Overview of Article 9: DDD Services

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Questions and Answers

To whom does Article 9 apply?

Article 9 addresses both individual rights and the use of behavioral methods within DDD services.

Who must follow Article 9? (Select all that apply)

HCBS Providers (correct)

Therapists funded by DDD (correct)

Group Home Providers (correct)

Individuals not receiving services

Identify 5 positive teaching techniques and strategies.

Positive Behavior Support (PBS), active listening, applied behavior analysis, chaining, cues/prompts.

What is PBS?

Seek to support, not control; Behavior = Communication; Get to know the person; Commit to motivating the individual without using negative consequences. Signup and view all the answers

What rights does Article 9 support?

Confidentiality, consent, presumption of legal competency, right to participate in the planning process, right to live in the least restrictive environment, right to withdraw from services. Signup and view all the answers

Define implicit rights.

Implicit rights are assumed for each person and aren't usually written. Signup and view all the answers

Define explicit rights.

Explicit rights are clearly spelled out in writing or granted specifically; they are laws. Signup and view all the answers

Define abuse.

Doing something that you are not supposed to do, including physical, emotional, and programmatic abuse. Signup and view all the answers

Define neglect.

Not doing something that you are supposed to do, such as failing to report medical problems or providing care. Signup and view all the answers

What are Green Light positive techniques?

Techniques that do not need approval; they are good to go. Signup and view all the answers

What is a behavior plan?

An instruction manual that assists providers in identifying and supporting individuals' targeted behaviors. Signup and view all the answers

When should a team consider developing a behavior plan?

When an individual is prescribed behavior-modifying medication or upon team decision to use technique requiring approval. Signup and view all the answers

When must a team meet to consider developing a behavior plan?

When inappropriate behavior interferes with learning or places individuals at risk. Signup and view all the answers

When must they develop a behavior plan?

When an emergency measure is used two or more times in 30 days or when a pattern is identifiable. Signup and view all the answers

What must behavior plans include?

Description of the target behavior, data collected, environmental considerations, reason for target behavior, and description of alternative behavior. Signup and view all the answers

Define Yellow Light teaching techniques.

Techniques that can be restrictive and require approval before use. Signup and view all the answers

What is use of force?

Forced compliance, forced exclusion time out, and requiring observation with force. Signup and view all the answers

Identify examples of rights infringement.

All of the above Signup and view all the answers

Define behavior modifying medications.

Medications prescribed in specific circumstances for individuals living in DDD-licensed situations. Signup and view all the answers

What are protective devices?

Helmets, arm splints, etc. Signup and view all the answers

Identify monitoring requirements for the implementation of a behavior plan.

A designated team member must ensure implementation, training, data collection, and monthly evaluations. Signup and view all the answers

Identify who must review and approve behavior plans.

Signup and view all the answers

Define an emergency and when an emergency measure can be used.

An emergency is a sudden behavior threatening health or safety, requiring immediate action. Signup and view all the answers

Identify reporting requirements for an emergency measure.

The circumstances must be reported immediately and a full report submitted within one working day. Signup and view all the answers

Study Notes

Article 9 Overview

Article 9 addresses individual rights and behavioral methods within Developmental Disabilities Division (DDD) services.
It aims to safeguard individuals while providing necessary support.

Entities Required to Follow Article 9

Home and Community-Based Services (HCBS) Providers
Day Program Providers
Work Program Providers
Therapists funded by DDD
Group Home Providers
Developmental Home Providers
Intermediate Care Facilities funded by DDD
Division Employees

Positive Teaching Techniques

Positive Behavior Support (PBS) includes various strategies:
- Active listening, applied behavior analysis, chaining
- Cues/prompts, differential reinforcement, discrimination training
- Fading of cues/prompts, graduated guidance, generalization training
- Incidental teaching, modeling, redirection, reinforcement
- Relaxation training, shaping, token economies, voluntary time out
- Environmental manipulation

Understanding Positive Behavior Support (PBS)

PBS seeks to support individuals without controlling them.
Recognizes behavior as a form of communication.
Encourages motivation without negative consequences.

Rights Supported by Article 9

Confidentiality, consent, presumption of legal competency.
Right to participate in planning processes and live in the least restrictive environment.
Right to withdraw from services.

Implicit and Explicit Rights

Implicit rights are inherently assumed and not usually documented.
Explicit rights are clearly stated in writing and constitute legal rights.

Definitions of Abuse and Neglect

Abuse: Engaging in prohibited actions, including physical and emotional abuse, misuse of approved techniques.
Neglect: Failing to perform required duties, such as ignoring medical issues or leaving staff roles unattended.

Green Light Techniques

Techniques that require no approval and can be implemented immediately.
Do not need to be documented in Individual Service Plans (ISPs) or Individual Family Service Plans (IFSPs).

Behavior Plans

A behavior plan is a tailored document guiding support strategies for individuals with targeted behaviors.
Necessary for individuals on behavior-modifying medication or undergoing techniques needing approval.

Conditions for Developing Behavior Plans

Required when inappropriate behaviors hinder learning or threaten safety.
Triggered after using emergency measures multiple times within a month.

Content of Behavior Plans

Must include:
- Description of target behavior
- Collected data
- Environmental considerations
- Rationale for target behavior
- Alternative behavior description

Yellow Light Techniques

Used in specific circumstances that may restrict an individual's functionality.
Require previous approval through a behavior plan submitted to the Program Review Committee (PRC).

Use of Force

Includes compelled compliance and exclusion; must have prior approval in a behavior plan.
Rarely granted; required documentation must justify any forceful action.

Rights Infringement

May involve exclusion from programs or activities.
Requires an approved plan to limit an individual's rights or dictate basic needs.

Behavior Modifying Medications

Applicable primarily in licensed DDD facilities.
Can only be used without a behavior plan under urgent medical conditions.

Use of Protective Devices

Incorporates tools like helmets and splints for injury prevention or support.

Monitoring Requirements for Behavior Plans

Designated team members must ensure plan compliance, training of staff, data maintenance, and conduct regular evaluations.

Emergency Measures

Defined as actions taken during extreme behaviors posing safety risks.
Must be documented and reviewed whenever employed frequently or in discernible patterns.

Reporting Requirements for Emergency Measures

Require immediate reporting of incidents and a comprehensive written report within a day to designated authorities.

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Description

This quiz examines Article 9, focusing on the rights and positive behavioral methods essential for individuals within Developmental Disabilities Division services. It outlines the entities required to comply with Article 9 and explores positive teaching techniques that aim to support and safeguard individuals receiving DDD services.