Section 22-B3521. HABILITATION AND TRAINING

 

3521.1Each GHMRP shall provide habilitation and training to its residents to enable them to acquire and maintain those life skills needed to cope more effectively with the demands of their environments and to achieve their optimum levels of physical, mental and social functioning.

 

3521.2Each GHMRP shall provide habilitation and training to residents in the most normalizing environment and the least restrictive circumstances.

 

3521.3Each GHMRP shall provide habilitation, training and assistance to residents in accordance with the resident's Individual Habilitation Plan.

 

3521.4Each GHMRP shall monitor and review each resident’s Individual Habilitation Plan on an ongoing basis to ensure participation of the resident and appropriate GHMRP staff in revision of such Plans whenever necessary. The schedule for the reviews shall be documented within each IHP.

 

3521.5Each GHMRP shall make modifications of the resident’s program at least every six (6) months or when the client:

 

(a)Has successfully completed an objective or objectives identified in the Individual Habilitation Plan;

 

(b)Is regressing or losing skills already gained;

 

(c)Is failing to progress toward identified objectives after reasonable efforts have been made;

 

(d)Is being considered for training toward a new objective or objectives; or

 

(e)As indicated by a change in his or her health status.

 

3521.6Each GHMRP Director shall arrange for each resident to be reevaluated and to receive an Individual Habilitation Plan which is updated appropriately at least annually.

 

3521.7The habilitation and training of residents by the GHMRP shall include, when appropriate, but not be limited to, the following areas:

 

(a)Eating and drinking (including table manners, use of adaptive equipment, and use of appropriate utensils);

 

(b)Toileting (including use of equipment);

 

(c)Personal hygiene (including washing, bathing, shampooing, brushing teeth, and menstrual care);

 

(d)Dressing (including purchasing, selecting, and access to clothing);

 

(e)Grooming (including shaving, combing and brushing hair, and caring for nails);

 

(f)Health care (including skills related to nutrition, use and self-administration of medication, first aid, care and use of prosthetic and orthotic devices, preventive health care, and safety);

 

(g)Communication (including language development and usage, signing, use of the telephone, letter writing, and availability and utilization of communications media, such as books, newspapers, magazines, radio, television, telephone, and such specialized equipment as may be required);

 

(h)Interpersonal and social skills (including sharing, courtesy, cooperation, responsibility and age-appropriate and culturally normative social behaviors and relationships involving peers of the same and different sex, younger and older persons and person in authority);

 

(i)Home management (including maintenance of clothing, shopping, meal planning and preparation, and housekeeping);

 

(j)Employment and work adjustment;

 

(k)Mobility (including ambulation, transportation, mapping and orientation, and use of mobility equipment);

 

(l)Time management (including use of leisure time, scheduling activities);

 

(m)Financial management (including budgeting and banking);

 

(n)Academic and pre-academic skills (including development of attention span, discrimination, association, memory, and number, time, and spatial concepts);

 

(o)Motor and perceptual skills (including balance, posture, and gross and fine motor skills);

 

(p)Problem-solving and decision-making (including opportunities to experience consequences of decisions);

 

(q)Human sexuality;

 

(r)Aesthetic appreciation; and

 

(s)Opportunity for social, recreational and religious activities utilizing community resources.

 

3521.8Each GHMRP shall ensure that training programs for residents do the following:

 

(a)Utilize methods and materials that are culturally normative and appropriate to the chronological age of the individual unless the use of non-normative or non-age appropriate methods and materials is justified in the resident's Individual Habilitation Plan;

 

(b)Provide for direct or consulting services from those professionally qualified persons necessary to assist the staff in conducting training;

 

(c)Identify other programs and services that are available to the resident to supplement the training program; and

 

(d)Include, as appropriate, a program developed with the resident's family for use in implementing the Individual Habilitation Plan.

 

3521.9Each GHMRP, in addition to the above provisions, shall assist each resident in obtaining placement in an appropriate educational, employment, or daytime training program, provided that the placement shall be consistent with the resident's Individual Habilitation Plan.

 

3521.10Each GHMRP shall develop an activity schedule for each resident that includes the following unless contraindicated by the resident's Individual Habilitation Plan:

 

(a)Structured activities including the weekends and holidays;

 

(b)No periods of unscheduled activity that extend longer than three (3) continuous hours;

 

(c)Free time for individual or group activities using appropriate materials as specified by the interdisciplinary team; and

 

(d)Appropriately planned outdoor periods all year round.

 

3521.11Each resident's activity schedule shall be available to direct care staff and be carried out daily.

 

3521.12Each GHMRP shall ensure that behavior management programs and reviews for residents are designed by a behavior management specialist, a psychologist or psychiatrist.

 

source

Final Rulemaking published at 39 DCR 3280, 3301 (May 8, 1992); as amended by Final Rulemaking published at 44 DCR 7445, 7446 (December 5, 1997).