<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s14b093cb-d308-4da5-a746-c9df38c8daa1P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s14b093cb-d308-4da5-a746-c9df38c8daa1C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s14b093cb-d308-4da5-a746-c9df38c8daa1000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=46:11:05:05.02"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000000">46:11:05:05.02</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000001">.  Behavior support plan policy.</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> Each </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">provider of direct home and community-based (HCB) services</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> shall have a policy approved by the division that addresses behavior support plans. Th</span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">e</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> policy </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">must</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> include the following requirements:</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (1)  Compliance with the requirements in SDCL</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-51"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-51</span></a><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-52"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-52</span></a><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-53"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-53</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">,</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-54"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-54</span></a><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">, and </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-55"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-55</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">, including completing a functional behavioral analysis,</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> shall be met prior to implementing the behavior support plan;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (2)  Implementation and documentation of positive behavioral approaches prior to approving and implementing more restrictive procedures;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (3)  Implementation of behavioral supports by staff with prior training and demonstrated competency;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (4)  A participant only receives the amount of behavior and chemical intervention necessary to prevent harm to the participant or others;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (5)  The behavior support plan documents that the severity of the behavior justifies incorporating highly restrictive procedures;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (6)  The technical aspects of highly restrictive procedures are reviewed prior to implementation;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (7)  Highly restrictive procedures are regularly reviewed for any adverse effects;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (8)  Participants may not be subjected to highly restrictive procedures or punishment for the convenience of staff or in lieu of a behavior support plan;</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (9)  Due process, which includes review by the human rights committee, the behavior support committee, appeal through the </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">provider of direct HCB services</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> grievance process, and consent of the participant or the participant's legally authorized representative, prior to implementation;</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> and</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    (10)  The </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">individualized service plan (</span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">ISP</span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">)</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> team's consensus that the benefit of any highly restrictive procedures outweigh any harmful side effects </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">must</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> be documented in the participant's ISP.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000001">Source:</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> 40 SDR 201, effective December 3, 2013; 43 SDR 9, effective August 2, 2016</span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">; 49 SDR 48, effective November 22, 2022</span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000001">General Authority:</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-2-26"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-2-26</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">(3)(4).</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000001">Law Implemented:</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-2-26"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-2-26</span></a><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">(3)(4), </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-51"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-51</span></a><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-52"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-52</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">,</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-53"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-53</span></a><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-54"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-54</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">,</span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0"> </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-55"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-55</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    </span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000001">Cross-References</span><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">:</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    Use of aversive intervention techniques prohibited, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-51"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-51</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    Restriction or suspension of rights only after due process, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-52"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-52</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    </span><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">Use of restraints, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-53"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-53</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    Behavior intervention programs -- Prerequisites to implementation, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-54"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-54</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">    Highly restrictive procedures -- Limitations on use, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-8-55"><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0-000003">27B-8-55</span></a><span class="s14b093cb-d308-4da5-a746-c9df38c8daa1C0">.</span></p><p dir="ltr" class="s14b093cb-d308-4da5-a746-c9df38c8daa1P0"><span xml:space="preserve" class="s14b093cb-d308-4da5-a746-c9df38c8daa1000002"> </span></p></div></body></html>