R6-6-909. Behavior-modifying Medications

A. The Division shall make available the services of a consulting psychiatrist who shall review cases and provide recommendations to prescribing physicians to ensure that the medication prescribed is the most appropriate in type and dosage to meet the client’s needs. B. Behavior-modifying medications shall be prescribed and administered only: 1. When, in the opinion of a licensed physician, they will be effective in producing an increase in appropriate behaviors; and it can be justified that the harmful effects of the behavior clearly outweigh the potential negative effects of the behavior modifying medication. 2. As part of a behavior treatment plan in the ISPP. 3. With the informed consent of the responsible person. C. The Division shall provide the following monitoring, in addition to that specified in R6-6-905, for all behavior treatment plans that include the use of a behavior-modifying medication: 1. Ensure that collected data relative to the client’s response to the medication is evaluated, at least quarterly, at a medication review by the physician and the member of the ISPP team designated pursuant to R6-6-905 and other members of the ISPP team as needed. 2. Ensure that each client receiving a behavior-modifying medication is screened for side effects, and Tardive Dyskinesia as needed, and that the results of such screening are: a. Documented in the client’s case record; b. Provided immediately to the physician, responsible person, and ISPP team for appropriate action if the screening results are positive; and c. Provided to the Program Review Committee and the Human Rights Committee within 15 working days for review of screening results that are positive. D. In the event of an emergency, a physician’s order for a behavior modifying medication may, if appropriate, be requested for a specific one-time emergency use. The person administering the medication shall immediately report it pursuant to R6-6- 908(B). E. The responsible person shall immediately be notified of any changes in medication type or dosage.