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residents shall keep medication in a separate refrigeration unit that is not used to store food. (i) In addition to complying with the other requirements of this section, a residential psychiatric treatment center

(1) shall ensure that the record of the prescription and administration of prescription and nonprescription medications is kept in each child’s files and in another master medications file arranged to show in chronological order the prescription and administration of medications to each child, with records sorted by each child’s name, showing each diagnosis for each child;

(2) shall make the records described in (1) of this subsection available for department review for the purpose of identifying and preventing abuse, or inappropriate or unnecessary use of prescription or nonprescription medications;

(3) may not use a medication for the purpose of sedating or controlling the behavior of a child; however, subject to 7 AAC 50.870, a medication may be used for chemical restraint in a residential psychiatric treatment center; in this paragraph, “chemical restraint” has the meaning given in 7 AAC 50.990;

(4) may not administer a psychotropic or neuroleptic class medication to a child unless the use of the medication is part of the child’s treatment plan developed under 7 AAC 50.840 and use of the medication has been consented to by the child’s parent, Indian custodian, or guardian after both the clinical director and the prescribing physician have given sufficient information and counseling to the parent, Indian custodian, or guardian to ensure that the parent, Indian custodian, or guardian can give an informed consent to or refusal of the use of the medication; the information and counseling must discuss the option of not using the medication, the potential benefits and disadvantages of the medication, and alternative medications or therapies that might reasonably be used to treat the same condition; and

(5) may not discharge or threaten to discharge a child because the child’s parent, Indian custodian, or guardian declines to give consent to the use of any recommended medication. (j) In this section,

(1) “controlled substance” means a drug, substance, or immediate precursor included in the schedules set out in AS 11.71.140 — 11.71.190;

(2) “Indian custodian” has the meaning given in 25 U.S.C. 1903(6). (Eff. 6/23/2006, Register 178; am 7/1/2022, Register 242) Statutory Authority: Authority: AS 18.05.010 AS 47.32.030 AS 47.33.010

AS 18.05.040 AS 47.32.130 AS 47.33.020