Section 1180.5 Of Division 1.5. Use Of Seclusion And Behavioral Restraints In Facilities From California Health And Safety Code >> Division 1.5.
1180.5
. (a) A facility described in subdivision (a) of Section
1180.2 or subdivision (a) of Section 1180.3 shall conduct a clinical
and quality review for each episode of the use of seclusion or
behavioral restraints.
(b) A facility described in subdivision (a) of Section 1180.2 or
subdivision (a) of Section 1180.3 shall, as quickly as possible but
no later than 24 hours after the use of seclusion or behavioral
restraints, conduct a debriefing regarding the incident with the
person, and, if the person requests it, the person's family member,
domestic partner, significant other, or authorized representative, if
the desired third party can be present at the time of the debriefing
at no cost to the facility, as well as with the staff members
involved in the incident, if reasonably available, and a supervisor,
to discuss how to avoid a similar incident in the future. The person'
s participation in the debriefing shall be voluntary. The purposes of
the debriefing shall be to do all of the following:
(1) Assist the person to identify the precipitant of the incident,
and suggest methods of more safely and constructively responding to
the incident.
(2) Assist the staff to understand the precipitants to the
incident, and to develop alternative methods of helping the person
avoid or cope with those incidents.
(3) Help treatment team staff devise treatment interventions to
address the root cause of the incident and its consequences, and to
modify the treatment plan.
(4) Help assess whether the intervention was necessary and whether
it was implemented in a manner consistent with staff training and
facility policies.
(c) The facility shall, in the debriefing, provide both the person
and staff the opportunity to discuss the circumstances resulting in
the use of seclusion or behavioral restraints, and strategies to be
used by the staff, the person, or others that could prevent the
future use of seclusion or behavioral restraints.
(d) The facility staff shall document in the person's record that
the debriefing session took place and any changes to the person's
treatment plan that resulted from the debriefing.