{"ref":"OH-HC-SVC-05","title":"Responding to Challenging Behaviors and Prohibition of Restraint and Seclusion","category":"Safeguarding","summary":"Prohibits any use of restraint, seclusion or restrictive intervention by Agency staff, sets how aides understand and respond to challenging behaviors (including dementia-related distress, aggression, wandering and self-harm) with respect and de-escalation, when to leave and call for help, and how behaviors are recorded, planned for and reported, including the Ohio waiver incident rule that treats unauthorized restraint as abuse.","inShort":["Never hold down, tie, lock in or isolate a client, and never take away a walker or phone to control them.","Behavior often means pain, fear or confusion. Stay calm, stop the task and try again later.","If anyone is in danger, get to a safe place and call 911, then your supervisor.","If a client talks about harming themselves, stay if it is safe and call your supervisor at once.","Write down what happened and what helped before you leave the visit."],"primaryCitation":"OAC 5160-44-05(B)(1)(a)","citations":["OAC 5160-44-05(B)(1)(a), (f), (g), (B)(2)(d), (D)(1)","OAC 173-39-02(B)(3)(b)(v), (B)(8)(h)","OAC 5160-44-31(B)(17)(c), (g), (D)(1), (D)(2)","ORC 5101.63"],"federalCitations":[],"surveyorAsks":["Do your staff ever restrain a client, lock a client in, or use bed rails or belts to stop a client moving?","How would an aide respond to a client with dementia who is hitting out during bathing?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 5160-44-05(B)(1)(a))","5. What Staff Never Do","6. Understanding Behavior","7. Responding to Challenging Behavior","8. When Someone Is in Danger","9. Recording and Planning","10. Reporting","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"oh-hca","state":"Ohio","service":"Home care","guides":[{"path":"/guides/abuse-neglect-exploitation-reporting/","h1":"Abuse, neglect and exploitation policies: what each state requires"},{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}