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ARKANSAS |
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Standard or Definition |
ARKANSAS MINIMUM LICENSING STANDARDS FOR CHILD WELFARE AGENCIES
As prescribed by the Child Welfare Agency Review Board under The Arkansas "Child Welfare Licensing Act." Published 1/2002.
As of June, 2003 |
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Restraint Definition |
No definition given. |
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Restraint Exclusions |
None. |
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Chemical Restraint Definition |
No definition given. |
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Seclusion Definition |
No definition given. |
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Seclusion Exclusions |
None. |
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Criteria for Restraint and Seclusion |
Physical restraint shall be initiated only by trained staff, and only to prevent injury to the child, other people or property, and shall not be initiated solely as a form of discipline.
Chemical restraints shall be used only if so ordered by a physician.
Each written order for a physical restraint or seclusion is limited to two (2) hours for children ages nine (9) to seventeen (17) years, or one (1) hour for children under age nine (9) years. A physician, clinically qualified registered nurse or other authorized licensed independent practitioner must conduct a face-to-face assessment of the child within one (1) hour after the initiation of the ordered intervention. The original order may only be renewed in accordance with these limits for up to a total of twenty-four (24) hours. After the original order expires, a physician, clinically qualified registered nurse or other authorized licensed independent practitioner must see and assess the child before issuing a new order.
Staff shall search each child before placement in seclusion, and all potentially hazardous items shall be removed
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Monitoring Requirements |
Staff shall visually check each child in seclusion or restraints at least every fifteen (15) minutes, and shall document each check. |
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Ordering and Initiation |
Seclusion or mechanical restraints shall be used only if ordered by a physician, clinically qualified registered nurse, or other licensed independent practitioner. The agency may authorize other qualified, trained staff members who are not licensed independent practitioners to initiate the use of seclusion or restraint before an order is obtained from the licensed independent practitioner. |
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In-person Assessment |
The following licensed independent practitioners, if clinically qualified, may be approved by the agency to order seclusion or restraints or to conduct the face-to-face assessments required following such order: licensed certified social worker, licensed marriage and family therapist, licensed psychological counselor, licensed Ph.D. psychologist, licensed professional counselor, licensed professional associate counselor, or other licensed mental health professional. The licensed professionals shall work under the supervision and/or review of the agency medical director. |
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Debriefing |
No information provided. |
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Family & Guardian Notification |
No information provided. |
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Notification of Rights and Restraint and Seclusion Policies and Procedures at admission |
The agency shall have a written program description that is available to residents and parents/guardians. The following information shall be included:
- Program philosophy and mission;
- Services and treatment modalities;
- Treatment planning procedures;
- Behavior management program and expectations of each child;
- Levels and privileges (if applicable);
- Admission, exclusion, and discharge criteria;
- Aftercare services.
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Training |
The Administrator, Social Services Director, and each caseworker of a child welfare agency shall have twenty-four (24) hours of job-related continuing education each year.
No staff shall be allowed to participate in a physical restraint until properly trained to do so. Psychiatric facility staff shall be certified in physical intervention.
All direct care staff shall have thirty (30) hours of job related in-service or workshop training each year. First aid, CPR and in-service training at the facility may be included. Part-time staff shall have at least fifteen (15) hours of job related in-service or workshop training each year.
At least one (1) staff currently certified in CPR and First Aid must be able to immediately respond to an emergency. |
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Documentation |
The agency shall keep a confidential case record for each child that includes…Disciplinary and incident reports (may be kept in a separate file). Records for each child shall be kept for five (5) years from the date of discharge. |
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Reporting |
No information provided. |
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Quality Improvement |
No information provided. |
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