Under what circumstances can PCA or CFSS workers use restraints on a person?

The correct understanding regarding the use of restraints by PCA (Personal Care Assistants) or CFSS (Consumer-Directed Community Supports) workers is that they should never use restraints under any circumstances. This principle is rooted in promoting the dignity, autonomy, and rights of individuals receiving care. Restraints can cause physical and psychological harm and violate individuals' rights to personal freedom.

In practice, the emphasis is on using positive behavioral supports and de-escalation techniques rather than physical restraints. This approach aligns with person-centered care, which prioritizes the needs and preferences of the individual while ensuring their safety and well-being.

The other choices imply scenarios where restraints might be permissible, but they conflict with the fundamental principles guiding PCA and CFSS practices. For instance, allowing restraints in crisis situations or with a doctor's prescription undermines the commitment to non-restraining practices aimed at fostering independence and trust. Verbal consent might imply a collaborative approach, yet even that does not justify the use of restraints as it can compromise the individual’s autonomy. Therefore, it is essential to uphold the stance that restraints are never appropriate within the framework of PCA and CFSS services.