{"report_id":23,"form_id":"23","user_id":81,"organization_id":10,"question_id":"100","question_type":"Free_Text","text_answer":"\"Direct care staff not following the person who eloped from the facility was influenced foremost by the person\u2019s elopement protocol. At the time of the elopement it was dark outside and the protocol directed staff to not follow when dark. Contributing to the staff\u2019s decision not to follow the person was the team\u2019s (case manager, guardian, provider staff) desire to ensure the safety of staff and the person which was impacted by the person\u2019s history of exhibiting challenging behaviors when followed. When staff followed the person in past elopements, the person ran further and was difficult to find. The person\u2019s home was in a rural location which also impacted staff\u2019s decision to not follow in the dark due to safety concerns. The elopement protocol was developed by the provider and approved by the guardian and case manager. Staff were intimidated by the guardian, which influenced the staff\u2019s decision to follow protocol the guardian helped create. Direct care staff not following during the elopement was further supported by the person wearing a tracking watch that allowed staff to track the person and not always rely on following them.\r\n\r\nThere are a lack of crises services and placement options available in the area of the person\u2019s home. Because of this, the provider created the elopement protocol as a way to try to balance the support and safety of the person. Limited state funding for crises services impacted the provider\u2019s decision to create an elopement protocol. This is further influenced by the provider\u2019s license requirements of 245A and 245D to safeguard the person\u2019s health, safety and well-being.\"","created_by":81,"updated_by":81,"updated_at":"4\/28\/2021 9:30:57 pm","created_at":"4\/28\/2021 9:30:57 pm","id":1916}