Restrictive Procedures Policy

Restrictive Procedures are prohibited from being used at the Bon Homie, Ltd. Adult Day Care Center.

Restrictive Procedures are defined as a practice that limits an individuals movement, activity or function; interferes with an individual’s ability to acquire positive reinforcement; results in a loss of objects or activities that an individual values; or requires an individual to engage in a behavior that he or she would not engage in given freedom of choice.

Examples of Restrictive Procedures are: 

1.  Any practice that limits an individual’s movement, activity or function.

• physical holds, blocking access to a room, exclusion, restraints.

2.  Any practice that interferes with an individual’s ability to acquire positive reinforcement.

• Ignoring an individual, separating individual from the group, removing the  individual from the room, use of rewards to acquire proper behavior.

3.  Any practice that results in the loss of reinforces, objects or activities that an
     individual values.

• Punishment for inappropriate behavior, objects or activities taken away, withholding an activity from an individual.

4.  Any practice that requires an individual to engage in a behavior that he or she would
     not engage in given freedom of choice.

• If coercion and control are used and not training and persuasion.  The distinction between a Restrictive procedure and positive training is the issue of control.

Restrictive procedures do not pertain to the clients that wear seatbelts and use a tray for safety.  These individuals are very limited in movement.  These clients require minimal or total assistance with sitting, transferring in and out of wheelchairs and recliners, eating and most activities of daily living.  These clients have very little balance and require seatbelts in order to stay in their wheelchair safely.  The use of these seat belts is addressed during the pre-admission assessment and is included on the center application and medical evaluation. 

If a client’s behavior changes and restrictive procedures appear necessary, a team meeting will be held.   To determine if it is appropriate for the client to remain in our program, a new plan will be developed.  Included in the plan will be the goals developed, implementation and a plan for re-evaluation.  If it is determined at the team meeting that discharge from the program is the most appropriate plan of action, a plan will be developed based upon the needs of the individual.