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10.21.22.00.htm 10.21.22.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 22 Community Mental Health Programs ― Residential Rehabilitation Programs Authority: Health-General Article, §10-901 and 10-902, Annotated Code of Maryland
10.21.22.01.htm 10.21.22.01. 01 Scope.. A. The purpose of this chapter is to outline the site, staffing, and service requirements that a psychiatric rehabilitation program (PRP) shall fulfill in order to be eligible to be approved to provide residential rehabilitation program (RRP) services.B. The Department may approve a program as an RRP if the applicant:. 1) Is approved by the Department under COMAR 10.21.21;.
10.21.22.02.htm 10.21.22.02. 02 Definitions.. In this chapter, terms have the meanings stated in COMAR 10.21.17..
10.21.22.03.htm 10.21.22.03. 03 Application and Initial Approval Process.. A. Consultation. Before submitting an application, a PRP that is applying for approval to operate an RRP may request assistance regarding the proper compilation of application materials and completion of the application from the Administration or the appropriate:1) Core service agency (CSA) director; or. 2) Residential specialist.. B. Program Application. A PRP that is applying for approval to operate an RRP shall include with the
10.21.22.04.htm 10.21.22.04. 04 Process for Annual Approval of a Residence.. A. Annual Review of a Residence. Within not more than 1 year from the date of the last certificate of approval of a residence, the residential specialist, using the residential checklist, shall:1) Conduct an on-site evaluation to:. a) Inspect the residence for continued compliance with:. i) The documentation required under Regulation .03C(1)b) of this chapter; and.
10.21.22.05.htm 10.21.22.05. 05 Site Requirements.. A. General Requirements. The RRP director shall ensure that:. 1) All areas of a residence, including storage areas, are safe, clean, and free of hazards and clutter;2) A residence has:. a) No housing code or zoning violations;. b) Working smoke alarms or smoke detectors that meet local fire codes for residential dwellings;. c) Hot and cold running water and adequate light, heat, and ventilation; and. d) Sufficient, appropriate, and functional furnish
10.21.22.06.htm 10.21.22.06. 06 Residential Rehabilitation Program Model.. A. The RRP director shall organize, maintain, and develop:. 1) Policies directed to ensure the provision of flexible services which respond to the current needs of an individual in an RRP; and2) Services that:. a) Promote the individual's ability to engage and participate in appropriate community activities; andb) In a supportive environment, enable the individual to develop the daily living skills needed for independent functioning.
10.21.22.07.htm 10.21.22.07. 07 Eligibility, Screening, and Enrollment.. A. An RRP shall conduct eligibility review, screening, and enrollment according to the provisions of COMAR 10.21.21.04.B. If the RRP residence is a group home that is licensed under COMAR 10.21.04, the RRP shall admit residents according to the additional limitations outlined under COMAR 10.21.04.03B and C.
10.21.22.08.htm 10.21.22.08. 08 Evaluation and Planning Services.. A. Assessment. Within 30 days of initiation of RRP services, staff, in collaboration with the individual, shall complete an RRP assessment that includes:1) The rehabilitation service requirements noted in the PRP assessment; and. 2) An assessment of the individual's:. a) Need for RRP services;. b) Behaviors, if any, that are potentially dangerous to self or others;. c) Ability to perform basic self-care and to maintain personal safety;.
10.21.22.09.htm 10.21.22.09. 09 Residential Rehabilitation and Support Services Provided.. In addition to the provision of PRP services, the RRP program director shall ensure that:. A. RRP services support the program model outlined in Regulation .06 of this chapter;. B. Staff provide an appropriate range of services:. 1) Based on the assessment under Regulation .08A of this chapter; and. 2) In a flexible manner, as needed by the individual;. C. Appropriate staff maintain linkage, as describe
10.21.22.10.htm 10.21.22.10. 10 Discharge, Suspension, and Discontinuation of Residential Services.. A. Discharge Policy. The program director shall:. 1) Collaborate with the Administration's administrative services organization (ASO) to:. a) Arrange for discharge from the program when services are no longer authorized by the Administration's ASO; andb) Discontinue residential services to an individual whose clinical needs exceed the RRP's ability to secure the safety and welfare of the individual or others;
10.21.22.11.htm 10.21.22.11. 11 RRP Staff.. A. RRP Program Director. The PRP program director shall either:. 1) Carry out the RRP program director's duties that are delineated in this chapter; or. 2) Appoint an RRP program director with the qualifications outlined in COMAR 10.21.21.08C.. B. RRP Staff. The RRP program director shall ensure the deployment of sufficient staff to carry out the RRP:1) Model described in Regulation .06 of this chapter;. 2) Activities outlined in the individual's IRPs; and.
10.21.22.12.htm 10.21.22.12. 12 Quality Management (QM). A. In addition to the QM requirements in COMAR 10.21.17.10, annually the RRP program director shall complete and document reviews of the RRP's staff support, as described in Regulation .09D of this chapter, to evaluate the relationship between staff deployment and the:1) Number of:. a) Admissions to inpatient psychiatric facilities;. b) Visits to emergency departments; and. c) Suspensions and terminations; and. 2) Results of the program
10.21.22.9999.htm 10.21.22.9999. Administrative History Effective date:. Regulations .01―12 adopted as an emergency provision effective January 16, 1995 (21:26 Md. R. 2183) adopted permanently effective April 24, 1995 (22:8 Md. R. 596) ―Chapter revised effective November 30, 1998 (25:24 Md. R. 1774). Regulation .07B amended effective October 17, 2011 (38:21 Md. R. 1278).
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