Illinois Administrative Code
Title 59 - MENTAL HEALTH
Part 119 - MINIMUM STANDARDS FOR CERTIFICATION OF DEVELOPMENTAL TRAINING PROGRAMS
Subpart B - PROGRAM REQUIREMENTS FOR CERTIFIED DAY PROGRAMS
Section 119.240 - Special training procedures
Current through Register Vol. 48, No. 12, March 22, 2024
a) The provider shall develop policies and procedures and shall govern the use of all special training procedures used to modify behaviors that the team determines to be a problem or maladaptive.
b) The program shall prohibit corporal punishment, seclusion, abuse, neglect and exploitation of individuals.
c) To maximize the individual's growth, development and independence, the program shall use positive reinforcement in keeping with the individual's developmental level and learning, emotional, and environmental needs.
d) The plan of an individual who exhibits maladaptive behavior shall include provisions to train the individual in the circumstances, if any, under which the behavior can be exhibited adaptively, or how to channel the behavior into similar but adaptive expressions, or how to replace the maladaptive behavior with adaptive behavior.
e) Procedures used to prevent individuals from harming themselves or others that are not part of the plan shall not be repeated more than three time within a six-month period without being incorporated into the plan.
f) Aversive procedures and time-out shall be used only as part of a plan.
g) Whenever physical restraint, medications to manage behavior, time-out rooms, aversive conditioning or other procedures with similar degrees of restriction or intrusion are used to manage maladaptive behavior:
h) The behavior management committee and human rights committee shall review and approve proposed special training procedures that call for concurrent administration of more than one medication to manage an individual's behavior while attending the program. Medications so ordered shall be accompanied by a physician's progress note substantiating that use of the medication is justified, is within a therapeutic dosage range, and will not adversely affect the therapeutic benefits of other medications. The medically supervised special training procedures shall assure that:
i) Programs using restraints in any special training procedure shall comply with Section 2-108 of the Code.
j) The use of time-out rooms shall be in accordance with 42 CFR 483(1996) (Conditions of Participation for Long Term Care Facilities.)
k) The team shall implement time-out, medications for behavior management and aversive procedures programs only when:
l) Any approval by the program's human rights and behavior management committees and authorized agency representative of an individual's written aversive procedures program shall expire in 30 days. The program shall not continue beyond that time unless it is reviewed and approved by both committees and the authorized agency representative.