SECTION 749.2337. What must the triggered review include and what must be documented in the child's record?

(a) Except in cases in which the regularly scheduled review of the child's service plan also addresses the requirements of a triggered review in accordance with §749.2333(b) of this title (relating to When must a triggered review occur?), a triggered review is not a full review of the child's service plan and is focused on the requirements identified in subsection (c) of this section.

(b) Other than the requirements in this section and in §749.2335 of this title (relating to Who must participate in the triggered review?), the notification, participation, implementation, and documentation requirements in Division 4 of Subchapter I (relating to Admission, Service Planning, And Discharge) do not apply to a triggered review.

(c) The following must be included in a triggered review and documented in the child’s record:

(1) A review of the records and orders of the emergency behavior interventions;

(2) A review and documentation of any potential medical or psychiatric reason for not using emergency behavior interventions on the child, including the prescribing professional’s consideration of any potential medical and/or psychiatric contraindications for the specific child, such as a history of physical or sexual abuse or victimization involving the type of intervention;

(3) An examination of identified behaviors and patterns, any significant events leading up to the use of emergency behavior intervention, and all attempted de-escalation methods, whether successful or unsuccessful;

(4) Identification of alternatives to manage the child's behavior and more effectively prevent the use of emergency behavior intervention in the future; and

(5) A written plan for reducing the need for emergency behavior intervention.

Source Note: The provisions of this §749.2337 adopted to be effective January 1, 2007, 31 TexReg 7469; amended to be effective February 7, 2017, 42 TexReg 491; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909