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<regulation prefix="Regulation" num=".05" citation="COMAR 10.22.10.05" title_num="10" subtitle_num="22" chapter_num="10" heading="Behavior Plan (BP).">
  <paragraph num="A.">
    <text>A licensee shall ensure that a BP is developed for each individual for whom it is required.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The licensee shall ensure the BP:</text>
    <paragraph num="(1)">
      <text>Is developed, in conjunction with the team, by a licensed psychologist, psychology associate under the supervision of a licensed psychologist, licensed behavior analyst, licensed physician, licensed certified social worker, or licensed or certified professional counselor, who shall have training and experience in applied behavior analysis;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is based on and includes a functional analysis or assessment of each challenging behavior as identified in the IP;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Specifies the behavioral objectives for the individual, and includes:</text>
      <paragraph num="(a)">
        <text>A description of the hypothesized function of current behaviors including their frequency and severity; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Criteria for determining achievement of the objectives established;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Takes into account the medical condition of the individual;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Describes the treatment techniques and when the techniques are to be used;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Specifies the emergency procedures to be implemented for the individual with a history of exhibiting behaviors that present a danger to self or serious bodily harm to others;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Includes a description of the adaptive skills to be learned by the individual that serve as functional alternatives to the challenging behavior or behaviors to be decreased;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Identifies the person or persons responsible for monitoring the BP;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Specifies the data to be collected to assess progress towards meeting the BP's objectives; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Describes and documents each use of mechanical and physical restraint, the reason for its use, and the length of time used.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Before implementation, the licensee shall ensure that each behavior plan which includes the use of restrictive techniques is:</text>
    <paragraph num="(1)">
      <text>Approved by the standing committee as specified in COMAR 10.22.02.14E(1)(d); and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Includes written informed consent of the:</text>
      <paragraph num="(a)">
        <text>Individual;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Individual's legal guardian; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Surrogate decision maker as defined n Health-General Article, §5-605, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Before a licensee discontinues a behavior plan, the team and an individual appropriately licensed under Health Occupations Article with training and experience in applied behavior analysis shall recommend that the individual no longer needs a behavior plan.</text>
  </paragraph>
</regulation>