Staff responsibility for planning and implementation of the treatment procedures and techniques.
3.  The range of procedures and techniques to be used and the anticipated range or types of behavior or conditions for which such procedures and techniques are to be used, including philosophy of treatment, modes of therapy, treatment modalities, positive behavior intervention, problem management, discipline: restraint, and short term locked confinement where allowed and approved by the department.
4.  The facility's responsibility for monitoring the safety of children during treatment.
5.  Review procedures for ensuring the appropriateness of the ongoing treatment and placement for each child.
6.  Policies and procedures encouraging termination of the treatment procedures at the earliest opportunity in the event of achievement of goals, or when the procedures are proving to be ineffective or detrimental for a particular child.
7.  Policies and procedures on how the facility involves the child and the parent(s) or guardian(s) in the plan for care and treatment of the child and obtains their consent of the plan and any subsequent revisions to the plan.
8.  Policies and procedures on how the facility monitors the ongoing physical safety of a child during treatment or therapy which involves physical contact with the child.
9.  Requirements, where appropriate, for medical examination of a child prior to implementation of a treatment strategy on a regular basis.
10.  Provisions for regular and thorough review and analysis of the individualized treatment strategies and the overall treatment orientation of the facility, including provisions for making appropriate adjustments in the treatment strategies and orientation, the recording practices and procedures, and the program activities in accordance with the results of the reviews.
11.  Each facility shall adopt and implement a written policy for continuity of resident care which shall include, at a minimum, the following:
a.  Ease of resident movement from one element of service to another within the facility.
b.  Aftercare planning, to be completed 90 calendar days prior to a scheduled discharge, and included with the resident’s discharge summary which describes any recommendations for the resident to follow after discharge from the facility.
c.  Referrals to other agencies.
12.  The placement alternative selected shall be conducive to the optimum restoration of the resident’s mental and physical functioning, with due regard for the safety of the resident and those around him/her and the availability of placement alternatives.
B.  A facility shall prohibit all cruel and aversive treatment or therapy including, but not limited to, the following:
1.  Any intervention designed to or likely to cause a child physical pain.
2.  Releasing noxious, toxic or unpleasant sprays, mists, or substances in proximity to the child's face.
3.  Any intervention that denies a child sleep, food, water, shelter, access to bathroom facilities, adequate bedding, or appropriate physical comfort.
4.  Any intervention or type of treatment that subjects a child to verbal abuse, ridicule, humiliation, or that can be expected to cause excessive emotional trauma.
5.  Interventions that use a device, material, or object that is designed to simultaneously immobilize ail four of the child's extremities.
6.  Any treatment intervention that deprives a child of the use of his/her senses, including sight, hearing, touch, taste, or smell.
7.  The use of mechanical restraints, including but not limited to the use of handcuffs, shackles, straight jackets, posey vests, ankle and wrist restraints, craig beds, vail beds, and chest restraints.
8.  Personal restraint, except as described at Section 7.714.53, et seq., and locked seclusion, except as allowed at Section 7.705.7.
9.  Use of rebirthing therapy or any therapy technique that may be considered similar to rebirthing therapy as a therapeutic treatment, as defined by Section 12-43-222(1)(t)(IV), C.R.S. 
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