LAC 50:VII.31301. Written Policies and Procedures

A. A facility must develop and implement written policies and procedures for the management of conduct between staff and clients. These policies and procedures will: 1. specify conduct to be allowed and not allowed by staff and/or clients; 2. provide for client choice and self determination to the extent possible; 3. be readily available to all clients, parent(s), staff, and legal guardians; 4. be developed with the participation of clients to the extent possible. B. A facility must develop and implement written policies and procedures for the management of inappropriate client behavior. These policies and procedures must: 1. specify all facility approved interventions to manage inappropriate client behavior; 2. designate these interventions on a hierarchy ranging from the most positive and least restrictive to the least positive and most restrictive; 3. insure that, prior to the use of more restrictive techniques, the client's record document that programs incorporating the use of less intrusive or more positive techniques have been tried first and found to be ineffective; 4. address the use of: a. time-out rooms; b. physical restraints; c. drugs used to manage inappropriate behavior; d. application of painful or noxious stimuli; e. the staff members who may authorize use of a particular intervention; f. a mechanism for monitoring and controlling use of the intervention.