<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.01.18.04" title_num="10" subtitle_num="01" chapter_num="18" heading="Training Requirements.">
  <paragraph num="A.">
    <text>This regulation applies to the following covered programs as defined in Regulation .02 of this chapter:</text>
    <paragraph num="(1)">
      <text>State facilities;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Vocational and day service programs;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Psychiatric rehabilitation programs for adults and minors;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Residential rehabilitation programs; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Supported employment programs.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A covered program shall include awareness and prevention training on inappropriate sexual behavior as part of the established orientation process for:</text>
    <paragraph num="(1)">
      <text>Staff members; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Individuals receiving services from the covered program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The inappropriate sexual behavior awareness and prevention training module:</text>
    <paragraph num="(1)">
      <text>May be provided by the covered program or its contractor; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall be pre-approved by the Developmental Disabilities Administration or Behavioral Health Administration, as applicable.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Staff member training conducted in accordance with this regulation shall:</text>
    <paragraph num="(1)">
      <text>Include, but not be limited to:</text>
      <paragraph num="(a)">
        <text>An overview of inappropriate sexual behavior, including:</text>
        <paragraph num="(i)">
          <text>Types and definitions of inappropriate sexual behavior; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Trauma of inappropriate sexual behavior and its long-range effects;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Types and characteristics of inappropriate sexual behavior, including signs and symptoms of inappropriate sexual behavior;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Risk screening, protection plans, and prevention and detection measures for State facilities in accordance with Regulation .07 of this chapter;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Mandated reporting procedures, including the requirements of Regulations .05 and .06 of this chapter, regarding inappropriate sexual behavior; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Confidentiality of information as it applies to inappropriate sexual behavior;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Be completed during new employee orientation;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be updated on an annual basis; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Be documented in the staff members’ personnel training files.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Training for Individuals.</text>
    <paragraph num="(1)">
      <text>Training conducted in accordance with this regulation for individuals receiving services shall:</text>
      <paragraph num="(a)">
        <text>Be offered in language and terms, and using methods, appropriate to the ability of the individual being served to understand;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Include an element of peer training, unless disapproved by an individual’s treatment team for reasons that are documented in the individual’s records;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Be tailored to the individual’s abilities;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Be provided to an individual served by a covered program in two stages, as follows:</text>
        <paragraph num="(i)">
          <text>Key facts regarding identifying inappropriate sexual behavior and how to report it shall be provided within 5 days after initiation of services to the individual; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Comprehensive training as set out in this regulation shall be provided to the individual as soon as practical but no later than 6 months after initiation of services to the individual;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>Be updated on an annual basis; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Be documented in the individual’s plan of care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Training conducted in accordance with this regulation for individuals receiving services shall include, but not be limited to:</text>
      <paragraph num="(a)">
        <text>The individuals’ rights and responsibilities with regard to inappropriate sexual behavior, including the right to be free from retaliation and further harm for reporting inappropriate sexual behavior;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Identifying and reporting inappropriate sexual behavior;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Crisis intervention, as appropriate; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Referral resources and methods.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>