Section R. 400.15309 - Crisis interventionRule 309.
(1) Crisis intervention procedures may be utilized only when a person has not previously exhibited the behavior creating the crisis or there has been insufficient time to develop a specialized intervention plan to reduce the behavior causing the crisis. If the resident requires the repeated or prolonged use of crisis intervention procedures, the licensee shall contact the resident's designated representative and the responsible agency or, in the absence of a responsible agency, a professional who is licensed or certified in the appropriate scope of practice to initiate a review process to evaluate positive alternatives or the need for a specialized intervention plan.(2) Crisis intervention may be used only for the following reasons: (a) To provide for self-defense or the defense of others.(b) To prevent a resident from harming himself or herself.(c) To quell a disturbance that threatens physical injury to any person.(d) To obtain possession of a weapon or other dangerous object that is in the possession or control of the resident.(e) To prevent serious property destruction.(3) Crisis intervention shall be used to the minimum extent and the minimum duration necessary and shall be used only after less restrictive means of protection have failed.(4) Crisis intervention shall be employed to allow the resident the greatest possible comfort and to avoid physical injury and mental distress.(5) Crisis intervention shall not be used as a routine intervention.(6) All uses of crisis intervention shall be noted in the resident's record. This notation shall include all of the following information: (a) The nature of the crisis intervention used and the duration of use.(b) The reasons for the use of the crisis intervention.(c) The types of less restrictive alternatives that were tried, the duration, the number of trials, and the results obtained.(d) The name of the person who authorized the crisis intervention.(e) The times and dates that the crisis intervention was used and who implemented the crisis intervention.(7) A licensee shall make available reports of all uses of crisis intervention when requested by the resident or his or her designated representative, the responsible agency, or the department.(8) A licensee or a direct care staff member shall not use crisis intervention until he or she has successfully completed crisis intervention training that has been approved by the department.Mich. Admin. Code R. 400.15309