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10.21.19.00.htm 10.21.19.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 19 Community Mental Health Programs ― Mobile Treatment Services Authority: Health-General Article, §10-901 and 10-902, Annotated Code of Maryland
10.21.19.01.htm 10.21.19.01. 01 Scope.. A. This chapter applies to programs organized to provide intensive, assertive mental health treatment and support services delivered by a multidisciplinary treatment team to an adult or a minor whose mental health treatment needs have not been met through routine, traditional outpatient mental health programs. Services are provided flexibly and in the various community settings determined by the needs of the individual.
10.21.19.02.htm 10.21.19.02. 02 Definitions.. In this chapter, terms have the meanings stated in COMAR 10.21.17..
10.21.19.02-1.htm 10.21.19.02-1. 02-1 Approval.. The Department shall grant approval to a program to be eligible to receive State or federal funds for providing MTS if the program meets the requirements:A. For approval outlined in COMAR 10.21.16;. B. For administration outlined in COMAR 10.21.17; and. C. Of this chapter..
10.21.19.03.htm 10.21.19.03. 03 Program Model.. The program director shall assure that services:. A. Are therapeutic and are age and culturally appropriate;. B. Are provided by MTS staff who:. 1) As determined by the program, are appropriately credentialed and privileged; and. 2) Are available:. a) As indicated in the screening assessment or the individual's ITP, to deliver services at a time and in a setting agreeable to the individual served; andb) On an on-call basis, 24 hours per day, 7 days per week;.
10.21.19.04.htm 10.21.19.04. 04 Eligibility, Screening, and Admission.. A. Eligibility. An individual is eligible for MTS if:. 1) Based on a screening assessment conducted according to the provisions of §B of this regulation, the individual would benefit from services that are:a) Directed at providing mental health treatment; and. b) Available, by being delivered at a site that is accessible to an individual who:. i) Is homeless;. ii) Has been unable or unwilling to use, on a continuing basis, community-b
10.21.19.05.htm 10.21.19.05. 05 Evaluative Services Provided.. A. Initial MTS Psychiatric Evaluation. Within 30 days of receipt of referral for MTS, the MTS psychiatrist, in collaboration with the individual's assigned treatment coordinator, shall conduct a face-to-face evaluation of the individual to:1) Collect and evaluate relevant history;. 2) Evaluate current mental status, including:. a) The need for medication; and. b) A review of current medications and source of prescriptions;.
10.21.19.06.htm 10.21.19.06. 06 Treatment and Support Services Provided.. A. Medication Services.. 1) Evaluation and Prescription. When prescribing medication for an individual, the MTS psychiatrist shall:a) Conduct a face-to-face evaluation of the individual;. b) Through a medical history, evidence of a recent physical examination, records review, laboratory testing, or other appropriate measures, assure that there are no contraindications to the prescription of specific medications;
10.21.19.06-1.htm 10.21.19.06-1. 06-1 Supported Housing Services for Adults.. A. Housing Development. The program director shall ensure that the program:. 1) Collaborates with the CSA in developing the CSA's plan for affordable, accessible housing in the community;2) Maintains information about available regular housing that is:. a) Integrated throughout the community;. b) Not limited as to length of stay, or conditional upon an individual's participation in mental health treatment or support services; and
10.21.19.07.htm 10.21.19.07. 07 Discharge and Transitioning.. A. Discharge Procedures.. 1) An MTS program may discharge an individual from MTS only when:. a) The individual:. i) Is unwilling to continue to accept MTS;. ii) Is admitted to an inpatient facility for longer than 3 months; or. iii) Moves from the area served by MTS; or. b) The Administration's ASO determines that transition and discharge from MTS is medically appropriate.2) When an MTS program discharges an individual under §A(1)a)i) or (ii) of
10.21.19.08.htm 10.21.19.08. 08 Required Staff.. A provider of MTS shall ensure that the MTS staff includes, at a minimum:. A. A program director who:. 1) Is a mental health professional;. 2) Is available to provide MTS administration and supervision:. a) If fewer than 40 individuals are receiving services, for an amount of time calculated on the basis of 1/2 hour per week for each individual who is receiving services; orb) If 40 or more individuals are receiving services, 20 hours per week;.
10.21.19.09.htm 10.21.19.09. 09 Treatment Coordinator.. The program director shall assign to each individual who is receiving MTS a mental health professional who is the individual's treatment coordinator, and who shall:A. Assess the individual's needs by:. 1) Collaborating in the initial psychiatric evaluation conducted according to the provisions of Regulation .05A of this chapter; and2) Collecting and evaluating relevant history;. B. Establish and maintain a therapeutic relationship;.
10.21.19.10.htm 10.21.19.10. 10 Additional Staff.. As needed, based on the number of individuals served, the program director may include on the MTS staff direct service providers who:A. May include the staff identified in Regulation .08C and D of this chapter; and. B. As permitted under Health Occupations Article, Annotated Code of Maryland, perform assigned duties that the direct service provider is credentialed and privileged to perform.
10.21.19.11.htm 10.21.19.11. 11 Capacity.. A provider of MTS shall base the capacity of the MTS program on the basis of one full-time treatment staff person for each 12 individuals served.
10.21.19.9999.htm 10.21.19.9999. Administrative History Effective date: January 2, 1995 (21:26 Md. R. 2188). Regulation .01C repealed effective August 24, 1998 (25:17 Md. R. 1360). Regulation .02-1 adopted effective August 24, 1998 (25:17 Md. R. 1360). Regulation .03F amended effective August 24, 1998 (25:17 Md. R. 1360). Regulation .04 amended effective August 24, 1998 (25:17 Md. R. 1360). Regulation .05 amended effective August 24, 1998 (25:17 Md. R. 1360).
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