Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE
Subpart F - RESTRAINTS AND BEHAVIOR MANAGEMENT
Section 390.1320 - Behavior Management
Current through Register Vol. 48, No. 12, March 22, 2024
a) Behavior management shall be conducted under the direction of a psychologist or Qualified Mental Retardation Professional with a behavior science education and one year of experience in behavior management.
b) The facility shall have written policies and procedures concerning behavior management as needed to meet the needs of the residents. These policies shall be directed to maximizing the growth and development of the resident and shall emphasize positive approaches. These policies shall contain at a minimum:
c) An Individual Behavior Program shall be developed for each resident, if deemed necessary by the facility's psychologist or Qualified Mental Retardation Professional. All Individual Behavior Programs shall be designed to facilitate the development of adaptive behaviors, replace maladaptive behaviors with those that are more adaptive and appropriate, and channel maladaptive behavior into more appropriate modes of expression. They shall utilize the least restrictive methods that are effective. When positive reinforcement is used solely for the purpose of improving adaptive or acceptable behavior, an Individual Behavior Program is not required.
d) Each Individual Behavior Program shall be reviewed and approved by the interdisciplinary team, which must include, for this review, a psychologist or a Qualified Mental Retardation Professional with a behavior science education and one year of experience in behavior management.
e) Each Individual Behavior Program shall specify:
f) Each Individual Behavior Program shall be available in the appropriate program and living areas, and to the resident and his family.
g) The facility shall not permit residents to discipline other residents.
h) The facility shall maintain records of significant maladaptive behavior and the action taken by staff as a consequence of such behavior.
i) When food is provided as part of a behavior management program, its effect on nutrition and dental status shall be determined and considered. Such programs shall not employ, or result in, denial of a nutritionally adequate diet.
j) When time out is used for behavior management:
k) When behavior management is used to alleviate significant, chronic maladaptive behavior in a resident, it may be utilized only as an integral part of an Individual Behavior Program.
l) No form of seclusion shall be permitted.