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First Substitute H.B. 356

Representative Mike Thompson proposes the following substitute bill:




Sponsor: Mike Thompson

             5      This act modifies the Mental Health Professional Licensing Act. The act restricts the use,
             6      practice, or application of restraint to certain circumstances.
             7      This act affects sections of Utah Code Annotated 1953 as follows:
             8      ENACTS:
             9          58-60-117, Utah Code Annotated 1953
             10      Be it enacted by the Legislature of the state of Utah:
             11          Section 1. Section 58-60-117 is enacted to read:
             12          58-60-117. Restraint therapy.
             13          (1) (a) As used in this section, "restraint" means personal, physical, or mechanical restraint,
             14      including:
             15          (i) the application of physical force without the use of any device, for the purpose of
             16      restraining the movement of the patient's body; or
             17          (ii) any manual method or physical or mechanical device, material, or equipment attached
             18      to or adjacent to the patient's body that the patient cannot easily remove that restricts freedom of
             19      movement or normal access to one's body.
             20          (b) "Restraint" does not include briefly holding, without undue force, a patient, in order
             21      to calm the patient, or holding a patient's hand to escort the patient safely from one area to another.
             22          (2) Except as otherwise provided in Subsection (3), a mental health therapist may not:
             23          (a) practice, use, or apply restraint on or to a patient; or
             24          (b) direct, prescribe, or instruct that restraint be used or applied on or to a patient.
             25          (3) Subsection (2) does not apply:

             26          (a) to a hospital that is subject to Requirements for States and Long Term Care Facilities,
             27      42 C.F.R. Subchapter G, Part 482;
             28          (b) to a residential treatment facility that is subject to Requirements for States and Long
             29      Term Care Facilities, 42 C.F.R. Subchapter G, Part 483; or
             30          (c) when a mental health therapist determines that restraint is reasonably needed to:
             31          (i) protect the patient or another person from what reasonably appears to be imminent
             32      physical injury; or
             33          (ii) protect property from what reasonably appears to be imminent, substantial damage.
             34          (4) All use of restraint by a mental health therapist shall be documented in the patient's file
             35      or chart.
             36          (5) Any restraint permitted under Subsection (3)(c) must be terminated when conditions
             37      described in Subsection (3)(c) no longer exist or may be remediated by less restrictive means.

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