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10.21.26.00.htm 10.21.26.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 26 Community Mental Health Programs ― Residential Crisis Services Authority: Health-General Article, §10-901 and 10-902, Annotated Code of Maryland
10.21.26.01.htm 10.21.26.01. 01 Scope.. This chapter outlines the staffing and service requirements for a provider of residential crisis services.
10.21.26.02.htm 10.21.26.02. 02 Definitions.. A. In this chapter, terms have the meanings stated in COMAR 10.21.17 and this regulation.. B. Term Defined. "Residential crisis services (RCS) means intensive mental health and support services that are:1) Provided to a child or an adult with mental illness who is experiencing or is at risk of a psychiatric crisis that would impair the individual's ability to function in the community; and2) Designed to prevent a psychiatric inpatient admission, provide an altern
10.21.26.03.htm 10.21.26.03. 03 Approval.. The Department shall grant approval to a program to be eligible to receive State or federal funds for providing RCS if the program:A. Meets the requirements:. 1) For approval outlined in COMAR 10.21.16;. 2) For administration outlined in COMAR 10.21.17; and. 3) Of this chapter, including approval, based on the requirements for intensity of services and staffing outlined in this chapter, for one or more of the following:a) Inpatient admission prevention;.
10.21.26.04.htm 10.21.26.04. 04 Program Model.. A. A provider of RCS shall assure that services are:. 1) Therapeutic;. 2) Provided by staff who, as determined by the program, are appropriately credentialed and privileged;3) Available:. a) 24 hours per day, 7 days per week;. b) On a short-term basis, as needed to resolve an immediate crisis; and. c) At a location in the community, unless given a written exemption from the core service agency (CSA)B. A provider of RCS shall assure that services ar
10.21.26.05.htm 10.21.26.05. 05 Eligibility, Referral, Screening, and Admission.. A. Eligibility and Referral.. 1) An individual is eligible for RCS if:. a) The individual:. i) Is a participant, as described in COMAR 10.21.25.01D(2) in the public mental health system;. ii) Has a diagnosis that is listed in COMAR 10.09.70.02;. iii) Due to acute symptomatology related to the individual's psychiatric condition, has impaired ability to function within the individual's community living situation and is
10.21.26.06.htm 10.21.26.06. 06 Evaluative Services.. A. Initial Evaluation. Before the development of the individual treatment plan (ITP) an individual entitled under Health Occupations Article, Annotated Code of Maryland, to render a psychiatric diagnosis shall conduct a face-to-face evaluation with the individual, and, if the individual is a child, with the child's primary caretaker, to:1) Describe the presenting problem and history of present illness;.
10.21.26.07.htm 10.21.26.07. 07 Treatment Planning and Evaluation.. A. Individual Treatment Plan (ITP). 1) Treatment Team. At a minimum the following shall participate as members of an individual's RCS program treatment team:a) The designated treatment coordinator;. b) Relevant RCS staff providing services to the individual; and. c) When available, relevant staff from other agencies currently providing services to the individual.2) Individual Treatment Plan. Within 24 hours of placement in an RCS progra
10.21.26.08.htm 10.21.26.08. 08 Required Staff.. A. The program director shall ensure that the RCS staff is sufficient in numbers and qualifications to carry out the program's service goals and includes, at a minimum, the staff identified in this regulation and Regulations .09―11 of this chapter.B. Program Director. The governing body shall employ a program director who:. 1) As determined by the governing body, has sufficient qualifications, knowledge, and experience to execute the duties of the position;
10.21.26.09.htm 10.21.26.09. 09 Staff Support and Mental Health Services ― Inpatient Admission Prevention.. A. Staff Support. The program director shall assure that the program:. 1) Has at least one staff person on duty at all times that a resident is present in the RCS facility;2) Has the capacity for and, when required by an individual's ITP, provides 24-hour awake staff support;3) Has the capacity for 1:4 coverage and, when required by an individual's ITP, provides 1:4 coverage; and
10.21.26.10.htm 10.21.26.10. 10 Staff Support and Mental Health Services ― Inpatient Admission Alternative.. A. Staff Support. The program director shall ensure:. 1) That sufficient staff are on duty at all times to relate to the expected clinical needs of the individuals in the residence; and2) At a minimum:. a) The provision of at least one on-site, awake staff for every four individuals receiving RCS or, if a child is in the residence, one staff for every three individuals;b) The availability, base
10.21.26.11.htm 10.21.26.11. 11 Staff Support and Mental Health Services ― Treatment Foster Care.. A. Staff Support. The RCS program director shall assure that:. 1) RCS mental health professional staff provides, to the foster care provider, specialized training in mental health crisis recognition, management, and intervention, before placing any individuals in the foster home; and2) The RCS program has the capacity to provide staff to deliver, in the foster home, on an emergency basis:
10.21.26.12.htm 10.21.26.12. 12 Transition and Discharge.. A. Discharge Policy. The program director shall:. 1) Collaborate with the Administration's ASO to:. a) Arrange for discharge from the program when services are no longer authorized by the Administration's ASO; andb) Make recommendations for referral for alternative services for an individual for whom the program's services are not appropriate; and2) Maintain clearly written policies and procedures for:. a) Transition services;.
10.21.26.9999.htm 10.21.26.9999. Administrative History Effective date: December 28, 1998 (25:26 Md. R. 1926). Regulation .02B amended as an emergency provision effective June 1, 2007 (34:13 Md. R. 1149) amended permanently effective August 13, 2007 (34:16 Md. R. 1432)Regulation .03C amended as an emergency provision effective June 1, 2007 (34:13 Md. R. 1149) amended permanently effective August 13, 2007 (34:16 Md. R. 1432)
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