Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 967 - CLIENT CARE OF INDIVIDUALS RECEIVING SERVICES AT STATE SUPPORTED LIVING CENTERS
Subchapter B - Use of Restraints in State Supported Living Centers
Section 967.37 - Imminent Harm Resulting from Documented Self-Injurious Behavior
Universal Citation: 26 TX Admin Code § 967.37
Current through Reg. 50, No. 13; March 28, 2025
(a) Only staff who have successfully completed competency-based training on the use of restraints may implement restraint procedures. Staff who implement restraint procedures must also complete training on person-specific instructions and other measures regarding restraints contained in an individual's protective mechanical restraint plan for self-injurious behavior or other plan.
(b) Staff may implement restraint to protect an individual from imminent harm resulting from documented self-injurious behavior if the following conditions have been met:
(1) the IDT has developed an ISP action plan
for the individual that describes the need for protective mechanical restraint
for self-injurious behavior; includes the procedures that will be employed to
reduce the need for restraint, including a PBSP; and provides specific
individualized instructions for staff on how to apply the restraints safely and
the periods of time and the conditions under which the restraints can be safely
removed;
(2) a structural and
functional assessment has been completed or revised that identifies possible
functions of the self-injurious behavior;
(3) the IDT has developed other clinical
plans, as applicable, such as habilitation plans supported by an assessment or
evaluation, to reduce the need for protective mechanical restraint;
(4) a PBSP has been completed or revised,
based on a structural and functional assessment, that includes procedures, as
appropriate, for teaching and strengthening alternative behaviors to
self-injurious behaviors and teaching procedures that will help prevent
self-injurious behavior as the time without the use of protective mechanical
restraints increases;
(5) the
instructions for applying the protective mechanical restraint for
self-injurious behavior have been developed, including a schedule for removing
and replacing the mechanical restraint that safely increases the time out of
protective mechanical restraint;
(6) a PCP has assessed the individual and
determined that the self-injurious behavior is at an intensity and frequency
that causes imminent risk of serious physical injury and there is a need for
protective mechanical restraints for self-injurious behavior; and
(7) a system for monthly reviews of data by
the IDT has been established, including the PCP's continued reevaluation as to
whether the intensity and frequency of the self-injurious behavior warrants
continuing the restraint plan.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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