(a) If you allow the use of emergency behavior intervention, at least 75 percent of the pre-service training for emergency behavior intervention must focus on early identification of potential problem behaviors and strategies and techniques for less restrictive interventions, including the curriculum components listed in §748.887 of this division (relating to If I do not allow the use of emergency behavior intervention, what curriculum components must be included in the pre-service training for emergency behavior intervention?).
(b) The training does not have to address the use of any emergency behavior intervention that your policies do not allow.
(c) The other 25 percent of the pre-service training for emergency behavior intervention must include the following components:
  (1) Different roles and responsibilities of caregivers qualified in emergency behavior intervention, versus employees or volunteers who are not qualified in emergency behavior intervention;
  (2) Escape and evasion techniques to prevent harm to the child and caregiver without requiring the use of an emergency behavior intervention;
  (3) Safe implementation of the restraints and seclusion techniques and procedures that are appropriate for the age and weight of children served and permitted by the rules in this chapter and your policies and procedures;
  (4) The physiological impact of emergency behavior intervention;
  (5) The psychological impact of emergency behavior intervention, such as flashbacks from prior abuse;
  (6) How to adequately monitor the child during the administration of an emergency behavior intervention to prevent injury or death;
  (7) Monitoring physical signs of distress and obtaining medical assistance;
  (8) Health risks for children associated with the use of specific techniques and procedures;
  (9) Drawings, photographs, or videos of each personal or mechanical restraint permitted by your policy; for mechanical restraints, this must include the manufacturer's complete specifications for each device permitted, an explanation of modifications to the manufacturer's specifications, and a copy of the approval of the modification from a licensed psychiatrist; and
  (10) Strategies for re-integration of children into the environment after the use of emergency behavior intervention, including the debriefing of caregivers and the child.

Source Note: The provisions of this §748.889 adopted to be effective April 25, 2022, 47 TexReg 2248