<?xml version='1.0' encoding='utf-8'?>
<chapter num="04" heading="Values, Outcomes, and Fundamental Rights" title_num="10" subtitle_num="22">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter identifies the values and outcomes that enhance the quality of life for individuals who are receiving services in the SRCs, FRCs, and the community. It is understood, however, that all of the referenced outcomes might not be evident in the lives of all individuals at all times. The licensee shall make every effort to facilitate the achievement of these outcomes. It is understood, however, that the achievement of these outcomes may be influenced by the needs, preferences, and desires of an individual, health and safety considerations, or fiscal limitations.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Values to be Considered in the Development of the IP.">
    <text>The following values shall be considered in the development of the IP:</text>
    <paragraph num="A.">
      <text>Personal well-being, which includes:</text>
      <paragraph num="(1)">
        <text>Receiving health care services that respond to the individual's needs and are consistent with those of the general population;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Living and working in places that are safe;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Having access to the places in which the individual lives, works, and receives services;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Having continuity and security;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Having one's basic needs met; and</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Having the time, space, and opportunity for privacy;</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Individual rights, which include:</text>
      <paragraph num="(1)">
        <text>Having the same rights and protections as all other citizens under the laws and Constitution of Maryland and the United States;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Having religious and cultural beliefs respected;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Being free from abuse, neglect, and mistreatment;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Having personal information kept in confidence;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Living, working, and receiving services in a manner that is not unnecessarily restrictive;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Having one's money and belongings secured; and</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Having access to one's money and belongings;</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Choice and control, which includes:</text>
      <paragraph num="(1)">
        <text>Being given the opportunity to express choices and opinions;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Having choices about the following:</text>
        <paragraph num="(a)">
          <text>Where to live and with whom,</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The appearance of one's home,</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The services one receives and from whom,</text>
        </paragraph>
        <paragraph num="(d)">
          <text>How one spends one's time and with whom,</text>
        </paragraph>
        <paragraph num="(e)">
          <text>How menus, activities, schedules, and routines are structured,</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Who advocates for the individual; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>Having one's choices and opinions respected and addressed;</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Respect and dignity, which includes:</text>
      <paragraph num="(1)">
        <text>Being treated with courtesy and respect;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Being treated with warmth and caring;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Receiving positive recognition;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Being spoken to and treated in an age-appropriate manner; and</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Living and working in places that reflect things that are valued;</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Personal growth and independence by:</text>
      <paragraph num="(1)">
        <text>Having the opportunity to develop personal goals and the opportunity to work toward achieving those goals;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Receiving the supports to succeed where one chooses to live and work;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Receiving the education, habilitation, and the opportunities for increased independence;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Having access to technology to assist in living and learning;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Having the opportunity to manage one's own affairs, including financial affairs as much as possible; and</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Having the opportunity to participate in individual activities;</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>The opportunity for relationships by:</text>
      <paragraph num="(1)">
        <text>Having the opportunity to develop and maintain meaningful ties to other people;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Having relationships encouraged and supported;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Having the opportunity to be connected to family and friends; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Having the opportunity for intimacy; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>Community membership and social inclusion by:</text>
      <paragraph num="(1)">
        <text>Having the opportunity to be involved in and contribute to the community;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Having the opportunity to participate in community activities of one's choice;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Having the opportunity to use the same resources as other people; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Having regular access to recreation and leisure time activities with others.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Fundamental Rights.">
    <paragraph num="A.">
      <text>Each individual is entitled to the basic rights set forth in Health-General Article, §§7-1002 — 7-1004, Annotated Code of Maryland, unless the individual's team decides it is necessary to restrict a right. If the restriction is due to a challenging behavior, the licensee shall follow the procedures outlined in COMAR 10.22.10. If it is necessary to restrict a right not related to a challenging behavior, the standing committee shall review, approve, and establish the time frame for the restriction. The licensee shall:</text>
      <paragraph num="(1)">
        <text>Document in the IP the:</text>
        <paragraph num="(a)">
          <text>Right being restricted,</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Reason for the restriction,</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Conditions under which the restriction is employed,</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Efforts to restore the right to the individual, and</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Conditions under which the right would be restored;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Comply with COMAR 10.22.10.06D and E; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Ensure that the restriction:</text>
        <paragraph num="(a)">
          <text>Represents the least restrictive, effective alternative, and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Is only implemented after other methods have been systematically tried and objectively determined to be ineffective.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Each licensee shall provide for the preservation of each individual's fundamental rights in accordance with Health-General Article, §7-1003, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Each licensee shall ensure that the individual and the individual's family is made aware of and given a copy of these rights, and that they are posted in accordance with Health-General Article, §7-1002, Annotated Code of Maryland.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §7-904, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:  July 26, 1999 (26:15 Md. R. 1148)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended as an emergency provision effective July 10, 2008 (35:16 Md. R. 1388); emergency status extended at 36:2 Md. R. 96; amended permanently effective January 26, 2009 (36:2 Md. R. 100)</annotation>
  </annotations>
</chapter>