Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.13 - Use of Quiet Room and Use of Seclusion
Section 10.21.13.03 - Use of Seclusion
Universal Citation: MD Code Reg 10.21.13.03
Current through Register Vol. 51, No. 19, September 20, 2024
A. Staff authorized under the provisions of Regulation .04A of this chapter shall use seclusion only to:
(1) Prevent and reduce
serious, destructive, and damaging actions by a patient to the patient or to
another; or
(2) Prevent serious
disruption of the therapeutic environment.
B. Staff may not use seclusion:
(1) As a mode or course of
treatment;
(2) As punishment;
or
(3) For the convenience of
staff.
C. Staff shall conduct seclusion:
(1) In a humane, safe, and
effective manner; and
(2) Without
intent to harm or create undue discomfort to the patient.
D. Staff authorized under the provisions of Regulation .04A of this chapter may order the use of seclusion only if that staff person, following a clinical evaluation of the patient, determines that:
(1) The patient's behavior poses:
(a) An emergency situation; or
(b) A serious disruption to the therapeutic
environment; and
(2)
Less restrictive or alternative approaches have been considered and, if
clinically indicated and reasonable, have been attempted, and are considered
ineffective.
E. The approaches referred to in §D(2) of this regulation may include, but are not limited to:
(1) Clinical
interventions;
(2) Quiet room;
or
(3) Medication or
medications.
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