OAR 411-360-0160: Behavior Supports and Physical Restraints

For the purpose of this rule, a designated person is the person implementing the behavior supports identified in an individual's Positive Behavior Support Plan. (1) BEHAVIOR SUPPORTS. (a) A decision to develop a plan to alter an individual's behavior must be made by the individual or their legal or designated representative. (b) A foster care provider must implement an individual's Positive Behavior Support Plan as developed by a qualified behavior professional in accordance with OAR chapter 411, division 304. (c) A Positive Behavior Support Plan must only be altered by a qualified behavior professional in accordance with OAR chapter 411, division 304. (2) SAFEGUARDING INTERVENTIONS AND SAFEGUARDING EQUIPMENT. (a) A designated person must only utilize a safeguarding intervention or safeguarding equipment when: (A) BEHAVIOR. Used to address an individual's challenging behavior, the safeguarding intervention or safeguarding equipment is included in the individual's Positive Behavior Support Plan written by a qualified behavior professional as described in OAR 411-304-0150 and implemented consistent with the individual's Positive Behavior Support Plan. (B) MEDICAL. Used to address an individual's medical condition or medical support need, the safeguarding intervention or safeguarding equipment is included in a medical order written by the individual's licensed health care provider and implemented consistent with the medical order. (b) The individual, or as applicable their legal representative, must provide consent for the safeguarding intervention or safeguarding equipment through an individually-based limitation in accordance with OAR 411-360-0170. (c) Prior to utilizing a safeguarding intervention or safeguarding equipment, a designated person must be trained. (A) For a safeguarding intervention, the designated person must be trained in intervention techniques using an ODDS-approved behavior intervention curriculum and trained to the individual's specific needs. Training must be conducted by a person who is appropriately certified in an ODDS-approved behavior intervention curriculum. (B) For safeguarding equipment, the designated person must be trained on the use of the identified safeguarding equipment. (d) A designated person must not utilize any safeguarding intervention or safeguarding equipment not meeting the standards set forth in this rule even when the use is directed by the individual or their legal or designated representative, regardless of the individual's age. (3) EMERGENCY PHYSICAL RESTRAINTS. (a) The use of an emergency physical restraint when not written into a Positive Behavior Support Plan, not authorized in an individual’s ISP, and not consented to by the individual in an individually-based limitation, must only be used when all of the following conditions are met: (A) In situations when there is imminent risk of harm to the individual or others or when the individual’s behavior has a probability of leading to engagement with the legal or justice system; (B) Only as a measure of last resort; and (C) Only for as long as the situation presents imminent danger to the health or safety of the individual or others. (b) The use of an emergency physical restraint must not include any of the following characteristics: (A) Abusive. (B) Aversive. (C) Coercive. (D) For convenience. (E) Disciplinary. (F) Demeaning. (G) Mechanical. (H) Prone or supine restraint. (I) Pain compliance. (J) Punishment. (K) Retaliatory. (c) Any emergency physical restraint must be reviewed by the licensee within two hours of the application.