Operational Standards For Mental Health, Intellectual ...

1 Operational Standards For Mental Health, Intellectual /Developmental Disabilities, And Substance Use Disorders Community Service Providers Effective July 1, 2016 Mississippi Department of Mental Health Diana S. Mikula Executive Director 1101 Robert E. Lee Building Jackson, Mississippi (601) 359-1288 Contents Title 24: Mental Health 1 Part 2: Operational Standards for Mental Health, Intellectual /Developmental Disabilities, and Substance Use Disorders Community Service Providers 1 Part 2: Chapter 1: Certification Responsibilities of the Mississippi Department of Mental Health 1 Rule Repeal of Prior Rules 1 Rule Legal Authority 1 Part 2: Chapter 2: Certification 3 Rule DMH Provider Certification Types 3 Rule Fees 4 Rule DMH Provider Certification for New Service Providers 4 Rule DMH Provider Certification of New or Additional Services 5 Rule DMH Certification Criteria 6 Rule Certification Reviews 7 Rule DMH Written Reports of Findings 8 Rule Plan of Compliance 8 Rule Administrative Suspensions or Termination of Certification 9 Part 2: Chapter 3.

2 Service Options 11 Rule Core Services for DMH/C and DMH/P Providers 11 Rule Intellectual /Developmental Disabilities Waiver Services 12 Rule IDD Community Support Program Services 13 Part 2: Chapter 4: Certificates of Operation 14 Rule Certificates of Operation 14 Part 2: Chapter 5: Waivers 15 Rule Waivers of DMH Standards 15 Part 2: Chapter 6: Appeals 17 Rule Appeals Related to Certification 17 Rule procedures for Appeal 17 Part 2: Chapter 7: General Related to Certification 21 Rule Access 21 Rule Technical Assistance 21 Rule Changes to be Reported to DMH 21 Part 2: Chapter 8: Organization and Management 23 Rule Governing Authority 23 Rule Annual Review by Governing Authority 23 Rule Regional MH/IDD Commissions 24 Rule Policies and procedures Manual 25 Rule Annual Operational Plans 25 Part 2: Chapter 9: Quality Assurance 27 Part 2: Chapter 10: Fiscal Management 29 Rule Compliance 29 Rule Annual Budget 29 Rule Fiscal Management System 29 Rule Financial Statements 29 Rule Accounting Systems 30 Rule Purchasing 31 Rule Policies 31 Rule Community Mental Health Centers (DMH/C Providers) 32 Rule Generated Income 33 Part 2: Chapter 11: Human Resources 35 Rule Personnel Policies and procedures 35 Rule Personnel Records 36 Rule General Qualifications 37 Rule Qualifications for Behavior Support and Crisis Intervention Provided through the ID/DD Waiver 41 Rule Qualifications for Providers of Substance Use Disorders Services 41 Rule Qualifications for Programs of Assertive Community Treatment (PACT) 43 Rule Multidisciplinary Staff at DMH/C and DMH/P Providers 44 Part 2: Chapter 12.

3 Training/Staff Development 45 Rule General Orientation 45 Rule Staff Training Plans 46 Rule Continuing Education Plans 46 Rule Required Components of Staff Training Plans and Continuing Education Plans 47 Rule Skills and Competencies 48 Part 2: Chapter 13: Health and Safety 49 Rule Compliance 49 Rule Local Fire, Health and Safety Codes 49 Rule Exits 50 Rule Safe and Sanitary Conditions 52 Rule Accessibility 54 Rule Stairs 55 Rule Transportation of Individuals Receiving Services 55 Rule Medication Control and First Aid Kits 56 Rule Disaster Preparedness and Response 57 Part 2: Chapter 14: Rights of Individuals Receiving Services 61 Rule Rights of Individuals Receiving Services 61 Rule Staff Roles in Protecting Rights of Individuals Receiving Services 63 Rule Ethical Conduct 64 Rule Limited English Proficiency Services and Cultural Competency 65 Rule Local Grievance Policies and procedures 66 Rule Use of Restraints 67 Rule Time-Out 69 Rule Search and Seizure 70 Part 2: Chapter 15: Serious Incidents 73 Rule Serious Incidents to Report to DMH Within Twenty-Four (24) Hours of Incident 73 Rule Serious Incidents to Report to DMH Within Eight (8) Hours of Discovery or Notification of Incident 74 Rule Policies and procedures for Serious Incidents 74 Rule Written Analyses of All Serious Incidents 75 Part 2: Chapter 16.

4 Service Organization 77 Rule Determinations of Serious Emotional Disturbance (SED), Serious Mental Illness (SMI), and/or Intellectual /Developmental Disability (IDD) 77 Rule Admission to Services 78 Rule Discharge and Termination 79 Rule Program Postings 80 Rule Service and Program Design 80 Rule Staffing 82 Rule Confidentiality 82 Rule Case Record Management 84 Rule Assessment 85 Part 2: Chapter 17: Individual Planning of Treatment, Services and Supports 89 Rule Individual Plans 89 Rule Development of Individual Plans 89 Part 2: Chapter 18: Targeted Case Management Services 93 Rule Targeted Case Management Activities 93 Rule Provision of Mental Health Targeted Case Management Services 93 Rule Provision of IDD Targeted Case Management Services 93 Part 2: Chapter 19: Crisis Services 95 Rule Crisis Response Services 95 Rule Crisis Response Services Staffing Requirements 97 Rule Crisis Response Service Coordination 98 Rule Crisis Response Services Documentation Requirements: 99 Rule Crisis Stabilization Services Crisis Stabilization Units 99 Rule Environment and Safety for Crisis Stabilization Units 103 Rule Crisis Stabilization Unit Orientation 105 Rule ID/DD Waiver Crisis Intervention Services 108 Rule ID/DD Waiver Crisis Support Services 110 Part 2: Chapter 20: Community Support Services 111 Rule Community Support Services General 111 Rule Community Supports for Adults with SMI 113 Rule Community Support Services for Children/Youth with SED 113 Rule Community Support Services for Individuals with Intellectual /Developmental Disabilities Adults and Children 113 Part 2: Chapter 21: Psychiatric/Physician Services 115 Rule Psychiatric/Physician Services 115 Part 2.

5 Chapter 22: Outpatient Therapy Services 117 Rule Psychotherapeutic Services 117 Rule Intensive Outpatient Psychiatric Services for Children/Youth with SED 118 Rule Intensive Outpatient Programs for Adults with a Substance Use Disorder 119 Rule Intensive Outpatient Programs for Adolescents with a Substance Use Disorder 120 Part 2: Chapter 23: Acute Partial Hospitalization Services for Children with SED, Adults with SMI and Partial Hospitalization Programs for Adults or Children with Substance Use Disorders 123 Rule Acute Partial Hospitalization Services to Children with SED or Adults with SMI 123 Rule Partial Hospitalization Program for Individuals with Substance Use Disorders 124 Part 2: Chapter 24: Day Programs and Employment Related Programs for Adults with SMI 127 Rule Psychosocial Rehabilitation Services 127 Rule Senior Psychosocial Rehabilitation Services 129 Rule Training Requirements for Senior Psychosocial Rehabilitation Services 130 Rule Supported Employment Services for SMI 131 Rule Staffing Requirements for Supported Employment for SMI 131 Rule Supported Employment for SMI Service Requirements 132 Part 2: Chapter 25: Day Services for Individuals with Alzheimer s and Other Dementia 137 Rule Alzheimer s Day Services 137 Rule Alzheimer s Day Programs 137 Rule Alzheimer s Respite Program 140 Part 2: Chapter 26: Day Programs for Children/Youth with SED 143 Rule Day Treatment Services- General 143 Rule Day Treatment Services for Pre-K 146 Part 2: Chapter 27.

6 IDD Day and Employment-Related Programs 149 Rule Day Services Adult 149 Rule Community Respite 151 Rule Prevocational Services 152 Rule Job Discovery 154 Rule Supported Employment for IDD 156 Rule Work Activity Services 160 Rule Day Habilitation for IDD Community Support Program 162 Part 2: Chapter 28: Community Living Services for Individuals with SMI 165 Rule Supervised Living for SMI Service Components 165 Rule Environment and Safety for Supervised Living for SMI 167 Rule Supported Living for SMI Service Components 170 Rule Supported Living Services for SMI Environment and Safety 171 Part 2: Chapter 29: Community Living Services for Children and Youth with SED 173 Rule All Community Living Services for Children/Youth with SED 173 Rule Therapeutic Foster Care for Children/Youth with SED 174 Rule Therapeutic Group Homes for Children and Youth with SED 176 Rule Community Living Handbook 177 Part 2: Chapter 30: Supervised Living for Individuals with IDD 181 Rule Supervised Living Services for IDD Service Components 181 Rule Environment and Safety for Supervised Living for IDD 184 Rule ID/DD Waiver Host Homes 187 Rule Supported Living Services for IDD Service Components 189 Rule Supported Living for IDD Environment and Safety 191 Rule Shared Supported Living for IDD Service Components 192 Rule Shared Supported Living for IDD Environment and Safety 193 Part 2: Chapter 31: Community Living Services Individuals with Substance Use Disorders 197 Rule General Community Living for Individuals with Substance Use Disorders 197 Rule Substance Use Disorders Community Living Handbook 197 Rule Animals/Pets on the Premises 199 Rule Transitional Residential Services 199 Rule Primary Residential Services 200 Rule Environment and Safety for Primary and Transitional Residential Services 201 Part 2.

7 Chapter 32 Programs of Assertive Community Treatment (PACT) 205 Rule Service Components of Programs of Assertive Community Treatment (PACT) 205 Rule PACT Staffing 205 Rule PACT Admissions and Discharge 207 Rule PACT Contacts 208 Rule PACT Staff Communication and Planning 209 Rule PACT Staff Supervision 211 Rule PACT Required Services 211 Rule PACT Stakeholder Advisory 216 Part 2: Chapter 33: Adult Making A Plan (AMAP) Teams 217 Rule AMAP General Requirements 217 Rule Access to AMAP Teams 218 Part 2: Chapter 34: Access to Inpatient Care 219 Rule Referral 219 Rule Pre-Evaluation Screening and Civil Commitment 219 Part 2: Chapter 35: Designated Mental Health Holding Facilities 221 Rule Designation 221 Rule Policies and procedures 221 Rule Staff Training 222 Rule Environment and Safety 223 Rule Clinical Management 224 Rule Dignity of Individuals 225 Part 2: Chapter 36: Consultation and Education Services 227 Rule Written Plan 227 Rule Target Populations 227 Part 2: Chapter 37: Prevention/Early Intervention for SED 229 Rule Service Design 229 Rule Strategies 229 Rule Documentation 230 Part 2: Chapter 38: Family Support and Education Services 231 Rule Service Design 231 Part 2: Chapter 39: Making A Plan (MAP) Teams 233 Rule Service Design 233 Rule Access to MAP Teams 233 Part 2: Chapter 40: Respite Care for Children/Youth with an SED 235 Rule Service Design 235 Rule Policies and procedures 235 Rule Information to Parents/Legal Representatives 236 Part 2: Chapter 41: Wraparound Facilitation 237 Rule Service Design 237 Rule Wraparound Activities 238 Part 2: Chapter 42: Peer Support Services 239 Rule Service Design 239 Rule Activities 240 Part 2: Chapter 43.

8 Early Intervention and Child Development Services for Children with a Developmental Delay 241 Rule All Early Intervention and Child Development Services 241 Rule Programs Working with First Steps Early Intervention Programs (FSEIP) 242 Rule Child Development Services 243 Part 2: Chapter 44: ID/DD Waiver Support Coordination Services 245 Rule General 245 Rule Support Coordination Activities 245 Part 2: Chapter 45: ID/DD Waiver In-Home Respite Services 249 Rule General 249 Rule Family Members as Providers of In-Home Respite 249 Rule In-Home Nursing Respite 250 Part 2: Chapter 46: ID/DD Waiver Behavior Support Services 253 Rule General 253 Rule Role of the Behavior Consultants 254 Rule Role of the Behavior Specialist 254 Rule Provision of Behavior Support In Conjunction with Other Services 255 Part 2: Chapter 47: ID/DD Waiver Home and Community Supports (HCS) 257 Rule General 257 Rule Family Members as Providers of HCS 258 Part 2: Chapter 48 ID/DD Waiver Transition Services 259 Rule General 259 Rule Expenditures for Transition Assistance 259 Part 2: Chapter 49: All Substance Use Disorders Prevention and Treatment Services 261 Rule General 261 Rule HIV and Tuberculosis (TB) Risk Assessment and Testing 262 Rule Education Regarding HIV, TB, STDs 263 Rule Service to Pregnant Women 264 Rule Services to Individuals Who Use IV Drugs 265 Rule DUI Convictions 265 Part 2: Chapter 50: Withdrawal Management Services 267 Rule General 267 Rule Staffing and Observation 268 Part 2: Chapter 51: Substance Use Disorder Recovery Support Services 271 Rule General 271 Rule Availability of Recovery Support Services 271 Rule Policies and procedures 272 Rule Contacts 272 Part 2: Chapter 52.

9 Substance Use Disorder Prevention Services 275 Rule General 275 Part 2: Chapter 53: DUI Diagnostic Assessment Services for Second and Subsequent Offenders 277 Rule 277 Part 2: Chapter 54: Opioid Treatment Services 279 Rule General Related to Opioid Treatment Programs 279 Rule Staffing for Opioid Treatment Programs 279 Rule Admissions to Opioid Treatment Programs 280 Rule Opioid Treatment Program Services 282 Rule Medication Management for Opioid Treatment Programs 287 Rule Withdrawal Management 293 Rule Diversion Control 295 Rule Multiple Enrollments 295 Part 2: Chapter 55: Glossary 297 1 Title 24: Mental Health Part 2: Operational Standards for Mental Health, Intellectual /Developmental Disabilities, and Substance Use Disorders Community Service Providers Part 2: Chapter 1: Certification Responsibilities of the Mississippi Department of Mental Health Rule Repeal of Prior Rules Upon their effective date, these rules and regulations supersede and repeal all previous versions of the Operational Standards for Mental Health, Intellectual /Developmental Disabilities, and Substance Use Disorders Community Service Providers.

10 Source: Section 41-4- 7 of the Mississippi Code, 1972, as amended Rule Legal Authority A. The State of Mississippi vested standard-setting authority in the DMH through Section 41-4- 7 of