105 CMR 164.078
Behavior Management
The Licensed or Approved Provider shall establish and maintain written policies and
procedures for managing disruptive behavior including, but not limited to, aggression, harm or
threats of harm to self or others, destruction of property and refusal to comply with program
policies. The policies and procedures shall be posted and shall:
(A)
Describe the safeguards for the emotional, physical and psychological well-being of the
population served;
(B) Describe the measures used to promote appropriate behavior;
(C)
Define and explain the behavior management procedures used in the facility including,
where applicable:
level/point systems of privileges, including procedures for the patient's or resident's
progress in the program;
the type and range of restrictions a staff member can authorize for misbehavior of
residents; and
behavioral interventions to be used in response to angry or aggressive patients or
residents, including de-escalation techniques.
(D)
Prohibit use of physical restraints in any form, except in the case of an individual
committed to treatment under M.G.L. c. 123, § 35;
(E)
Include criteria for the transfer or discharge of any patient or resident whose aggressive
behavior presents a danger or threat of danger to the resident or to other patients, residents or
staff;
(F) Describe the Licensed or Approved Provider's grievance process; and
(G) Describe the process for filing complaints with the Department.