Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-71 - TRAUMATIC BRAIN INJURY FACILITIES › Rule 111-8-71-.11 - Treatment and Rehabilitative Care

Current through Rules and Regulations filed through June 27, 2024
A facility shall provide one or two levels of treatment and
				  rehabilitative care. These are:
(a)
				Transitional Living. Such treatment and rehabilitative care shall be delivered
				to clients that require education and training for independent living with a
				focus on compensating for skills that cannot be restored. Such care prepares
				clients for maximum independence, teaches necessary skills for community
				interaction, works with clients on pre-vocational and vocational training, and
				stresses cognitive, speech, and behavioral therapies structured to the
				individual needs of clients.
1. Management of
				clients shall be provided by a program manager who shall be a rehabilitation
				professional with two years experience in the care or treatment of traumatic
				brain injured persons. The program manager shall be a full-time staff member
				with specialized education, training, and skill in rehabilitation.
2. Individual case management shall be
				provided by the program manager or other professional staff member such as
				occupational therapist, physical therapist, rehabilitation nurse, or social
				worker.
3. The following
				specialized services shall be provided, or arranged for by written agreements
				or contracts. Such services shall be delivered by professionals licensed by
				applicable existing Examining Boards of the Joint Secretary for Examining
				Boards of the Georgia Secretary of State.
(i)
				Occupational Therapy;
(ii)
				Psychology;
(iii) Physical Therapy;
				and
(iv) Speech-Language
				Therapy.
4. Based on the
				needs of the client's and the facility's stated continuum of treatment and
				rehabilitative care, the facility shall provide, arrange for, or assist clients
				to obtain the following services:
(i)
				Audiology;
(ii)
				Chaplaincy;
(iii) Cognitive
				Rehabilitative Therapy;
(iv)
				Dentistry;
(v)
				Dietetics/Nutrition;
(vi) Driver
				Education;
(vii) Family
				Therapy;
(viii)
				Neuropsychology;
(ix) Nursing,
				including administration of medications if necessary;
(x) Orthotics;
(xi) Pharmaceuticals, including monitoring
				and safe storage of medications;
(xii) Physician;
(xiii) Prosthetics;
(xiv) Rehabilitation Engineer;
(xv) Respiratory Therapy;
(xvi) Social Work;
(xvii) Therapeutic Recreation; and
(xviii) Vocational Rehabilitation.
5. Coordinated services listed in
				subparagraph 3. and 4. above shall be provided to a client for at least five
				hours per weekday. Provision of such services shall be in accordance with the
				client's plan of care and cognitive and/or physical condition.
6. Twenty-four hour per day supervision for
				clients in the facility shall be provided by the program manager, professional
				rehabilitation staff, or other direct care rehabilitation staff at a ratio of 1
				staff: 8 clients. Staff shall be available to respond to the needs of clients
				placed in an independent living arrangement, or outside the facility for
				employment or unsupervised activities.