2023 New York Laws › MHY - Mental Hygiene › Title E - General Provisions › Article 36 - Addiction and Mental Health Services and Supports › 36.01 - Crisis Stabilization Centers.

§ 36.01 Crisis stabilization centers.
(a)  (1)  The  commissioners  are authorized to jointly license crisis
stabilization centers subject to the availability of state  and  federal
funding.
(2)  A  crisis  stabilization  center  shall  serve as a voluntary and
urgent service provider for persons  at  risk  of  a  mental  health  or
substance  abuse  crisis  or  who are experiencing a crisis related to a
psychiatric and/or substance use disorder that are  in  need  of  crisis
stabilization  services.  Each crisis stabilization center shall provide
or contract  to  provide  person  centered  and  patient  driven  crisis
stabilization  services  for  mental health or substance use twenty-four
hours per day, seven days per week, including but not limited to:
(i) Engagement, triage and assessment;
(ii) Continuous observation;
(iii) Mild to moderate detoxification;
(iv) Sobering services;
(v) Therapeutic interventions;
(vi) Discharge and after care planning;
(vii) Telemedicine;
(viii) Peer support services; and
(ix) Medication assisted treatment.
(3) The commissioners shall require each crisis  stabilization  center
to  submit a plan. The plan shall be approved by the commissioners prior
to the issuance of a license pursuant to this article. Each  plan  shall
include:
(i) a description of the center's catchment area,
(ii) a description of the center's crisis stabilization services,
(iii)  agreements or affiliations with hospitals as defined in section
1.03 of this chapter,
(iv)  agreements  or  affiliations  with  general  hospitals  or   law
enforcement to receive persons,
(v)  a  description  of  local  resources  available  to the center to
prevent unnecessary hospitalizations of persons,
(vi)  a  description  of  the  center's  linkages  with  local  police
agencies,  emergency  medical  services,  ambulance  services  and other
transportation agencies,
(vii) a description of local resources  available  to  the  center  to
provide  appropriate  community mental health and substance use disorder
services upon release,
(viii)  written  criteria  and  guidelines  for  the  development   of
appropriate  planning for persons in need of post community treatment or
services,
(ix) a statement indicating that the center has been  included  in  an
approved  local services plan developed pursuant to article forty-one of
this chapter for each  local  government  located  within  the  center's
catchment area; and
(x) any other information or agreements required by the commissioners.
(4)  Crisis  stabilization  centers  shall  participate  in county and
community planning activities annually, and as additionally  needed,  in
order  to  participate  in local community service planning processes to
ensure, maintain, improve or develop community services that demonstrate
recovery outcomes. These outcomes  include,  but  are  not  limited  to,
quality  of  life,  socio-economic  status,  entitlement  status, social
networking, coping skills and reduction in use of crisis services.
(b)  Each  crisis  stabilization  center  shall  be  staffed  with   a
multidisciplinary  team  capable  of  meeting  the  needs of individuals
experiencing all levels of crisis in the community, which shall include,
but not be limited to, at least one psychiatrist  or  psychiatric  nurse

practitioner,  a  credentialed  alcoholism and substance abuse counselor
and one peer support specialist on duty and available at all times.
(c)  The  commissioners  shall promulgate regulations necessary to the
operation of such crisis stabilization centers.
(d) Where a crisis stabilization center has been established prior  to
the  effective  date  of this article, the previously established center
may be issued a license where the provider can  demonstrate  substantial
compliance  with  minimum crisis service standards necessary for patient
safety and program efficacy.
(e) For the purpose of addressing unique rural service delivery  needs
and conditions, the commissioners shall provide technical assistance for
the  establishment  of  crisis  stabilization centers otherwise approved
under the provisions of this section, including technical assistance  to
promote  and facilitate the establishment of such centers in rural areas
in the state or combinations of rural counties.
(f)  The  commissioners  shall  develop  guidelines  for   educational
materials  to  assist  crisis  stabilization  centers in educating local
practitioners, community mental health  and  substance  abuse  programs,
hospitals,  law  enforcement  and  peers.  Such  materials shall include
appropriate education relating  to  de-escalation  techniques,  cultural
competency,  the  recovery  process,  mental  health, substance use, and
avoidance of aggressive confrontation.
(g) Within the amounts appropriated, the commissioners  shall  arrange
for  appropriate training to law enforcement entities, first responders,
including but not limited to firefighters and emergency medical services
personnel,  and  any  other   entities   deemed   appropriate   by   the
commissioners,   located   within   the   catchment  area  of  a  crisis
stabilization center. The training may include but not  be  limited  to:
(1)  crisis intervention team training; (2) mental health first aid; (3)
implicit bias training; and (4) naloxone training. Such training may  be
provided  in  an electronic format or other format as deemed appropriate
by  the  commissioners.  The  commissioners   may   contract   with   an
organization  with the knowledge and expertise in providing the training
required under this subdivision.