Service providers who are using physical interventions with clients must have a physical intervention techniques system that includes at least the following:

(1) Discussion of the need for positive behavior support;

(2) Communication styles that help the client to calm down and resolve problems;

(3) Techniques to prevent escalation of behavior before it reaches the stage of physical assault;

(4) Techniques for staff to use in response to clients and their own fear, anger, aggression, or other negative feelings;

(5) Cautions that physical intervention technique(s) may not be changed except as needed for individual disabilities, medical, health, and safety issues. A health care professional and a program trainer must approve all modifications;

(6) Evaluation of the safety of the physical environment;

(7) Issues of respect and dignity of the client;

(8) Use of the least restrictive physical interventions depending upon the situation;

(9) Identification of division of developmental disabilities approved and prohibited physical intervention techniques;

(10) The need to release clients from physical restraint as soon as possible;

(11) Instruction on how to support physical interventions as an observer, recognizing signs of:

(a) Distress by the client; and

(b) Fatigue by the staff; and

(12) Discussion of the importance of complete and accurate documentation.