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10.21.02.00.htm 10.21.02.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 02 Psychiatric Day Treatment Services Authority: Health-General Article, §2-104, Annotated Code of Maryland
10.21.02.01.htm 10.21.02.01. 01 Definitions.. A. "Adolescents" means persons 13 to 18 years old.. B. "Board" means the executive authority and policy-making group which operates a psychiatric day treatment center for mentally ill persons.C. "Children" means persons younger than 13 years old.. D. "Consumer" means a person who has received or is receiving services in any program, public or private, providing mental health services or is the relative of a person receiving or having received these services.
10.21.02.02.htm 10.21.02.02. 02 General Provisions.. A. Program Approval. Psychiatric day treatment services which are under the auspices of a psychiatric unit located in a licensed psychiatric hospital or under the auspices of a psychiatric unit of a licensed acute general hospital shall be reviewed and approved by the Mental Hygiene Administration on the basis of these regulations. Free-standing psychiatric day treatment services and those under the auspices of a community mental health program s
10.21.02.03.htm 10.21.02.03. 03 Admission Policies.. A. Criteria for admission shall be established for types of patients the program is designed to benefit, the goals and objectives of treatment, and the means by which these goals and objectives will be accomplished.B. Admission criteria may not discriminate against anyone on the basis of age, sex, race, creed, color, national origin, or handicapping conditions. For clinical purposes, program services may be offered for defined target groups.
10.21.02.04.htm 10.21.02.04. 04 Discharge Policies.. Criteria for discharge shall be established and shall be available for use by the utilization review committee. Discharge criteria may include, but not be limited to, symptomatic improvement; readiness for participation in voluntary, educational, or vocational programs; achievement of treatment goals; inability to comply with program requirements; or the need for 24-hour hospitalization.
10.21.02.05.htm 10.21.02.05. 05 Records.. A. Clinical records shall contain sufficient information to identify the patient clearly, to support the diagnosis, to justify the treatment plan, and to document the results accurately.B. A clinical record shall be established for every person admitted to a day treatment program and shall include:1) Identifying information, including names, current addresses, and telephone numbers of the patients, relatives, or guardians;2) Presenting problem, th
10.21.02.06.htm 10.21.02.06. 06 Staff.. A. Professional and paraprofessional staff shall be adequate to carry out the treatment program.. B. Minimum requirements for the staff are as follows:. 1) The staff of a psychiatric day treatment program shall be a multi-disciplinary team, including a psychiatrist, a registered nurse, and representatives of other appropriate disciplines, at least on a part-time basis.2) The psychiatrist on the team shall be responsible for overall patient care. The mental health tea
10.21.02.07.htm 10.21.02.07. 07 Medications.. Medications shall be stored separately in locked facilities and dispensed by qualified staff, in conformity with Health Occupations Article, §12-301, Annotated Code of Maryland.
10.21.02.08.htm 10.21.02.08. 08 Organizational and Administrative Structure.. A. Any corporation delivering day treatment services shall have a valid charter of incorporation.. B. Every day treatment program shall have a mechanism to assure community and consumer participation in the establishment of policies and procedures related to the operation of the program and for continuing review and evaluation of the implementation of these policies. Participation may be provided by inclusion of consumer
10.21.02.09.htm 10.21.02.09. 09 Process of Approval and Appeal.. A. The Mental Hygiene Administration shall be responsible for approving the programmatic aspects of the day treatment services. Approval shall be issued on the basis of a formal scheduled site visit by a designated evaluation team of the Administration on the basis of these regulations.B. Initial Approval.. 1) The site-visit team shall make a recommendation for approval or disapproval in writing to the Director of the Mental Hygie
10.21.02.10.htm 10.21.02.10. 10 Physical Plant.. A. Location. The premises on which a psychiatric day treatment center is to be located shall be served by a good road. Accessible public transportation is desirable.B. Communication. There shall be at least one telephone readily available ― not a pay station or locked telephone ― in the building and additional telephones or extensions as may be required to summon help promptly in case of fire or other emergencies.C. Buildings.. 1) Any building used for
10.21.02.9999.htm 10.21.02.9999. Administrative History Effective date: November 25, 1961. Amended effective August 4, 1965 and April 15, 1974 ―. Chapter revised effective May 29, 1981 (8:11 Md. R. 974).
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