Overview of Article 9: DDD Services

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.

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.