Psychiatric Services. 88. No GRC resident shall receive psychiatric medication without having been evaluated and diagnosed, in a clinically justifiable manner, by a board eligible or board-certified psychiatrist. 89. Psychiatric medications shall not be used in the absence of a behavioral treatment program, for the convenience of staff, or as a punishment, and shall be integrated with behavioral and other interventions through combined assessment and case formulation. 90. Before the non-emergency administration of psychotropic medication, and to the extent possible before the emergency administration of a chemical restraint, the psychiatrist and PCP, and others as appropriate, shall determine whether the risks of medication outweigh the benefits of medication and whether reasonable alternative treatment strategies are likely to be less effective or more dangerous than the medication. 91. For any resident receiving psychological and psychiatric services, the resident’s IDT shall determine the least intrusive and most positive interventions to treat the resident’s behavioral or psychiatric condition(s), and whether the resident will best be served primarily through behavior supports, individual or group counseling, education, adaptations to the environment, adjustments to the daily routine, pharmacology, or other interventions, in combination or alone. If the IDT concludes that the resident is best served through the use of psychiatric medication, the IDT must also specify non-pharmacological treatment, interventions, or supports in order to minimize the need for psychotropic medication as much as possible.
Appears in 2 contracts
Sources: Settlement Agreement, Settlement Agreement