This rule establishes requirements for individualized behavioral management programs within state mental health treatment and receiving facilities in Florida. When a person's treatment plan requires interventions beyond standard unit rules of conduct, the facility must document physician approval, obtain consent, define target behaviors, collect and analyze behavioral data, and develop written intervention strategies with clear start/stop criteria. The plan must be periodically reviewed and revised based on collected data.
View official source65E-5.1602 Individual Behavioral Management Programs. When an individualized treatment plan requires interventions beyond the existing unit rules of conduct, the person shall be included, and the person’s treatment plan shall reflect: (1) Documentation, signed by the physician that the person’s medical condition does not exclude the proposed interventions; (2) Consent for the treatment to be provided; (3) A general description of the behaviors requiring the intervention, which may include previous emergency interventions; (4) Antecedents of that behavior; (5) The events immediately following the behavior; (6) Objective definition of the target behaviors, such as specific acts, level of aggression, encroachment on others’ space, self-injurious behavior or excessive withdrawal; (7) Arrangements for the consistent collection and recording of data; (8) Analysis of data; (9) Based on data analysis, development of intervention strategies, if necessary; (10) Development of a written intervention strategy that includes criteria for starting and stopping specific staff interventions and the process by which they are to occur; (11) Continued data collection, if interventions are implemented; and, (12) Periodic review and revision of the plan based upon data collected and analyzed. Rulemaking Authority 394.457(5) FS. Law Implemented 394.459(2), (11) FS. History–New 11-29-98, Amended 4-4-05.