Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.04.18 - CHILDREN'S AGENCIES AND RESIDENTIAL LICENSING › CHILDREN'S RESIDENTIAL CARE FACILITIES › Section 16.04.18.460 - SECLUSION

Current through August 31, 2023
Seclusion rooms must be equipped with break-resistant
				  windows, and a mirror or camera that allows for full observation of the room.
				  Rooms used for seclusion must be inspected and approved by a fire inspector
				  annually. If an organization uses seclusion there must be policies and
				  procedures, which include: (4-6-23)
01.
Seclusion
. Seclusion will
				not be used as punishment or to substitute for other developmentally
				appropriate positive methods of behavior management. Seclusion may only be used
				as a means of intervention when the child's behavior is so violent or
				disruptive that it presents a high risk of physical or emotional harm to self
				or others, and less restrictive and less punitive interventions have been
				applied without success. (4-6-23)
02.
Time Needed
. Seclusion must
				be used only for the time needed to change the behavior compelling it.
				(4-6-23)
03.
Seclusion
				Duration
. For children under six (6) years old, the period is not to
				exceed one (1) minute for each year of the child's age and is used as a
				supplement to, not a substitute for, other developmentally appropriate positive
				methods of behavior management. For children six (6) years old and older the
				time duration cannot exceed sixty (60) consecutive minutes. (4-6-23)
04.
Restrictions on Seclusion
.
				Seclusion must not be in a box, closet, bathroom, unfinished basement, or
				attic. Except for a licensing-approved bedroom, a seclusion room cannot be used
				as a sleeping room, and temporary beds or mattresses in these areas are not
				allowed. (4-6-23)
05.
Staff
				Supervision
. A staff is designated to be responsible for visually
				observing the child at random intervals, which are not to exceed fifteen (15)
				minutes throughout the period of seclusion, and must be recorded in a log.
				(4-6-23)
06.
Supervisory
				Approval
. Supervisory approval is required when the total seclusion time
				for one (1) child exceeds three (3) hours in a twenty-four (24) hour period, or
				more than four (4) separate seclusion incidents in a twenty-four (24) hour
				period. (4-6-23)
07.
Documentation
. Each seclusion must be documented in writing and include
				the child's name, a description in sufficient details of the incident that
				resulted in the child being placed in seclusion, staff's attempts to help the
				child avoid seclusion, the date, start and end time of the seclusion, and the
				staff assigning the seclusion. (4-6-23)
08.
Reintroduction
. The child is
				reintroduced to the group in a sensitive and nonpunitive manner as soon as they
				can participate appropriately. (4-6-23)
09.
Review
. If there are more
				than five (5) seclusions for a child in a twenty-four (24) hour period, there
				must be a documented review. The review is to determine whether modifications
				to the child's service plan are warranted or whether staff needs additional
				training in alternative therapeutic behavior management techniques or
				disciplinary action. Appropriate action must be taken based on the findings of
				the review. (4-6-23)