DOC 376.07(5) (5) After the use of physical force, the youth who were involved shall be checked for injury and provided appropriate medical services. Staff shall submit a written report to the superintendent regarding any medical services provided.

DOC 376.07(6) (6) If physical force is used, each staff member involved shall submit a separate written report regarding the incident to the superintendent.

DOC 376.07(7) (7) All facility staff shall be trained in de-escalation practices at least annually.

DOC 376.07(8) (8) Staff may use the physical force necessary to prevent death or great bodily harm.

DOC 376.07(9) (9) Youth may not use physical force at any time.

DOC 376.07 History History: Cr. Register, June, 2000, No. 534, eff. 7-1-00; CR 24-003: r. and recr. Register February 2025 No. 830, eff. 3-1-25.

DOC 376.08 DOC 376.08 Use of chemical agents. The use of oleoresin capsicum and other chemical agents is prohibited.

DOC 376.08 History History: Cr. Register, June, 2000, No. 534, eff. 7-1-00; CR 24-003: r. and recr. Register February 2025 No. 830, eff. 3-1-25.

DOC 376.09 DOC 376.09 Mechanical restraints. Mechanical restraints, including handcuffs, may only be used if staff determine that they are the least restrictive means of addressing an imminent threat of physical harm to self or others and must be removed immediately when the threat of harm or safety concern has abated. The use of mechanical restraints shall be consistent with the provisions of this section and subject to all of the following:

DOC 376.09(1) (1) Under all circumstances, there is a presumption that youth shall not be mechanically restrained.

DOC 376.09(2) (2) No mechanical restraint device other than handcuffs may be used on youth while they are in the facility except under any of the following conditions:

DOC 376.09(2)(a) (a) When ordered by psychology staff to attempt to prevent active self-harm.

DOC 376.09(2)(b) (b) If the youth poses an immediate and substantial threat of physical harm to others.

DOC 376.09(2)(c) (c) During transportation additional restraints such as waist chains or leg restraints may be used when necessary to prevent an imminent threat of harm to youth or others.

DOC 376.09(3) (3) Mechanical restraints shall never be used for punishment or discipline.

DOC 376.09(4) (4) Youth may never be restrained to a fixed object unless specifically ordered by a qualified mental health professional to attempt to prevent active self-harm.

DOC 376.09(5) (5) Only staff trained in the use of physical force, mechanical restraints, and de-escalation techniques may place a youth in mechanical restraints.

DOC 376.09(6) (6) Mechanical restraints may be used during transportation when there is a documented reason to prevent an imminent threat of physical harm to others.

DOC 376.09(7) (7) When youth are being transported for release to a nonlocked environment, restraints may not be used unless to prevent a threat of harm to youth or staff or both.

DOC 376.09(8) (8) Any use of mechanical restraints, except during transportation or authorized by psychology staff, shall be authorized by a supervisor.

DOC 376.09(9) (9) A staff person shall be assigned to monitor a youth who is placed in mechanical restraints and shall remain in continuous auditory and visual contact with the youth. Observations of the youth’s behavior and any staff interventions shall be documented at least every 45 minutes, with the actual time of the observation or intervention recorded.

DOC 376.09(10) (10) Facility staff must document all uses of restraints in the facility, including a description of the events leading up to the use of restraints, the less restrictive alternatives attempted, and the length of time the youth spent in restraints.

DOC 376.09(11) (11) Mechanical restraints in excess of 45 minutes may be used only if all of the following apply:

DOC 376.09(11)(a) (a) The use is approved by the superintendent, safety director or designee.

DOC 376.09(11)(b) (b) The use is approved by psychology staff.

DOC 376.09(11)(c) (c) The superintendent and psychology staff shall review use every 45 minutes thereafter.

DOC 376.09(12) (12) When psychology staff approves additional 45 minutes of mechanical restraint use, as soon as possible and no later than 2 hours following this approval, psychology staff shall evaluate the youth and provide therapeutic interventions to the youth as needed.

DOC 376.09(13) (13) Full body restraints may be used only for the following reasons with authorization from the superintendent in consultation with psychology staff:

DOC 376.09(13)(a) (a) To protect a youth who poses an immediate threat of physical injury to self unless placed in full body restraints.