Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.11 - Mental Illness Outreach Services

Current through Register Vol. 42, No. 9, June 28, 2024
The agency shall have a separate program description for each
				Outreach Service/program. The program description shall include all requirements per
				580-2-20-.09(2) (a-e) General Clinical Practice and the program(s) criteria as
				follows:
(1)
Adult Case
			 Management.
(a) A description
			 of the target population of erious mental illness (SMI).
(b) Age range.
(c) Nature and scope of the program, as indicated
			 by the individual recipient needs and preferences.
(d) Location of the geographic services area for
			 the program.
(e) Specifies that the
			 program is staffed by qualified individuals whose primary job function is case
			 management.
(f) Admission
			 criteria.
(g) Discharge/transfer
			 criteria/procedures.
(h) The following
			 services shall be delivered within the program:
1.
			 Recipient Needs Assessment - A Case Management provider performs a written
			 comprehensive assessment of the recipient's assets, deficits, and needs. The
			 completed assessment shall be maintained in the recipient's file. The case
			 management provider gathers the following information:
(i) Identifying information.
(ii) Socialization and recreational
			 needs.
(iii) Training needs for
			 community living.
(iv) Vocational
			 needs.
(v) Physical needs.
(vi) Medical care concerns.
(vii) Social and emotional status.
(viii) Housing and physical environment.
(ix) Resource analysis and planning.
2. Case Planning - The development of a
			 systematic, recipient-coordinated Plan of Care (POC) that:
(i) Lists the recipient's needs, strengths, and
			 goals.
(ii) Lists the actions required
			 to meet the identified needs of the recipient.
(iii) Is based on the needs assessment and is
			 developed through a collaborative process involving the recipient, their family or
			 other support system and the case manager.
(iv) Is completed in conjunction with the needs
			 assessment within the first thirty (30) days of contact with the recipient and every
			 six (6) months thereafter as long as the recipient is receiving case management
			 services.
(v) Is approved by the
			 supervisor.
3. Service
			 arrangement - Through linkage and advocacy, the case manager coordinates contacts
			 between the recipient and the appropriate person or agency. These contacts may be
			 face-to-face, phone calls, or electronic communication.
4. Social Support - Through interviews with the
			 recipient and significant others, the case manager determines whether the recipient
			 possesses an adequate personal support system. If this personal support system is
			 inadequate or nonexistent, the case manager assists the recipient in expanding or
			 establishing such a network through advocacy and linking the recipient with
			 appropriate persons, support groups, or agencies.
5. Reassessment and Follow-up - Through interviews
			 and observations, the case manager evaluates the recipient's progress toward
			 accomplishing the goals listed in the case plan at intervals of six (6) months or
			 less. In addition, the case manager contacts persons or agencies providing services
			 to the recipient and reviews the results of these contacts, together with the
			 changes in the recipient's needs shown in the reassessments and revises the case
			 plan if necessary.
6. Monitoring - The
			 case manager determines what services have been delivered and whether they
			 adequately meet the needs of the recipient. The POC may require adjustments as a
			 result of monitoring.
(i)
			 Adult Case Management Services must be provided by a staff member with a bachelor's
			 degree and who has completed a DMH approved Case Manager Training Program. Case
			 managers who work with consumers who are deaf must complete training focusing on
			 deafness and mental illness by DMH Office of Deaf Services.
(j) Adult Case Management Services for consumers
			 who are deaf or who have limited English proficiency must be provided in a
			 linguistically appropriate manner by staff proficient in the consumer's preferred
			 language, or through the use of a qualified interpreter. Proficient in American Sign
			 Language is defined as having at least an Intermediate Plus level on the Sign
			 Language Proficiency Interview.
(k)
			 Adult Case Management Services are supervised by either a staff member who has a
			 master's degree and who has successfully completed an ADMH approved case management
			 supervisor training program, or bachelor's degree with three (3) years mental health
			 case management experience who has successfully completed an ADMH approved case
			 management training program.
(l) Case
			 Managers must possess a valid current driver's license.
(m) Most Case Management Services and activities
			 will occur on an outreach basis.
(n) The
			 following documentation and/or forms are required and must be readily identifiable
			 in the recipient's record:
1. Completed Needs
			 Assessment using an ADMH approved assessment tool.
2. Plan of Care.
3. Progress/Service Notes - Notation by Case
			 Manager of date, service duration, nature of service, and Case Manager's signature
			 for each contact with the recipient or collateral.
4. Documentation that communication access has
			 been provided for recipients who are deaf or who have limited English
			 proficiency.
5. The use of family
			 members to interpret is discouraged due to the possibility of conflicts of interest.
			 If family members are used to interpret, this shall be noted on the waiver. Family
			 members under the age of eighteen (18) cannot be used as interpreters.
6. Programming will be modified to provide
			 effective participation for all recipients who are deaf.
(o) Authorization and consent forms as necessary
			 to carry out case plans.