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10.21.07.00.htm 10.21.07.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 07 Therapeutic Group Homes Authority: Health-General Article, §10-501―10-524, 10-701―10-714, 10-901, 10-922, 10-920―10-926, 16-101―16-303; Article 49D, §4; Annotated Code of Maryland
10.21.07.01.htm 10.21.07.01. 01 Scope.. This chapter establishes the procedures and standards for operating, programming, and staffing a therapeutic group home (TGH) for children.
10.21.07.02.htm 10.21.07.02. 02 Definitions.. A. In this chapter, terms have the meanings stated in COMAR 14.31.05, 14.31.06, and in this chapter.. B. Terms Defined.. 1) "Administration" means the Mental Hygiene Administration.. 2) "Case coordinator" means the mental health professional or residential care specialist supervised by a mental health professional who coordinates the services, as outlined in a child's TGH individual treatment plan (ITP) to the child.3) "Clinical coordinator" means the mental health
10.21.07.03.htm 10.21.07.03. 03 Proposal and Designation of Lead Agency.. A. Proposal.. 1) An individual or organization that proposes to provide therapeutic living services for children in a TGH shall:a) Direct an initial inquiry for obtaining a license to the GOC, in accordance with COMAR 14.31.05.05; andb) Submit to GOC, in accordance with COMAR 14.31.05.05, a proposal describing the:. i) Physical plant in which the children will reside; and.
10.21.07.04.htm 10.21.07.04. 04 License Required.. A. Before operating a TGH, a person shall obtain a license from the Department under the provisions of this chapter and COMAR 14.31.05 for each TGH site in which children reside.B. The Secretary shall grant a license to an applicant to operate a TGH if the applicant fulfills the requirements for:1) Licensure under COMAR 14.31.05; and. 2) Service and staffing under this chapter..
10.21.07.05.htm 10.21.07.05. 05 Application Process.. A. Consultation. If the Administration is the designated lead agency, an applicant for licensure for a TGH, before submitting an application, may request assistance from the designated licensure unit of the Department, the appropriate CSA director, or the Administration regarding the proper compilation of application materials and completion of the application.B. Application. An applicant for licensure of a TGH shall:. 1) Submit, to the Departm
10.21.07.06.htm 10.21.07.06. 06 Governance.. A. Governing Body.. 1) A provider that is licensed by the Department under this chapter to operate a TGH shall be governed by a body that shall:a) Carry out the responsibilities under COMAR 14.31.06.04; and. b) Either:. i) Include the membership described under §B(1) of this regulation; or. ii) Appoint an advisory committee for the TGH that includes the membership described under §B(1) of this regulation.
10.21.07.07.htm 10.21.07.07. 07 Collaboration with Core Service Agency (CSA). A. If the jurisdiction in which a TGH is located is served by a CSA, the governing body shall document that the program shall:1) Submit the following information to the CSA:. a) Documentation that the program budget is adequate to support the program's ability to provide authorized services;b) The program service plan;. c) Data that incorporate outcome measures; and. d) A yearly summary that, at a minimum, includes:.
10.21.07.08.htm 10.21.07.08. 08 TGH Program Model.. A. A TGH provides therapeutic living services:. 1) For at least four but not more than eight children;. 2) By providing access to a combination of developmental, diagnostic, and therapeutic mental health services;3) When possible, in the child's community of origin; and. 4) In a home-like environment.. B. The chief executive officer of a TGH shall assure that a TGH:. 1) Provides to each child in the TGH mental health care and treatment:.
10.21.07.09.htm 10.21.07.09. 09 Eligibility, Application, and Admission.. A. Eligibility.. 1) A child is eligible for admission to a TGH if:. a) The child:. i) Has a mental disorder;. ii) Is or should be receiving treatment for the mental disorder;. iii) Because of the mental disorder, requires residential services not available in the home;. iv) Needs 24-hour supervision in a structured private group home;. v) Has the ability to understand and states, in writing, a willingness to comply with the rules and
10.21.07.10.htm 10.21.07.10. 10 Required Services.. The chief executive officer of a TGH shall assure that children in the TGH receive:. A. Physical and dental examinations, care, and treatment for children who are:. 1) Eligible for Medical Assistance, services through the managed care organization, as required by COMAR 10.09.67; or2) Not eligible for Medical Assistance, through written agreements with appropriate providers, as indicated under COMAR 01.04.04.19;B. From an appropriate public or nonpublic program
10.21.07.11.htm 10.21.07.11. 11 Evaluative Services Provided by the TGH.. A. Therapeutic Milieu. The clinical coordinator, as defined in Regulation .14C of this chapter, shall assure maintenance of the therapeutic milieu in order to foster achievement of a child's treatment goals.B. Diagnosis. Within 1 week of a child's admission to the TGH, the clinical coordinator shall ensure that a staff member authorized under the Health Occupations Article, Annotated Code of Maryland, and credentialed and privil
10.21.07.12.htm 10.21.07.12. 12 Treatment and Support Services Provided by the TGH.. A. Case Coordination. The TGH clinical director shall assure that a child's case coordinator:. 1) Integrates appropriate therapeutic and educational services into the child's ITP by coordinating with the child's previous placement provider, school, clinic or other mental health providers, and, if any, employer;2) Makes home visits and meets with the primary caretaker to ameliorate problems in the home and fac
10.21.07.13.htm 10.21.07.13. 13 Residential Services.. A. General. The chief executive officer shall assure that:. 1) Basic life needs are met, according to the requirements of COMAR 01.04.04.17; and. 2) Communication and visiting policies and daily routines are implemented according to the requirements of:a) Health-General Article, §10-702―10-703, Annotated Code of Maryland;. b) COMAR 10.21.09; and. c) COMAR 14.31.06.09B.. B. Supervision. The chief executive order shall assure that TGH staff, as d
10.21.07.14.htm 10.21.07.14. 14 Staff.. A. Required Staff. The governing body of a TGH shall assure that TGH staff is sufficient in numbers and qualifications to:1) Carry out the TGH program service plan described in Regulation .05C of this chapter and program model described in Regulation .08 of this chapter;2) Provide the services, including supervision and staff-to-child ratio, required under Regulations .12 and .13 of this chapter; and3) Carry out the requirements of the ITPs of the TGH residents..
10.21.07.15.htm 10.21.07.15. 15 Data Submission.. A TGH shall report the required data in the form and at the times specified by the Administration..
10.21.07.16.htm 10.21.07.16. 16 Rights.. TGH staff shall explain to a child enrolled in a program and to the child's parent, guardian, and, if other than the parent, the primary caretaker, of the child's rights as set forth in Health-General Article, Title 10, Subtitle 7, and Title 4, Subtitle 3, Annotated Code of Maryland.
10.21.07.17.htm 10.21.07.17. 17 Grievances.. A. A TGH shall develop and implement a process for the prompt and objective resolution of grievances that may be presented by a child or by a child's parent, guardian, or primary caretaker.B. The TGH shall prominently display, in accessible centralized locations, the written description of the grievance procedure.
10.21.07.9999.htm 10.21.07.9999. Administrative History Effective date: January 13, 1986 (13:1 Md. R. 16). Regulation .01 amended effective February 15, 1993 (20:3 Md. R. 259). Regulation .02B amended effective February 15, 1993 (20:3 Md. R. 259). Regulation .03 amended effective February 15, 1993 (20:3 Md. R. 259). Regulation .05 amended effective February 15, 1993 (20:3 Md. R. 259). Regulation .09A amended effective February 15, 1993 (20:3 Md. R. 259).
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