<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.22.10.07" title_num="10" subtitle_num="22" chapter_num="10" heading="Use of Medications to Modify Challenging Behavior.">
  <paragraph num="A.">
    <text>In addition to the requirements in Regulations .05 and .06 of this chapter, the licensee shall ensure that a BP which includes the use of medication includes:</text>
    <paragraph num="(1)">
      <text>The specific medications that have been prescribed;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The rationale for prescribing each medication;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Any alternate methods of management being used to bring challenging behavior under control; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Objective data collected by staff and presented to the licensed health care practitioner to indicate that the medication being used is effective in reducing the individual's challenging behavior.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The licensee shall ensure that a licensed health care practitioner documents that:</text>
    <paragraph num="(1)">
      <text>Any potential side effect from the medication outweighs the behavior that will occur without the use of the medication; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Attempts are being made to gradually decrease the dosage or discontinue the medication when clinically indicated.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A licensed health care practitioner shall review any medication that has been prescribed to modify behavior at a minimum of every 90 days.</text>
  </paragraph>
  <paragraph num="D.">
    <text>PRN orders for medications to modify behavior are prohibited.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Medications to modify behavior may not be used in quantities that interfere with an individual's ability to participate in daily living activities.</text>
  </paragraph>
</regulation>