reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-17 - PHARMACY › Section 580-2-17-.09 - Dispensing

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Prescriptions:
			 No drug will be furnished to a client unless a legal prescription is available.
			 Prescriptions must be filed in accordance with the requirements under
			 Records.
(2) Records:
(a) All prescriptions on file, invoices, and
			 records for controlled substances must be maintained for two years in order to
			 comply with state and federal laws.
(b) Prescriptions for Schedule II items must
			 be kept in a separate file.
(c) All
			 prescriptions for other controlled items other than Schedule II items may be
			 kept in a separate file or in the regular file with a red "C" stamped on the
			 bottom right face of each prescription.
(d) Medications must be recorded in the
			 Client Record on the Medication Chart shown in Part III.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-17 - PHARMACY › Section 580-2-17-.10 - Records

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Clinical
			 Records. A record of drug therapy will be maintained on all clients qualified
			 for the Indigent Drug Program. This record must be signed by the prescribing
			 physician. If the prescribing physician is not employed by the center, the
			 "Indigent Drug Authorization" must be completed and signed by the physician
			 responsible for treatment. (See
Standards for Community Mental
			 Health Center
). In addition, the Medication Chart will be part of
			 the client records.
(2) The
			 Controlled Substances Act of 1970:
(a) Every
			 pharmacy engaged in handling any controlled substances must keep complete and
			 accurate records of all receiving and dispensing transactions. All such records
			 shall be maintained for a period of two years.
(b) All inventories and records of controlled
			 substances in Schedule II must be maintained separately from all other records
			 of the pharmacy. All inventories and records of controlled substances in
			 Schedules III, IV, and V must be maintained separately or must be in such form
			 that they are readily retrievable from the ordinary business records of the
			 pharmacy.
(c) All records
			 pertaining to drugs subject to the Controlled Substances Act must be made
			 available for inspection and copying by duly authorized officials of the Drug
			 Enforcement Administration.
(d) The
			 pharmacist must take a complete separate inventory of all stocks of drugs
			 subject to the Controlled Substances Act on January 15 of each year. This
			 inventory record must be kept for a period of two years. Pharmacies are not
			 required to submit a copy of the inventory to the Drug Enforcement
			 Administration; however, a copy of this inventory signed by the pharmacist must
			 be kept in the pharmacy. The inventory must show the date taken and whether
			 taken at the opening or closing of business.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-18 - [Repealed] › Section 580-2-18-.01 - Patient Profile

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Retardation,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-18 - [Repealed] › Section 580-2-18-.02 - Indigent Drug Authorization

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Retardation,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-18 - [Repealed] › Section 580-2-18-.03 - Medication Chart

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Retardation,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-18 - [Repealed] › Section 580-2-18-.04 - Financial Statement

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Retardation,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.02 - Mission Statement

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.03 - Admissions/Transfers/Discharges

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.04 - Application For Contract

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.05 - Certification

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.06 - Dietary Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.07 - Housekeeping And Grounds

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.08 - House Rules

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.09 - Laundry

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.10 - Significant Events

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.11 - Medical Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.12 - Medication

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.13 - Monetary Issues

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.14 - Monitoring

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.15 - Personal Hygiene/Grooming/Clothing

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.16 - Recreation/Community Activity

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.17 - Reserved

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.18 - Consumer Files

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.19 - Consumer's Rights

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.20 - Consumer Responsibilities

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.21 - Supervision/Protective Oversight

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.22 - Training

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.23 - Transfer Information

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-19 - ADULT MENTAL ILLNESS FOSTER CARE FACILITY STANDARDS (REPEALED) › Section 580-2-19-.24 - Transportation

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Division of Mental Illness,
				DMH/MR
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.02 - Governing Body

Current through Register Vol. 42, No. 9, June 28, 2024
The agency shall maintain and have the following
				documents/information available for review onsite:
(1) Each agency shall have written
			 board-approved operational policies.
(2) Each agency shall have articles of
			 incorporation (or charter) and bylaws.
(3) Each agency shall have a current
			 organizational chart.
(4) Each
			 agency shall have a written mission statement that is approved by the Governing
			 Body/Board of Directors.
(5) Each
			 agency shall have in written form the responsibilities of the Governing
			 Body/Board of Directors.
(6)
			 Records/minutes of Governing Body/Board of Directors meetings shall be
			 maintained and available for review.
(7) The Governing Body/Board of Directors
			 shall assure compliance with 580-3-26, Human Rights Committee in ADMH Certified
			 Programs.
(8) The Governing
			 Body/Board of Directors shall assure compliance with applicable federal, state,
			 and local laws. Reviews by the Alabama Department of Mental Health only certify
			 compliance with Administrative Code issued by it.
(9) The Governing Body/Board of Directors
			 shall have a policy and procedure for reviewing and approving agency's policies
			 and procedures. The Governing Body/Board of Directors shall have procedures on
			 when implementation of updates to agency's policies and procedures will take
			 effect.
(10) The Governing
			 Body/Board of Directors shall ensure agency has indexed Policies and Procedures
			 Manual which shall, minimally, contain each of the required written policies,
			 procedures, practices, plans, and processes as specified by MHSA Administrative
			 Code. All policies and procedures contained within the Policies and Procedures
			 Manual shall:
(a) Obtain advisory input by the
			 programs' staff, clients, their families, and client advocates, as appropriate
			 that may be garnered from surveys, advisory committees, suggestions,
			 etc.
(b) Be consistent with ADMH
			 Mental Health and Substance Abuse Services Administrative Code relative to
			 recipient protection.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.03 - Personnel

Current through Register Vol. 42, No. 9, June 28, 2024
(1) There shall be a full-time executive director
			 who has overall responsibility for the operation of the agency. The executive
			 director shall:
(a) Have at least a master's degree
			 in Public Health, Business Administration, Public Administration, Psychology,
			 Counseling, Social Work or related field and at least five (5) years managerial
			 experience in a mental health or substance abuse treatment setting; or
(b) Have a Bachelor's Degree in Public Health,
			 Business Administration, Public Administration, Psychology, Counseling, Social Work
			 or related field and at least ten (10) years managerial experience in mental health
			 or substance abuse treatment setting.
(c) Notify MHSAS within thirty (30) days of
			 changes in Executive Director.
(d) Be
			 verified for compliance with ADMH Administrative Code by ADMH MHSAS certification
			 process.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.04 - Recipient Protection

Current through Register Vol. 42, No. 9, June 28, 2024
Recipient definition - a person with serious emotional
				disturbance, serious mental illness and/or substance use disorder served in
				program programmatically certified by ADMH.
(1) There must be written policies and
			 procedures that protect the recipient's welfare, the manner in which the
			 recipient is informed of these protections, and the means by which these
			 protections will be enforced. The legal guardian of a minor, except where the
			 minor is above the age of fourteen (14) and chooses not to involve parents
			 consistent with state law, will be given a copy of the recipient's rights and a
			 copy of the grievance policies. Documentation must exist, unless waived by a
			 minor at or above the age of fourteen (14) that demonstrates that family
			 members of a minor receive a copy of the recipient's rights, written
			 information and grievance policies. Any reference to "written" notification in
			 these rules indicates that the recipient is entitled to receive information in
			 their preferred language and manner understood by the recipient.
(2) Upon admission, and as soon as clinically
			 appropriate, recipients are informed on an individual basis concerning services
			 offered and fees for these services, with information presented in the
			 recipient's preferred language and in terms appropriate to the recipient's
			 condition and ability to understand. The program shall provide the
			 recipient/lawful representative with written notification upon admission and
			 when any changes or limitations in services or fees occur. Recipients who are
			 primarily responsible for payment of charges for services are informed in
			 writing of their eligibility for reimbursement by third party payers for
			 service rendered and assisted as needed with application.
(3) The agency shall develop, maintain, and
			 document implementation of written policies and procedures that:
(a) Describe the mechanisms utilized for
			 implementation and protection of recipient rights, which shall include at a
			 minimum:
1. Informing the recipient of his/her
			 rights at the time of admission in recipient's preferred language and in a
			 manner understood by the recipient, and as needed throughout the service
			 delivery process.
2. Providing the
			 recipient with a copy of the rights, in a medium that the recipient
			 understands, at admission and documenting this process in the recipient's
			 record.
3. Prominently posting
			 copies of the rights throughout the facility in which services are
			 provided.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.05 - Infection Control

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The entity
			 shall develop, maintain, and document compliance with a written plan for
			 exposure control relative to infectious diseases that shall, at a minimum,
			 include the following requirements:
(2)
(a) The
			 plan shall be inclusive of the entity's staff, recipients, and
			 volunteers.
(b) The plan shall be
			 consistent with protocols and guidelines established for infection control in
			 healthcare settings by the Federal Center for Disease Control, and shall at a
			 minimum include:
1. Policies and procedures to
			 mitigate the potential for transmission and spread of infectious diseases
			 within the agency.
2. All staff
			 shall be trained in infection control upon hire. Direct care staff shall be
			 trained annually thereafter.
3.
			 Risk assessment and screening of recipients reporting high risk behavior and
			 symptoms of communicable disease.
4. Procedures to be followed for recipients
			 known to have an infectious disease.
5. Provisions to offer directly or by
			 referral, as needed, to recipients who voluntarily accept the offer for
			 HIV/AIDS early intervention services to include, HIV pre-test and post-test
			 counseling and case management and referral services for medical
			 care.
6. Infection Control training
			 shall be provided as follows:
(i) Mental
			 Illness only: Residential and Day programs within ten (10) days of
			 admission.
(ii) Substance Use
			 Disorders Only: All program recipients within ten (10) days of admission and
			 annually thereafter.
7.
			 All staff shall be educated annually about TB including risk factors and signs
			 and symptoms.
8. The entity shall
			 document compliance with all laws and regulations regarding reporting of
			 communicable diseases to the Alabama Department of Public Health.
9. Substance Use Disorder Only: A formal
			 process for screening all program admissions for TB.
10. Substance Use Disorder Only: The
			 provision of HIV/AIDS, Hepatitis, STD, and TB education for all program
			 admissions either provided by the agency or by
			 referral.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.06 - Incident Management

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Each provider shall develop and implement written policies and procedures to
			 support compliance with the most recent published ADMH MHSAS Incident
			 Management Plan.
(2) The provider's
			 Incident Management Plan shall comply with all local, state and federal
			 laws.
(3) The provider shall
			 provide training for all staff prior to initiation of duties and as needed
			 thereafter on agency's policies and procedures to support compliance with the
			 most recent published ADMH MHSAS Incident Management Plan.
(4) The provider shall provide training for
			 all staff prior to initiation of duties and annually thereafter on agency's
			 policies and procedures regarding abuse and neglect.
(5) Agency staff members responsible for
			 conducting/supervising investigations shall attend training(s) as required by
			 ADMH.
Author:
Division of Mental Health and Substance
				  Abuse Services, DMH
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.07 - Performance Improvement

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The Performance Improvement (PI) System shall provide meaningful opportunities
			 for input concerning the operation and improvement of services from recipients,
			 family members, recipient groups, advocacy organizations, and advocates. The
			 provider shall operate and maintain a Performance Improvement (PI) System that
			 is designed to:
(a) Identify and assess
			 important processes and outcomes.
(b) Correct and follow-up on identified
			 problems.
(c) Analyze
			 trends.
(d) Improve the quality of
			 services provided, and to improve recipient and family satisfaction with
			 services provided.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.08 - Recipient Records

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A
			 single case file must be established for each recipient which includes any
			 clinical and case management documentation. The case file may be maintained in
			 physical or electronic format. All requirements in this section apply
			 regardless of format.
(2) If the
			 recipient is involved in more than one program, ready access to recipient
			 information necessary for the safety of the recipient, obtaining emergency
			 medical attention and coordination of services across programs shall be
			 assured.
(3) The provider
			 organization shall establish a formal system to control and manage access to
			 recipient records that shall include, at a minimum:
(a) Procedures for control and management of
			 access to paper and electronic records.
(b) Establish a system to secure recipient
			 records from unauthorized access.
(c) Designated staff position(s) responsible
			 for the storage and protection of recipient records.
(d) A process in which the location of a
			 record can be tracked and documented at all times.
(e) Identification of program personnel with
			 access to recipient records.
(f) A
			 process for providing recipients access to their records.
(g) A process for storing closed recipient
			 records and for disposing of outdated records.
(h) Recipient records shall be retained after
			 termination, discharge, or transfer of the recipient for a minimum of seven (7)
			 years.
(i) Adolescent recipient
			 records shall be retained after termination, discharge, or transfer of the
			 recipient for a minimum of seven (7) years after age of majority for
			 children/adolescents.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.09 - General Clinical Practice

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any
			 reference to "written" notification in these rules indicated that the recipient
			 is entitled to receive information in their preferred language and in a manner
			 understood by the recipient.
(2) A
			 program description shall be maintained for each level of care or program
			 provided by the agency. The program description shall include:
(a) The nature and scope of the program or
			 the level of care.
(b) Service area
			 for the program or level of care.
(c) Staffing pattern to include the number
			 and credentials of staff assigned to the program or level of care as required
			 by specific program standards.
(d)
			 Admission criteria.
(e)
			 Discharge/transfer criteria and procedures.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.10 - Mental Illness General Outpatient

Current through Register Vol. 42, No. 9, June 28, 2024
The agency shall have a program description for General Outpatient
				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) A description of the target
			 population of SMI and/or SED.
(2) Age
			 range.
(3) A description of the nature
			 and scope of the program as indicated by individual recipient needs and
			 preferences.
(4) Location of the
			 geographic service area for the program.
(5) Admission criteria.
(6) Discharge/transfer criteria and
			 procedures.
(7) As evidenced by
			 personnel records, staff are qualified to provide the services that they
			 render.
(8) Each recipient admitted for
			 treatment must be assigned to an appropriately qualified staff member or clinical
			 treatment team who has the primary responsibility for coordination/implementation of
			 the treatment plan.
(9) Recipients
			 receiving medication only shall have a registered nurse with the primary case
			 responsibility.
(10) Recipient records
			 document that there is a qualified case responsible staff member/team and that this
			 person/team implements/coordinates provision of services included in the treatment
			 plan.
(11) Outpatient services shall
			 include a variety of treatment modalities and techniques:
(a) The following modalities and techniques shall
			 be provided to be certified Outpatient Services:
1. Intake. Initial clinical evaluation of the
			 recipient's request for assistance completed by a mental health rehabilitative
			 services professional. The intake assesses psychological and social functioning,
			 recipient's reported physical and medical condition, and the need for additional
			 evaluation and/or treatment. - Key service functions shall include the following:
(i) A clinical interview with the recipient and/or
			 family members, legal guardian/lawful representative, significant other.
(ii) Screening for needed medical, psychiatric, or
			 neurological assessment as well as other specialized evaluations.
(iii) A brief mental status examination.
(iv) Review of the recipient's presenting problem,
			 symptoms, functional deficits, and history.
(v) Initial diagnostic formulation.
(vi) Development of an initial plan for subsequent
			 treatment and/or evaluation.
(vii)
			 Referral to other medical, professional, or community services as
			 indicated.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-20 - PROGRAM OPERATION › Section 580-2-20-.13 - MI Residential Services

Current through Register Vol. 42, No. 9, June 28, 2024
The agency shall have a program description for MI Residential
				services/programs. Residential setting applies to settings that provide congregate
				living and dining to recipients. 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) Staffing pattern
			 of the home consistent with staffing requirements for each type of residential
			 program certified.
(2) Type of the
			 program to include:
(a) The number of
			 beds.
(b) Services to be
			 provided.
(c) Serious mental illness
			 (SMI) or serious emotionally disturbed (SED) population served.
(d) Age range.
(e) Expected length of stay.
(f) Expected outcomes.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.01 - General Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
The standards set forth in this regulation shall apply to
				various types of non-institutional care and services located in the community.
				In addition to the requirements in this section, programs must also comply with
				all other state laws and regulations as well as with local laws and ordinances
				administered by governmental entities having local jurisdiction.
(1) No person, partnership, corporation or
			 association of persons shall operate a facility for the care or treatment of
			 any kind of mental or emotional illness or services to persons with mental
			 retardation or substance abuse services without being certified by DMH/MR
			 Commissioner.
(2) If apartments or
			 housing are operated by the provider as a residential program with on-site
			 staff supervision, then they are subject to these rules.
(3) The current certificate must be returned
			 within sixty (60) days to the Office of Certification Administration when a
			 facility closes or no longer provides services.
(4) All building addresses shall be clearly
			 displayed.
(5) DMH/MR Commissioner
			 or designee may waive standards set forth in this regulation.
Author:
DMH/MR Office of Life Safety and
				  Technical Services
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.02 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) ADA
			 Accessibility Guidelines for Buildings and Facilities (ADAAG) - Minimum
			 guidelines for accessible design.
(2) Americans With Disabilities Act (ADA)
			 -Legislation to extend civil rights protection to people with disabilities.
			 This prohibits discrimination on the basis of disability in employment, State
			 and local government services, public transportation, commercial facilities,
			 and telecommunications.
(3)
			 Authority Having Jurisdiction (AHJ) - A term commonly used in the NFPA 101 Life
			 Safety Code. Herein, this shall be the Commissioner for the Alabama Department
			 of Mental Health and Mental Retardation or his designee.
(4) Certificate - A document issued to the
			 facility engaged in the care or treatment of mental or emotional illness or
			 services to the persons with mental retardation or substance abuse services
			 indicating compliance with DMH/MR Standards. The number of persons noted on the
			 certificate for residential services includes only the number of persons
			 allowed to reside in the facility. The number of persons noted on the day
			 services certificate includes only the number of persons being
			 served.
(5) Community Residential
			 Facility (CRF) - Supervised community based facility providing Mental Illness,
			 Mental Retardation or Substance Abuse Services involving lodging, health,
			 social and daily living needs.
(6)
			 Day Services Program (MIDS, MRDS, SADS) -Community based facility providing
			 training or activities for those persons suffering from Mental Illness, Mental
			 Retardation or Substance Abuse. These facilities include activity centers, work
			 centers and outpatient centers and do not provide lodging for such
			 people.
(7) DMH/MR - The State of
			 Alabama Department of Mental Health and Mental Retardation.
(8) Existing Facility - A facility which is
			 certified by DMH/MR prior to the effective date of this regulation.
(9) New Facility - Buildings or portions of
			 buildings, new and existing, that are:
(a)
			 Being certified for the first time.
(b) Providing a different service that
			 requires a change in the type of certification.
(c) Being certified after the previous
			 provider's certification has been revoked, suspended, or after the previous
			 provider has voluntarily surrendered the certificate and the facility has not
			 continuously operated for more than 30 days.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.03 - Inspection And Right Of Entry

Current through Register Vol. 42, No. 9, June 28, 2024
Day service programs may be inspected on an annual basis and
				residential facilities may be inspected on a semi-annual basis under routine
				circumstances. For the purpose of making such inspections, the inspector may
				enter, examine, review and survey at any reasonable time, rooms and other
				structures or buildings on or adjoining the premises.
Author:
DMH/MR Office of Life Safety and
				  Technical Services
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.04 - Notification Of Fire

Current through Register Vol. 42, No. 9, June 28, 2024
It is the responsibility of each person, partnership,
				corporation or association operating a certified facility to notify the Office
				of Life Safety and Technical Services in the event of a structural fire within
				24 hours of the incident. The initial notification may be by telephone followed
				by a written notification which shall include an incident report and a copy of
				the local fire department report if such a report has been, or will be,
				prepared.
Author:
DMH/MR Office of Life Safety and
				  Technical Services
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.05 - Zoning

Current through Register Vol. 42, No. 9, June 28, 2024
Each facility type and location shall be in compliance with
				local zoning laws and be approved prior to obtaining certification of the
				facility.
Author:
DMH/MR Office of Life Safety and
				  Technical Services
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.06 - Plans and Specifications

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Plans and specifications for construction
			 of or modifications to the physical facilities for which certification will be
			 requested, or for modifications to existing certified facilities shall be
			 submitted for review. Said plans and specifications shall be prepared in
			 accordance with
Code of Ala. 1975
, Section
			 34-2-32.
(2) Plans for new construction must be
			 approved and stamped by a licensed architect and a letter certifying compliance
			 with applicable codes shall be submitted by the architect to the Office of Life
			 Safety and Technical Services before Life Safety approval is
			 considered.
Author:
DMH/MR Office of Life Safety and
				  Technical Services
Statutory Authority:
Code of Ala.
				  1975
, §
										22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.07 - Identification And Correction Of Life Safety And Technical Services Deficiencies

Current through Register Vol. 42, No. 9, June 28, 2024
The following sets forth a list of deficiencies the seriousness
				of which requires mandatory and time-limited action. Failure to take corrective
				action within the prescribed times, unless action is waived or additional time
				to correct the deficiency is granted by the DMH/MR Commissioner or designee,
				may result in immediate decertification of the violating program/facility.
				Discrepancies are listed in order of severity, greater to lesser. This list of
				discrepancies is not exclusive. Absence of a particular discrepancy from the
				following does not preclude a finding by the DMH/MR Commissioner or designee
				that any particular condition, or a combination of any such conditions, with or
				without those listed, creates a serious threat to safety or welfare requiring
				immediate action by the DMH/MR Commissioner or designee, up to and including
				immediate decertification in accordance with the provisions of the
Alabama Administrative Code,
Section
				580-3-23-.15(5).
(1)
CATEGORY "A" (24 hour repair and
			 notification required).
Any identified deficiency noted on the Office of
			 Life Safety and Technical Services inspection report requires notification of
			 correction be provided to the DMH/MR Office of Certification Administration
			 within 24 hours of identification. However, within the Commissioner's
			 discretion or his designee's discretion, additional time may be granted for
			 Category "A" deficiencies if it is determined by the Life Safety and Technical
			 Services inspectors that it would be impossible to meet the 24 hour deadline
			 (e.g. cannot get parts or labor during the required time frame), and reasonable
			 measures have been taken (e.g., if necessary, temporary relocation to another
			 facility) to protect the health and safety of residents while the deficiency is
			 being corrected. The above list may not be all inclusive.
(a) Fire Alarm System showing trouble,
			 silenced or out of service.
(b)
			 Automatic Sprinkler System out of service.
(c) No water supply or non-potable water in
			 house.
(d) If a facility, home, or
			 apartment is subject to DMH/MR certification (see
			 580-3-22-.01(8) and
			 580-3-22-.13(1)), then hot water temperature shall not exceed 120 degrees Fahrenheit. Minimum
			 hot water temperatures shall not fall below 110 degrees Fahrenheit.
(e) No electrical service in house.
(f) No heat or air causing the temperature to
			 exceed or fall below DMH/MR requirements.
(g) Sewage back-up in house or in
			 yard.
(h) In the event of a fire,
			 consumers must be moved immediately. The local fire department and DMH/MR will
			 determine when the facility is safe for occupancy.
(i) Loss of structure or roof to
			 building.
(j) Gas leakage
			 discovered at facility.
(k)
			 Agency/operators refusal to correct any of the above problems.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.12 - Substance Abuse Day Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) These minimum standards are for Substance
			 Abuse Outpatient Programs and Opiate Replacement Programs. In addition to these
			 standards, the most current edition of the NFPA 101,
Life Safety Code,
			 Business Occupancies,
International Building Code and National
			 Electrical Code shall apply.
(2)
			 The facility cannot be occupied until the Commissioner issues a Temporary
			 Operating Authority (TOA) granting temporary operating authority or
			 certification based on compliance with the DMH/MR minimum standards. The above
			 referenced facilities shall be classified by DMH/MR Minimum Physical Facility
			 Standards as Substance Abuse Day Services.
(a)
FIRE SAFETY EQUIPMENT
1. Fire alarm systems shall be installed,
			 tested and maintained in accordance with NFPA 70,
National Electrical
			 code,
and NFPA 72,
National Fire Alarm Code
where any
			 one of the following conditions exists:
(i)
			 The building is 2 or more stories in height above the level of exit
			 discharge.
(ii) The occupancy is
			 subject to 50 or more occupants above or below the level of exit
			 discharge.
(iii) The occupancy is
			 subject to 300 or more total occupants at any given time of the day.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-22 - MINIMUM STANDARDS FOR PHYSICAL FACILITIES › Section 580-3-22-.14 - Apartment Complexes

Current through Register Vol. 42, No. 9, June 28, 2024
Apartment complexes which are owned by providers shall adhere
				to the most current edition of the NFPA 101,
Life Safety Code,
				Apartment Buildings Chapter,
International Building Code and National
				Electrical Code. Plans to construct new apartment complexes shall adhere to the
				NFPA 101,
Life Safety Code, Apartment Buildings Chapter,
International Building Code and National Electrical Code. These plans will be
				reviewed by the Office of Life Safety and Technical Services.
(1)
FIRE SAFETY EQUIPMENT
(a) Apartment complex buildings shall be
			 protected throughout with an approved, supervised automatic sprinkler system
			 unless one of the following exceptions or met:
1. Exit door opening directly to the street
			 or yard at ground level from each dwelling unit.
2. Direct access to an outside stair serving
			 a maximum of two units located on the same floor from each dwelling
			 unit.
3. Direct access to an
			 interior stairs serving only that dwelling unit and separated form all other
			 portions of the building by a fire barrier having a 1 hour resistance rating
			 with no opening therein.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-23 - CERTIFICATION OF COMMUNITY PROGRAMS › Section 580-3-23-.01 - Introduction

Current through Register Vol. 42, No. 9, June 28, 2024
These regulations establish reasonable certification rules for
				community programs which provide mental health services, mental retardation
				services, and substance abuse services.
Author:
DMH/MR Office of Certification
Authority:
Code of Ala.
				1975,
§
								22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-23 - CERTIFICATION OF COMMUNITY PROGRAMS › Section 580-3-23-.02 - Statutory Authority

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The Alabama Department of Mental Health and Mental Retardation (DMH/MR) was
			 created by Alabama Acts 1965, Act 881, as codified in the
Code of
			 Ala. 1975,
Sections
			 22-50-1 through
			 22-50-90.
			 Pursuant to these provisions, the DMH/MR has the authority to establish
			 standards for all operations and activities of the State related to the
			 provision of services to persons with mental illness, mental retardation,
			 and/or substance abuse.
(2)
Code of Ala. 1975,
defines mental health services as
			 diagnosis of, prevention of, and research into the causes of all forms of
			 mental or emotional illness, including, but not limited to, alcoholism, drug
			 addiction, epilepsy or mental retardation.
(3) It is under this statutory authority that
			 the Department of Mental Health and Mental Retardation requires compliance with
			 these standards through these certification regulations by entities that hold
			 themselves out as providers of services to persons with mental illness, mental
			 retardation, and/or substance abuse in the State of Alabama.
Author:
DMH/MR Office of Certification
Authority:
Code of Ala.
				1975,
§
									22-50-11.
Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-3-23 - CERTIFICATION OF COMMUNITY PROGRAMS › Section 580-3-23-.04 - Compliance

Current through Register Vol. 42, No. 9, June 28, 2024
(1) No person,
			 partnership, corporation or association of persons shall operate a facility or
			 institution for the care or treatment of any kind of mental or emotional
			 illness or services to the mentally retarded or substance abuse services
			 without first being certified for the physical facility by the Department of
			 Mental Health and Mental Retardation or being licensed by the State Board of
			 Health.
(2) All programs after the
			 effective date of the minimum standards contained herein shall comply with said
			 standards. The Commissioner of the Department of Mental Health and Mental
			 Retardation, and those persons designated by him/her, will monitor compliance
			 with these minimum physical facility and programmatic standards.
Author:
DMH/MR Office of Certification
Authority:
Code of Ala.
				1975,
§
									22-50-11.