NEW HAMPSHIRE |
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Standard or Definition |
CHAPTER He-C 6300 GENERAL PROGRAM ADMINISTRATION
PART He-C 6350 CERTIFICATION FOR PAYMENT STANDARDS FOR RESIDENTIAL FACILITIES
Statutory Authority: RSA 170-G:5
As of July, 2003 |
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Restraint Definition |
"Physical intervention" means a behavior management technique which uses the least amount of physical contact on the part of a staff member to prevent potential harm to a child or others, to prevent destruction of property, to protect public safety, or in accordance with RSA 627:6. |
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Restraint Exclusions |
None. |
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Chemical Restraint Definition |
Definition not given. |
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Seclusion Definition |
"Seclusion" means the removal of a child to a single room, designed specifically for isolation purposes. |
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Seclusion Exclusions |
None. |
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Criteria for Restraint and Seclusion |
The following specific punishments shall be prohibited:
- Isolation or sensory deprivation
- The use of mechanical restraints.
- Physical intervention techniques shall be used only to protect the child from risk of harm to himself, herself, others, to property, or to protect the public.
- Medication used to control a child's behavior shall be authorized only by a written prescription.
- Seclusion shall be used as treatment intervention and not as punishment.
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Monitoring Requirements |
No information provided. |
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Ordering and Initiation |
Seclusion:
Seclusion shall include …authorization by staff in charge |
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In-person Assessment |
Seclusion:
Seclusion exceeding 30 minutes shall be visually monitored no less frequently than every 10 minutes to meet the child's needs.
Seclusion shall be evaluated at a maximum of 60 consecutive minute intervals by the staff member in charge to determine if further use of this intervention is necessary.
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Debriefing |
Seclusion as a treatment intervention shall be reviewed by the executive director, treatment coordinator, or his or her designee. |
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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 |
No information provided. |
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Training |
The staff training requirements shall include:
- That direct care staff receive 40 hours of training during each year of employment;
- Up to 15 hours of documented supervision may be applied toward the training requirement in part 1;
- That direct care staff receive training in:
- Emergency and safety procedures;
- Principles and practices of child care;
- Family-centered practices;
- Child protection reporting law RSA 169-C;
- Administrative procedures and program goals;
- Behavior management;
- Crisis management; and
- Physical intervention techniques.
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Documentation |
Restraint:
The rationale and authorization for the use of medications to control a child's behavior shall be kept on file in the child's record.
Seclusion:
Seclusion shall include …Documentation of the length of time used and each visual check on the child.
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Reporting |
The facility shall document and share weekly with DCYF each child's behavioral information which includes:
- A behavioral assessment, signed by the executive director or designee;
- An indication of the child's motivation/cooperation;
- Support systems;
- Mental/emotional functioning;
- Restrictions or disciplinary actions;
- Contacts outside the facility; and
- Medical emergencies or accidents.
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Quality Improvement |
A treatment plan meeting shall be held a minimum of once every 4 months for the purpose of evaluating progress made towards the established goals and objectives.
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