Code of Maine Rules › 14 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 197 - OFFICE OF AGING AND DISABILITY SERVICES › Chapter 5 - REGULATIONS GOVERNING BEHAVIORAL SUPPORT, MODIFICATION AND MANAGEMENT FOR PEOPLE WITH INTELLECTUAL DISABILITIES OR AUTISM IN MAINE › Appendix 197-5-THREE - IN-HOME STABILIZATION

Current through 2024-29, July 17, 2024
The Functional Assessment of the Person must address the
				  Challenging Behavior and the justification for the use of In-Home
				  Stabilization. The justification must include the history of the Challenging
				  Behavior and the types of problems it poses and how the In-Home Stabilization
				  addresses those problems.
A. The proposed use of In-Home Stabilization must be
				  described in an In-Home Stabilization Plan which includes:
1. A clear description of the specific Challenging Behavior
				  that initiates a period of In-Home Stabilization.
2. Criteria that will be used for assessment of discontinuing
				  the In-Home Stabilization.
3. Criteria that will be used for assessment of continuing
				  the In-Home Stabilization.
4. The identity of who will conduct the assessment of risk
				  and a description of when those assessments will occur.
5. A description of how staff will support the Person to
				  transition to regular activities after the period of In-Home Stabilization by
				  offering full access to the greater community, including opportunities to
				  interact with members of the broader community, to seek employment and work in
				  competitive integrated settings, and to engage in community life to the same
				  degree as individuals not receiving services.
B. The proposed use of In-Home Stabilization for a period not
				  to exceed one hour is a Level 2 intervention. A Level 2 In-Home Stabilization
				  Plan must be derived from the Functional Assessment and incorporated into the
				  Positive Support Plan. A plan for In-Home Stabilization of one hour or less
				  must have the approval of the Planning Team and the Case Manager prior to
				  implementation.
C. The proposed use of In-Home Stabilization for a period
				  greater than one hour, but not to exceed 24 hours, is a Level 3 intervention.
				  The use of a Level 2 In-Home Stabilizations three times or more during any two
				  week period of time requires review and approval as a Level 3 Plan. A Level 3
				  In-Home Stabilization Plan must be incorporated into the Behavior Management
				  Plan, and is subject to all requirements for Behavior Management Planning,
				  review and approval prior to implementation
D. In-Home Stabilization at Level 2 or Level 3 must not be
				  applied cumulatively. Once the criteria for safety have been met, or the
				  identified time period has expired, In-Home Stabilization must end and the
				  Person must be supported to transition to regular activities, or be supported
				  to seek emergency medical attention.
E. When the Planning Team identifies a need for In-Home
				  Stabilization beyond 24 hours, the Planning Team must submit an In-Home
				  Stabilization Plan for a Level 4 intervention. The Level 4 In-Home
				  Stabilization Plan must be justified by the Functional Assessment and
				  documentation of prior interventions. The Level 4 In-Home Stabilization Plan
				  must be incorporated into a Behavior Management Plan proposed for review at
				  Level 4. A Level 4 In-Home Stabilization Plan must include, but is not limited
				  to:
1. All information required in the In-Home Stabilization Plan
				  in Part (A), above.
2. A safety assessment describing the criteria to be used at
				  the end of the 24-hour period to determine if there is a need for continued
				  In-Home Stabilization.
3. A plan for in-person safety assessment of the Person by
				  the qualified professional overseeing the plan.