RULE NO: RULE TITLE
63H-1.002: State Non-Residential Staff
63H-1.007: Documentation and Retention of Records
63H-1.009: Certification
63H-1.014: Training Instructor Qualifications
The changes are in response to comments received at a public hearing on August 21, 2006, and to those provided by the Joint Administrative Procedures Committee in an August 23 letter.
63H-1.002 Definitions.
(1) Active Resistance – Youth makes physically evasive movements to defeat an employee’s attempts to control; for example, bracing, or attempting to push or pull away from an employee.
(2) Actively Engaged – An employee is participating in the practical performance or application of any one of the approved physical intervention techniques or mechanical restraints.
(3) Administrator – One whose primary responsibility is overseeing the daily operations of a facility, program or probation circuit.
(4) Aggravated Resistance – Youth makes overt, hostile, attacking movements with or without a weapon with the apparent intent and apparent ability to cause death or great bodily harm to the employee, self, or others; for example, striking with a stick, banging head against the wall, or swinging a razor blade.
(5) CJSTC – Criminal Justice Standards and Training Commission.
(6) Combative Resistance – Youth makes overt, hostile, attacking movements that may cause injury.
(7) Control Techniques – Techniques used to control and/or move a youth from point A to point B with minimum effort by the employee in order to gain and retain control over the youth.
(8) Countermoves – Techniques that impede a youth’s movement toward an employee or others; for example, blocking, distracting, evading, redirecting, or avoiding.
(9) Designated Health Authority – A physician who holds an active license under Chapters 458 or 459, F.S.
(10) Dialogue – A two-way, controlled, non-emotional communication between the employee and the youth aimed at problem identification and/or resolution.
(11) Direct Care – Having direct contact with youth for the purpose of providing care, supervision, custody, or control in a detention facility, delinquency program, or commitment program within any restrictiveness level, operated by the department or by a provider under contract with the department.
(12) Facility – A contracted or state-operated secure environment that provides custody, care, or confinement of youth alleged or found to have committed a violation of law. This includes, but is not limited to, secure detention, law enforcement operated facilities, and residential commitment programs.
(13) Facility Employee – Any employee who exercises direct care in a facility.
(14) Hard Mechanical Restraints – Restraint devices constructed from inflexible material; for example, metal handcuffs, leg cuffs, and waist chains.
(15) Individual Health Care Record – The compilation of all records related to a youth’s medical, dental and mental health.
(16) Master PAR Instructor – An advanced, qualified instructor who assists and monitors PAR instructors in maintaining quality delivery of PAR training and evaluation for PAR certification.
(17) Mechanical Restraints – This includes hard and soft mechanical restraints as defined in this rule.
(18) Mechanical Restraints Supervision Log – The form used to document a facility employee’s use of mechanical restraints as a result of a Level 3 response, as defined in subsection 63H-1.003(3), F.A.C. The Mechanical Restraints Supervision Log (ADSD-001, revised 6/01/06) is incorporated by reference, and is available at the department’s website (http://www.djj.state. fl.us/forms/sd/mechanical_restraints_supervision_log.pdf).
(19) PAR Medical Release – The form signed and dated by a licensed physician that authorizes an employee to perform the physical intervention techniques that were checked on the Medical Status form. The PAR Medical Release (ADSD-002, revised 8/15/03) is incorporated by reference, and is available at the department’s website (http://www.djj.state.fl.us/ forms/sd/par_medical_release.pdf).
(20) PAR Medical Status – The form signed and dated by a licensed physician that identifies the physical intervention techniques listed on the applicable PAR Training Plan an employee cannot perform and why. The PAR Medical Status (ADSD-003, revised 6/01/06) is incorporated by reference, and is available at the department’s website (http://www.djj.state. fl.us/forms/sd/par_medical_status.pdf).
(21) PAR Medical Review – The evaluation deemed necessary as a result of the Post PAR Interview.
(22) Passive Resistance – The youth physically refuses to comply or respond. The youth does not attempt to physically defeat the actions of the employee but refuses to obey all verbal directives.
(23) Post PAR Interview – The interview conducted by the Administrator or designee following a Level 2 or Level 3 response.
(24) Program – A contracted or state-operated non-residential environment providing supervision of youth who have been identified to receive services within the community. This includes, but is not limited to, probation, non-secure detention, home detention, juvenile assessment centers, Intensive Delinquency Diversion Services (IDDS) programs, conditional release programs, screening and intake units, and day treatment programs. This does not include prevention programs.
(25) Program Employee – Any employee who exercises direct care for a program.
(26) PAR – The department-approved verbal and physical intervention techniques and the application of mechanical restraints used in accordance with this rule, the Protective Action Response Escalation Matrix, and PAR training curricula.
(27) PAR Certification – This applies to an employee who has successfully completed PAR training as described in this rule. Only employees who are PAR trained are authorized to use PAR.
(28) PAR Escalation Matrix – The document that provides guidance as to the authorized level of response based upon the youth’s level of resistance. This document articulates the five levels of resistance that may be displayed by a youth and the levels of response employees are authorized to use. The PAR Escalation Matrix (ADSD-004, revised 6/01/06) is incorporated by reference, and is available at the department’s website (http://www.djj.state.fl.us/forms/sd/par_escalation_ matrix.pdf).
(29) PAR Incident Report – The form used to document the occurrence of an event where an employee has used one of the enumerated physical intervention techniques. The PAR Incident Report (ADSD-005, revised 6/01/06) is incorporated by reference, and is available at the department’s website (http://www.djj.state.fl.us/forms/sd/par_incident_report.pdf).
(30) PAR Performance Evaluation Forms – These forms are used to measure an employee’s or PAR Instructor’s ability to perform verbal and physical intervention techniques and apply mechanical restraints. The following forms are incorporated by reference and are available at the department’s website listed below respectively:
(a) PAR Performance Evaluation – State operated facility/Contracted detention/ and Law Enforcement operated facility staff (ADSD-006, revised 6/01/2006) (http://www.djj. state.fl.us/forms/sd/par_performance_evaluation_state operated.pdf)
(b) PAR Performance Evaluation – Contracted facility staff (ADSD-007, revised 8/15/2003 6/01/2006) (http://www. djj.state.fl.us/forms/sd/par_performance_evaluation_ contracted. pdf)
(c) PAR Performance Evaluation – Program staff (ADSD-008, revised 8/15/2003) (http://www.djj.state.fl.us/ forms/sd/par_performance_evaluation_program_staff.pdf)
(d) PAR Performance Evaluation – PAR Instructors (ADSD-009, revised 6/01/2006) (http://www.djj.state.fl.us/ forms/sd/par_performance_evaluation_instructor.pdf).
(31) PAR Training Plan forms– These forms identify the specific techniques that program and facility employees shall be trained to use. The identified techniques are the only techniques employees are authorized to use (except where provided in Rules 63H-1.003 and 63H-1.004, F.A.C.). The PAR Training Plan – Contracted facility staff form (ADSD-010, revised 6/01/2006) is incorporated by reference and is available at the department’s website (http://www.djj.state.fl. us/forms/sd/par_training_plan.pdf).
(32) Soft Mechanical Restraints – Restraint devices that are made with flexible materials; for example, Velcro, nylon flex cuffs (also known as zip cuffs), and leather.
(33) Takedowns – Techniques that redirect a youth to the ground in a controlled manner in order to limit the youth’s physical resistance and to facilitate the application of a restraint device, if needed.
(34) Touch – Employee uses a familiar touch when directing, or a custodial touch prior to escalating to a higher response level.
(35) Verbal Directions – Employee tells or commands a youth to engage in, or refrain from, a specific action or non-action.
(36) Verbal Resistance – Youth verbally refuses to comply with an employee’s verbal attempts to control the situation.
Specific Authority 985.4055, 985.405 FS. Law Implemented 985.4055 FS. History–New .
63H-1.007 Documentation and Retention of Records.
(1) Documentation:
(a) A PAR Report shall be completed after an incident involving the use of countermoves, control techniques, takedowns, or application of mechanical restraints.
(b) The employees who were engaged with the youth shall complete the PAR Report and shall complete it no later than the end of the employee’s workday.
(c) When mechanical restraints are used as a result of a level 3 response, the Mechanical Restraints Supervision Log shall be completed.
(d) All reports of incidents in which employees are trained in the use of CJSTC techniques shall be completed according to the facility’s reporting documentation procedures.
(2) Review and Retention of Records:
(a) The PAR Incident Report shall be reviewed by the administrator or designee within 72-hours of the incident, excluding weekends and holidays.
(b) A monthly summary of all PAR Incident Reports shall be submitted to the regional director or designee within two weeks of the end of each month.
(c) Post PAR Interview: The administrator or designee shall interview the youth. The purpose of the interview is to determine if a youth has any physical complaints, any visible injuries, is unable to answer questions appropriately, is not fully alert, appears short of breath or distressed in any way, or demonstrates anything else of concern to the interviewer, then a PAR Medical Review is mandatory. This interview must be conducted as soon as possible, but no longer than thirty minutes after the incident. The findings of the interview shall be placed in the youth’s individual health care record, and labeled “Post PAR Interview” and shall be dated, timed, and signed by the individual conducting the interview. This individual shall also sign and date the PAR Report.
(d)(e) PAR Medical Review:
1. If the Post PAR Interview indicates the need for a PAR Medical Review the youth shall be referred to the licensed medical health professional (Physician, Physician Assistant, Advanced Registered Nurse Practitioner, Registered Nurse, or Licensed Practical Nurse) on site. If a medical health professional is not on site, then the youth must be sent off site for this evaluation.
2. The purpose of the Medical Review is to determine, from a medical perspective, if injuries or complications occurred as a result of the physical intervention or application of mechanical restraints, and if the youth requires further medical treatment.
3. Descriptions of injuries or complications and medical treatment provided shall be filed in the youth’s individual health care record.
4. If an onsite review is conducted, the documentation shall be labeled, “PAR Medical Review.” If an offsite review is conducted, the youth’s individual health care record and medication administration record shall accompany the youth to the review. Prior to placing the documentation in the individual health care record, the top of each page returned by the reviewer shall be dated and labeled, with “PAR Medical Review.”
(e)(d) The supervisor or designee shall review the PAR Incident Report, including the Post PAR Interview and the PAR Medical Review prior to the report being submitted to the Administrator or designee.
(f)(e) The Administrator shall establish and maintain a centralized file, which shall include:
1. PAR Incident Reports, and attachments to the PAR Incident Report.
2. Any other incident reports or investigative reports related to the application of physical intervention techniques and/or mechanical restraints.
3. A copy of the PAR Report shall be placed in the facility’s or program’s centralized file within 48 hours of being signed by the Administrator.
(g)(e) Facilities/Programs shall retain a copy of the PAR Incident Report for three (3) years following the youth’s release.
Specific Authority 985.4055, 985.405 FS. Law Implemented 985.4055(2)(a) FS. History–New________.
63H-1.009 Certification.
(1) Any employee not PAR Certified prior to 7/01/2006 shall be required to become PAR certified by 9/30/2006.
(1)(2) Any employee hired on or after 7/01/2006, must become PAR certified within 90 calendar days following his or her date of hire.
(2)(3) Any employee who exercises direct care prior to receiving PAR certification must be directly supervised by an employee who is PAR certified.
(3)(4) Employees shall be PAR certified by successfully completing the PAR training designed for facility or program employees, whichever is applicable. Successful completion requires:
(a) Attendance and participation in the training hours specified in the employee’s PAR curriculum (40 hours for Facility employees and 32 hours for Program employees). Employees shall participate in the performance of all physical intervention techniques and mechanical restraints being taught during the training session.
(b) A minimum score of seventy-five percent (75%) on the PAR written examination.
(c) One-hundred percent (100%) satisfactory performance of the techniques specified on the applicable PAR Performance Evaluation form.
(4)(5) All PAR training must be conducted by a certified PAR Instructor (Rule 63H-1.014, F.A.C.).
(5)(6) To ensure that all employees are properly observed, are able to receive constructive feedback, and are properly evaluated, the instructor to employee ratio, for employees who are actively engaged, shall be no more than 1:8 during the performance-based segment of a PAR training session. There is no required ratio during the non performance-based segment of a PAR training session.
Specific Authority 985.4055, 985.405 FS. Law Implemented 985.4055(2)(b), (e) FS. History–New
63H-1.014 Training Instructor Qualifications.
(1) PAR Instructor Candidate requirements:
(a) One year of experience, working full time, in juvenile justice, criminal justice, or juvenile social services;
(b) PAR certification;
(c) Successful completion of the Instructor Techniques Workshop 80-hour course; and
(d) Successful completion of the PAR Train-the-Trainer 80-hour course conducted by a Master PAR Instructor. An instructor candidate shall be allowed to attend a PAR Train-the-Trainer course only if he or she has achieved the requirements in paragraphs (a), (b), and (c).
(e) PAR Instructor candidates shall demonstrate proficiency for all physical intervention techniques and mechanical restraints listed on the PAR Instructor Performance Evaluation form. In addition, the Instructor candidate must demonstrate the ability to verbally communicate how the techniques are to be performed. The demonstration shall be evaluated by one Master PAR Instructor and one PAR Instructor.
(f) Satisfactory demonstration of presentation skills using the PAR Instructor Skills Evaluation Report form. The PAR Instructor Skills Evaluation Report form (ADSD-011, revised 6/01/2006) is incorporated by reference, and is available at the department’s website (http://www.djj.state.fl.us/forms/ sd/par_performance_evaluation.pdf).
(2) A score of 85 percent or higher on the PAR written examination. The instructor candidate shall have two attempts to pass the examination.
(3) One PAR Performance Evaluation for PAR Instructors form shall be used for each attempt that the instructor candidate makes to pass the performance evaluation. The instructor candidate shall have two attempts to pass the evaluation.
(a) If remediation is required, the Master PAR Instructor shall have the discretion to determine whether remediation will be conducted on-site or at a future date. If remediation occurs at a future date, the instructor candidate shall be evaluated, at the second attempt, on all techniques initially evaluated.
(b) If the instructor candidate fails the second attempt, he or she shall not be certified as a PAR Instructor. However, this candidate is eligible to attend the PAR Train-the-Trainer course again, provided all other criteria for becoming a PAR Instructor remain current.
(4) Demonstrations of the physical intervention techniques and presentation skills shall be videotaped. The videotapes shall be submitted to the Assistant Secretary for Staff Development and Training within thirty (30) working days after completion of the evaluations.
Specific Authority 985.4055, 985.405 FS. Law Implemented 985.4055(2)(c) FS. History–New_______.