reglab/statecodes huggingface dataset:
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.08 - Records

Current through Rules and Regulations filed through June 27, 2024
(1) Confidentiality. All client records shall be confidential and shall be maintained and disclosed in accordance with the provisions of Volume 42 of the Code of Federal Regulations, 42 Part 2,"Confidentiality of Alcohol and Drug Abuse Patient Records," now and hereafter amended, as well as the Health Insurance Portability and Accountability Act of 1996 and attendant privacy and security regulations, as now and hereafter amended.
(2) Transfer of Records,
(a) DUI Alcohol or Drug Risk Reduction Screening Instrument. DUI alcohol or drug risk reduction programs shall transfer a copy of the results of the screening instrument to the clinical evaluator designated by the offender within five business days of the receipt by the risk reduction program of an authorization for disclosure of information in a format acceptable to the department and signed by the offender. The screening instrument may not be transferred to more than two clinical evaluators without the prior approval of the department. Programs may charge a transfer fee up to $10.00 for each transfer.
(b) Clinical Evaluation Results. Clinical evaluators shall transfer a copy of the results of the clinical evaluation to the treatment provider designated by the client within seven days of the receipt by the clinical evaluator of an authorization for disclosure of information in a format acceptable to the department and signed by the offender.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.09 - Client Contracts

Current through Rules and Regulations filed through June 27, 2024
Clinical evaluators and treatment providers shall enter into written contracts with clients for the provision of clinical evaluations and substance abuse treatment services respectively. Original contracts shall be maintained for a period of six years from the date of execution. All contract formats shall be approved by the department and shall contain all information and provisions required by the department. A copy of the completed contract shall be furnished to the client prior to the delivery of services.
O.C.G.A, Sec. 37-7-2.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.10 - Treatment/Enrollment Forms for Multiple of Habitual Offenders

Current through Rules and Regulations filed through June 27, 2024
Pre-numbered treatment/enrollment forms shall be supplied to treatment providers by the department. Treatment providers are responsible for completing the form relating to clinical evaluation and enrollment in treatment and providing the completed form to the client. These forms are the property of the department and treatment providers are responsible for the security of the forms and for ensuring that the information on the forms is complete and accurate.
(a)
Requests for Treatment/Enrollment Forms.
Upon written request of a treatment provider, the department will send treatment/enrollment forms within two weeks to the treatment provider's mailing address currently on file with the department.
(b)
Security of Treatment/Enrollment Forms.
Each treatment/enrollment form shall be maintained in a secure location until it is issued to the client. Each treatment provider must be able to account at all times for each treatment enrollment form issued. If any treatment/enrollment form is believed to be stolen, the treatment provider shall immediately upon' discovery file a police report. In addition, if any treatment/enrollment form is believed to be lost or stolen, the treatment provider shall notify the department orally within one business day following the discovery of the loss or theft. The treatment provider must then follow up in writing to the department within 48 hours of discovery; of the loss or theft.
(c)
Electronic Transmittal of Treatment/Enrollment Forms.
The department may implement the issuance of treatment/enrollment forms by electronic means, providing for direct and secure electronic transmittal of treatment enrollment forms to the Department of Driver Services.
(d)
Falsifying or Altering Treatment/Enrollment
Forms.-
Treatment/enrollment forms are official state documents which under some circumstances can be used to obtain a probationary driver's license or, for driver's license reinstatement. Pursuant to Title 16 of the Georgia' Code it is a crime to knowingly falsify, alter or fraudulently use an official document or certificate.
O.C.G.A. Secs. 16-10-8, 16-10-20, 37-7-2.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.11 - Certificates of Treatment Completion

Current through Rules and Regulations filed through June 27, 2024
Pre-numbered certificates of treatment completion shall be supplied to treatment providers by the department. These certificates are the property of the department and treatment providers are responsible for each certificate of completion. Upon completion of treatment, treatment providers shall issue a certificate of treatment completion to the client. All information provided on the certificate must be complete and accurate. No certificate of treatment completion may be issued to a client prior to completion of treatment. Clients may be required to pay all treatment fees prior to receiving a certificate of treatment completion.
(a)
Requests for Certificates of Treatment Completion.
Upon written request of a treatment provider, certificates of treatment completion will be sent within two weeks to the provider mailing address currently on file with the department.
(b)
Security of Certificates of Treatment Completion.
Each certificate shall be maintained in a secure location until it is issued to the client. Each treatment provider shall be able to account at all times for each certificate issued to it. If any certificate is believed to be stolen, the provider shall immediately upon discovery, file a police report. In addition, if any certificate is believed' to be lost or stolen, the provider shall notify the department orally no later than the end of the next business day following the discovery of the loss or theft. The provider shall then follow up in writing to the department within 48 hours of the discovery of the loss or theft.
(c)
Replacement Certificates.
Treatment providers may provide a client with a new certificate of treatment completion for certificates that are lost or destroyed. The cost may not exceed $15.00 to the client.
(d)
Electronic Transmittal of Certificates of Treatment Completion.
The department may implement the issuance of certificates of treatment completion by electronic' means, providing for direct and secure electronic transmittal of certificates of treatment completion to the Department of Driver Services.
(e)
Falsifying or Altering Certificates.
Certificates of treatment completion and replacement certificates are official state documents which can be used for driver's license reinstatement. Pursuant to Title 16 of the Georgia Code, it is a crime to knowingly alter, falsify or fraudulently use an official document or certificate.
O.C.G.A. Secs. 16-10-8, 16-10-20, 37-7-2.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.12 - Inspections and Investigations

Current through Rules and Regulations filed through June 27, 2024
The department is authorized to inspect the records and facilities of clinical evaluators and treatment providers in order to verify compliance with these rules. Clinical evaluators, treatment providers and their employees and representatives shall cooperate with any inspection or investigation by the department and shall provide without delay any information reasonably requested by the department. If violations of these rules are identified as a result of an inspection or investigation, the department may issue a written inspection report which identifies the rules violated and requires the clinical evaluator or treatment provider to submit a written plan of correction specifying what steps will be taken to correct the violations.
O.C.G.A. Sec. 37-7-2.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.13 - Enforcement of Program Requirements

Current through Rules and Regulations filed through June 27, 2024
(1) When the department finds that any applicant for the registry of clinical evaluators or treatment providers does not fulfill the requirements of these rules, the department may, subject to notice and opportunity for a hearing, refuse to place the applicant on the applicable registry; provided, however, that the department shall not be required to hold a hearing prior to taking such action.
(2) The department may remove a clinical evaluator or treatment provider from the registry for noncompliance with program requirements. Removal from the registry can be temporary, in the form of a suspension, or permanent, depending on the severity of the violation and the evaluator's or provider's history of compliance. In lieu of removal, the department may revoke the authority of the clinical evaluator or treatment provider to evaluate or enroll new clients.
O.C.G.A. Sec. 37-7-2.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.14 - Applicability of Georgia Administrative Procedure Act

Current through Rules and Regulations filed through June 27, 2024
All enforcement actions resulting from this chapter shall be administered in accordance with Chapter 13 of Title 50 of the Official Code of Georgia Annotated, the Georgia Administrative Procedure Act. Any request for a hearing in response to any enforcement action taken pursuant to this chapter shall be in writing and must be submitted to the department no later than 10 calendar days from the date of receipt of any written notice of intent by the department to impose an enforcement action.
O.C.G.A. Secs. 37-7-2, 50-13-1.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-2 - CLINICAL EVALUATION AND SUBSTANCE ABUSE TREATMENTS FOR DUI OFFENDERS › Subject 82-2-1 › Rule 82-2-1-.15 - Severability

Current through Rules and Regulations filed through June 27, 2024
In the event that a rule, sentence, clause or phrase of any of these rules and regulations may be construed by any court of competent jurisdiction to be invalid, illegal, unconstitutional or otherwise unenforceable, such determination or adjudication shall in no manner affect the remaining rules or portions thereof. The remaining rules or portions thereof shall remain in full force and effect, as if such rule or portions thereof so determined, declared or adjudged invalid or unconstitutional were not originally a part of these rules.
O.C.G.A. Sec. 37-7-2.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.01 - Legal Authority

Current through Rules and Regulations filed through June 27, 2024
These regulations have been promulgated to ensure that basic statutory licensing requirements to operate Adult Crisis Stabilization Units (CSUs) and any associated Crisis Service Center (CSC) and/or Temporary Observation (Temp Obs) functions are met and to ensure that organizations providing this service promote the empowerment and recovery of the individuals they serve. These rules are adopted and published pursuant to the Official Code of Georgia Annotated (O.C.G.A) Sec. 37-1-29. These rules and regulations supersede any and all prior operational standards related to the designation or certification of Crisis Stabilization Units.
O.C.G.A. Sec. 37-1-29.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.02 - Title and Purpose

Current through Rules and Regulations filed through June 27, 2024
1. The purpose of these rules is to establish general licensing procedures, operational requirements and enforcement procedures required by the Department of Behavioral Health and Developmental Disabilities (DBHDD) for CSUs. The issuance of a CSU operating license requires compliance with these rules and regulations and authorizes the licensee to establish services to meet the needs of the individuals in a safe, therapeutic environment and to set forth the minimum requirements for providing short term residential, psychiatric stabilization and detoxification services.
2. Compliance with this chapter does not constitute release from the requirements of other applicable federal, state, or local laws, codes, rules, regulations and ordinances. This chapter must be followed where it exceeds other codes and ordinances.
3. Licensure of the CSU does not constitute an entitlement to any type or level of funding by DBHDD.
O.C.G.A. Secs. 37-1-29, 37-3-1
et seq.
, 37-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.04 - General Licensing Requirements

Current through Rules and Regulations filed through June 27, 2024
1.A license is required to operate a CSU and its associated CSC and/or Temp Obs functions:
a. No person, corporation or other entity shall offer or provide crisis stabilization services as defined in these rules unless designated as an emergency receiving and evaluating facility and licensed by the Department;
b. An applicant shall obtain a license prior to admitting individuals;
c. No license shall be issued by the Department unless the CSU and any associated CSC and/or Temp Obs functions are in compliance with these rules.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.06 - Issuance of Initial and Renewal of License

Current through Rules and Regulations filed through June 27, 2024
1.When the Department determines that the applicant is in compliance with all applicable rules and regulations, the Department shall issue an initial license to the applicant.
a.The initial license for a new facility is valid for the first year of operation. The term of the initial license may not exceed one (1) year from the date of issuance;
b.Prior to expiration of the initial license, the Department shall conduct a review of the CSU and/any associated CSC and/or Temp Obs functions for compliance with all applicable rules and regulations;
c.Pursuant to a satisfactory review, the Department shall issue a license which shall be valid for a period of up to two (2) years.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.07 - Operational Scope of Services

Current through Rules and Regulations filed through June 27, 2024
Each CSU shall have a detailed description of the scope of services under which the CSU operates that includes, but is not limited to:
1.The CSU and any associated CSC shall describe its capacity to serve both voluntary and involuntary individuals;
2.The CSU and any associated CSC and/or Temp Obs shall clearly state in its policy that it is not a treatment facility as defined in O.C.G.A. Secs. 37-1-29, 37-3-1(18);
3.The services offered within the CSU shall be provided in a community based setting, and shall be described as crisis residential services rather than inpatient or hospital level of care service;
4.The CSU shall not advertise or hold itself out as a hospital nor shall it bill for hospital or inpatient services;
5.The CSU shall be exempt from any requirement of Georgia's Certificate of Need (CON) program;
6.The facility shall pursue with due diligence operating agreements in writing, with one or more healthcare providers, to provide care that is beyond its scope:
a.Operating agreements shall be updated at a minimum every five (5) years as evidenced by date and signatures on the agreement document;
b.The operating agreement with an inpatient treatment facility shall include the agreement that the CSU shall transfer the individual to the treatment facility on the existing involuntary legal document in sufficient time for the treatment facility to evaluate the individual and petition the court for involuntary treatment as necessary.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.09 - Evaluation and Admissions

Current through Rules and Regulations filed through June 27, 2024
1. The CSU must have written protocols for screening individuals presenting for evaluation pursuant to O.C.G.A Secs. 37-3-41 and 37-7-41. If screening results in an individual not being offered services or admitted to the CSU, the CSU shall maintain documentation of the rationale for the denial of services and referral of the individual.
2. Level of Care instruments defined in the DBHDD Provider Manual for Community Behavioral Health Providers will be utilized to determine the required need and resulting level of care for admission to the CSU.
3. The CSU shall not admit individuals presenting with issues listed under "Exclusion Criteria" in the Department's policy on medical exclusion guidelines and criteria. The CSU staff shall ask the referral source for information regarding the medical status of the individual. If there are medical status issues, the CSU physician may request additional information or waive medical clearance when clinically appropriate or when medical clearance is not available.
4. The CSU shall not refuse to receive for evaluation an individual who presents to the CSU for evaluation and/or stabilization.
5. Staff shall conduct a search of the individual, his or her clothing, and all personal effects before admission to the unit.
6. Personal searches of individuals (e.g. strip searches) are to be performed only for cause and shall be ordered by the physician. The rationale for the personal search must be clearly documented in the order. Sequential steps of the search, including documentation of staff involved by name and title, must be recorded in the progress notes section of the clinical record. Mandatory removal of clothing or standing orders for personal searches is not permitted.
7. An initial screening for risk of suicide or harm to others shall be conducted for each individual presenting to the CSU, and its associated CSC and/or Temp Obs for evaluation.
8. A physician must assess each individual within twenty-four (24) hours of admission, to the CSU, document the findings of the assessment(s), and write orders for care.
9. Orders for care shall include the clinically appropriate level of observation for the individual.
O.C.G.A. Secs. 37-1-29, 37-3-143, 37-3-162, 37-7-143, 37-7-162.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.10 - Provision of Individualized Care

Current through Rules and Regulations filed through June 27, 2024
1. An Individualized Recovery Plan (IRP) shall be developed and written within seventy- two (72) hours of admission on the basis of assessments conducted by the physician, registered nurse and professional social work or counseling staff. A major goal of each IRP shall be the individual's stabilization and recovery. For individuals with both substance abuse and mental health diagnoses, the IRP shall address issues relative to both diagnoses.
2. At a minimum, this IRP shall be developed in collaboration with the individual, and shall include the following:
a. A problem statement or statement of needs to be addressed;
b. Goals that are consistent with the individual's needs, realistic, measurable, linked to symptom reduction, and attainable by the individual during the individual's projected length of stay;
c. Objectives, stated in terms that allow measurement of progress, that build on the individual's strengths;
d. Specific treatment offerings, methods of treatment and staff responsible to deliver the treatments;
e. Interventions and preferred approaches that are responsive to findings of past trauma and abuse;
f. Evidence of involvement by the individual, as documented by his or her signature or refusal/ability to sign;
g. Signatures of all staff participating in the development of the plan.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.11 - Documentation of Care

Current through Rules and Regulations filed through June 27, 2024
The CSU shall maintain a clinical record for each individual, which may be recorded manually or electronically. The clinical record shall contain chronological information on all matters relating to the admission, care and treatment, discharge and legal status of the individual, and shall include documents relating to the individual. The clinical record shall include at least the following:
1. Record of evaluation for admission and outcome of the evaluation, including the date, time, name and credentials of the professional conducting the evaluation;
2. Legal status documents for admission and continued stay in the CSU, as detailed in O.C.G.A. Secs. 37-3-1
et seq.
and 37-7-1
et seq
;
3. Documentation of guardianship, whenever applicable;
4. Assessments, to include psychiatric, physical health, nursing and psychosocial status; physician orders;
5. Every order given by telephone shall be received by an RN or LPN and shall be recorded immediately with the ordering physician's name, and shall be reviewed and signed by a physician within twenty-four (24) hours. Specific to the ordering of medication, documentation shall demonstrate evidence that an order was made by telephone, the content of order, and date of the order;
6. Documentation by the physician of the individual's response to care, including rationale for changes in orders or levels of observation;
7. An IRP which specifies individualized interventions responsive to the needs of the individual;
8. Documentation of implementation of interventions, including the individual's response to the interventions;
9. Location and type of treatment or education provided, including the date and time of treatment or education, the name and credentials of the professional or other staff providing the service, and the response of the individual to the treatment or education;
10. Evidence of progress toward stabilization and recovery, or lack thereof;
11. Documentation of medical testing (if any), medical findings and medical care needs or interventions provided;
12. Documentation of continued stay justifications;
13. Documentation at least once per day by an RN as to the status of the individual;
14. Documentation of events or incidents that affect care and treatment, including the individual's response;
15. Record of implementation of emergency safety interventions of last resort (seclusion or restraint), if implemented;
16. Name and title of staff providing care and treatment; and
17. Discharge notes and aftercare plans, including the individual's status at discharge, ongoing needs, aftercare plan, and the date, time and method of discharge.
O.C.G.A. Secs. 37-1-29, 37-3-162, 37-3-165, 37-3-166, 37-7-162, 37-7-165, 37-7-166.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.12 - Protection and Safety of the Individual and of Others

Current through Rules and Regulations filed through June 27, 2024
1. The CSU and any associated CSC and/or Temp Obs shall have procedures regarding authorized entry and/or exit between and from the facility services.
2. The CSU and any associated CSC and/or Temp Obs shall have policies and procedures to protect and respect individuals' rights and privacy while conducting searches.
3. The CSU and any associated CSC and/or Temp Obs shall have control of potentially injurious items, clearly defined in policy to include, but may not be limited to:
a. Prohibition of flammables, toxins, ropes, wire clothes hangers, sharp-pointed scissors, luggage straps, belts, knives, shoestrings, or other potentially injurious items;
b. Management of housekeeping supplies and chemicals, including procedures to avoid access by individuals during use or storage. Whenever practical, supplies and chemicals shall be non-toxic or non-caustic;
c. Safeguarding use and disposal of nursing and medical supplies including drugs, needles and other "sharps" and breakable items.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.13 - Pharmacy Services and Management of Medication

Current through Rules and Regulations filed through June 27, 2024
1. All pharmacy operations or services within the CSU must be licensed and under the direct supervision of a registered pharmacist or provided by contract with a licensed pharmacy operated by a registered pharmacist.
2. The CSU must ensure access to pharmacy services for prescription medications within eight (8) hours of the physician's order.
3. Stat medication not maintained in the CSU must be available for administration within one (1) hour of the order to give the medication.
4. Any request for exemptions for requirements regarding a pharmacy license must be submitted in writing to the Georgia State Board of Pharmacy.
5. The CSU shall establish and implement policies, procedures and practices that guide the safe and effective use of medications and shall, at a minimum, address the following:
a. Medications and medical care orders shall be written, signed, administered, and implemented upon direct order from a physician, as defined in O.C.G.A. Secs. 43-34-23, 43-34-25;
b. Medications shall be used solely for the purposes of providing effective treatment and protecting the safety of the individual and other persons and shall not be used as punishment or for the convenience of staff or as chemical restraint;
c. There shall be no standing orders for any psychotropic medication;
d. Medication management policies and procedures shall follow federal and state laws, rules and regulations, and shall direct the management of medication ordering, procurement, prescribing, transcribing, dispensing, administration, documentation, wasting or disposal and security, to include the management of controlled substances, floor stock, and physician sample medications;
e. There shall be documented evidence of oversight by the medical director for the accounting of and dispensing of sample medications;
f. The CSU shall develop a policy on informed consent on medication, including the right to refuse medication;
g. The CSU shall follow the Department's policies and procedures for Informed Consent and Involuntary Administration of Psychotropic Medication;
h. There shall be a process to identify, track and correct deviations in medication prescribing, transcribing, dispensing, administration, documentation, or drug security of ordering or procurement of medication that results in a variance;
i. The CSU shall develop and implement policies and procedures that describe actions to follow when drug reactions and other emergencies related to the use of medications occur, and emergency medical care that may be initiated by a registered nurse in order to alleviate a life threatening situation; and
j. The CSU shall conduct daily checks and maintain temperature logs for all medication room refrigerators. Temperatures for the refrigerator shall be set between 34°F to 41°F (1°C to 5°C).
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.14 - Laboratory Services

Current through Rules and Regulations filed through June 27, 2024
1. Laboratory work and other diagnostic procedures deemed necessary shall be performed as ordered by the physician.
2. Any CSU that processes laboratory tests on-site shall provide documented evidence of a current Clinical Laboratory Improvement Amendment waiver.
O.C.G.A. Sec. 37-1-29.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.15 - Food Services

Current through Rules and Regulations filed through June 27, 2024
All CSU food service operations shall comply with current federal and state laws and rules concerning food service and shall include:
1. At least three (3) nutritious meals per day shall be served;
2. Nutritional snacks shall be available to each individual;
3. No more than fourteen (14) hours may elapse between the end of an evening meal and the beginning of a morning meal;
4. Therapeutic diets shall be provided when ordered by the physician;
5. Under no circumstances may food be withheld for disciplinary reasons;
6. The CSU must have a sufficient designated area to accommodate meal service.
Individuals may eat or be served in shifts during daily operations. The eating area may double as a group or activity area;
7. If food is prepared by the CSU, the CSU must have a satisfactory food service permit score, pursuant to Georgia Department of Human Services, Public Health, Food Service,  290-5-14-.10. If applicable, a copy of the current food service permit must be on file in the CSU;
8. The CSU may utilize meal preparation services from an affiliated or contracted entity with a current food service permit. There shall be a formal contract between the CSU and the contracted food entity containing assurances that the contracted food entity will meet all food service and dietary standards imposed by this rule;
9. If the CSU elects to have meals prepared off-site, the CSU will have a modified kitchen that includes a microwave, a refrigerator, an ice maker and clean-up facilities;
10. The CSU must maintain a daily temperature log for the freezer(s) and refrigerator(s).
Temperatures for the refrigerator shall be set between 34°F and 41°F (1°C to 5°C) and the freezer temperature should be set between 0°F and 10°F (-17°C to -15°C);
11. Foods, drinks and condiments shall be dated when opened and discarded when expired;
12. Each CSU shall maintain a three-day supply of non-perishable emergency food and water at all times.
O.C.G.A. Sec. 37-1-29.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.16 - Infection Control and Prevention

Current through Rules and Regulations filed through June 27, 2024
The CSU and any associated CSC and/or Temp Obs functions shall develop and implement policies and procedures for infection control and prevention that include the following:
1. Standard precautions are defined and the use of personal protective equipment when handling blood, body substances, excretions and secretions are outlined;
2. Proper hand washing techniques are outlined;
3. Proper disposal of biohazards, such as potentially infected waste and spills- management, needles, lancets, scissors, tweezers and other sharp instruments is described;
3. Prevention and treatment of needle stick/sharp injuries are outlined;
4. The management of common illnesses such as, but not limited to Methicillin-Resistant Staphylococcus Aureus
(
MRSA), colds and influenza, gastrointestinal viruses, pediculosis and tinea pedis, etc. is described;
6. Specific procedures to manage infectious diseases including but not limited to tuberculosis, hepatitis B, Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS) or other infectious diseases are described;
7. Handling and maintenance of individual care equipment is described;
8. The infection control risk assessment and plan is reviewed annually for effectiveness and revision, if necessary;
9. The CSU and any associated CSC and/or Temp Obs shall have written hygienic practices and procedures regarding the management of linens and minimizing healthcare-associated infections, including collection, sorting, transport, washing and storage of soiled linens. The practices shall be based upon a cited expert source (such as the U.S. Centers for Disease Control and Prevention) and updated annually to ensure the procedures reflect evolving standard practice. At a minimum, the facility shall:
a. Have immediately available a quantity of clean bed linens and towels, etc., essential for the proper care of individuals at all times; and
b. Have collection, sorting, and cleaning procedures which are designed to prevent contamination of the environment, individuals served, and personnel.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.17 - Rights and Responsibilities of Individuals

Current through Rules and Regulations filed through June 27, 2024
1. The CSU and any associated CSC and/or Temp Obs functions shall safeguard the rights of individuals treated pursuant to applicable state laws and rules and regulations.
2. The CSU and its associated CSC and/or Temp Obs functions shall maintain a written statement of rights and responsibilities for individuals receiving services, as articulated in DBHDD rule and policy.
3. During receipt of services and/or admission to the CSU, each individual shall receive a written statement of his or her rights and responsibilities. Receipt of this information shall be documented in the clinical record and validated by the signature of the individual. If the individual is unable or unwilling to sign, this shall be recorded.
4. The CSU and its associated CSC and/or Temp Obs functions shall inform the individual or guardian in writing of any changes in rights and responsibilities.
5. Individual rights related to required notices, lengths of stay on involuntary status, or other processes related to rights specified in Georgia law, DBHDD rule or policy, shall be maintained.
O.C.G.A. Secs. 37-1-29, 37-3-23, 37-3-44, 37-3-160
et seq
, 37-3-164, 37-7-23, 37-7-160
et seq
, 37-7-164.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.18 - Confidentiality

Current through Rules and Regulations filed through June 27, 2024
The CSC and any associated CSC and/or Temp Obs functions shall:
1. Have records management policies, procedures and practices to manage and to protect the confidentiality and protected health information of individuals' records, to include electronic records;
2. Have records management policies which support secure, organized records and shall be consistent with all applicable policies and procedures and federal and state laws and regulations;
3. Ensure that the individual's rights regarding his or her own confidential and protected health information are protected, including but not limited to, access to protected health information, requesting amendment(s) to the clinical record, requesting restriction of disclosure, and requesting an accounting of disclosures that have been made;
4. Have a Notice of Privacy Practices regarding confidentiality of the individual's protected health information, which Notice shall comply with the requirements of Health Insurance Portability and Accountability Act (HIPAA);
5. Post the Notice of Privacy Practices at all times in the admissions area and in prominent locations where it is reasonable to expect individuals to be able to read the notice. Additional copies must be available for distribution upon request;
6. Provide a copy of the Notice of Privacy Practices to the individual and his or her representatives, as defined by state law, upon the individual's admission;
7. Have policies, procedures and practices that are compliant with the requirements of HIPAA regarding:
a. Complaints regarding violation of confidentiality and privacy rights;
b. Reports of breaches of HIPAA to the Department, and as required by law when applicable to the individual, to the United States Secretary of Health and Human Services, and to the media;
c. Sanctions of employees for violations of HIPAA; and
d. Identifying business associates, as defined by HIPAA, of the CSU and obtaining satisfactory assurances of the business associates' compliance with the requirements of HIPAA.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.19 - Documentation of Legal Status

Current through Rules and Regulations filed through June 27, 2024
The legal status of each individual shall be clearly recorded within the clinical record to include:
1. Documenting the legal and clinical basis for the individual's admission to the CSU, whether voluntary or involuntary, consistent with all applicable state laws, rules and regulations;
2. Documentation of the legal and clinical basis for continued admission to the CSU for purposes of evaluation when consistent with all applicable state laws, rules and regulations;
3. A record of voluntary or involuntary status change, including the date and time of such change;
4. Documentation of the assessment of the individual's capacity to understand and exercise the rights and powers of voluntary admission; and
5. Where specific Departmental legal forms exist to document any of the above mentioned actions, those forms shall be utilized.
O.C.G.A. Sec. 37-1-29, 37-3-1
et seq
, 37-3-24, 37-7-1
et seq
, 37-7-24.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.20 - Performance Improvement Plan and Activities

Current through Rules and Regulations filed through June 27, 2024
The CSU and any associated CSC and/or Temp Obs functions shall develop a quality assurance plan and update it annually:
1. The quality assurance plan shall address and ensure a comprehensive integrated review of all services and practices which shall include, but shall not be limited to the following:
a. High-risk situations and special cases (such as suicide, death, serious injury, violence and abuse of any individual) are reviewed within twenty-four (24) hours;
b. Medical emergencies;
c. Medication variance;
d. Infection control;
e. Emergency safety interventions including any instances of seclusion or restraint; and
f. Environmental safety and maintenance, including an environmental scan which self-assesses risk for individuals served by or working in the facility and identified strategies and subsequent plans for mitigating those risks.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.21 - Environment of Care

Current through Rules and Regulations filed through June 27, 2024
Areas accessible by individuals shall meet the following requirements:
1. The CSU and any associated CSC and/or Temp Obs shall maintain an environment that is clean and is in good repair;
2. The environment of the CSU shall have natural light and exterior views;
3. The general architecture of the CSU and any associated CSC and/or Temp Obs, along with tools and technology, shall provide for optimal line-of-sight observations from the nurses' station throughout the unit, mitigating hidden spots and blind corners;
4. The CSU shall be a locked facility;
5. Interior finishes, lighting, and furnishings of the CSU and any associated CSC and/or Temp Obs shall conform to applicable fire and safety codes as classified for
Health Care Occupancy/Limited Care Facilities
in the current edition of National Fire Protection Association's NFPA 101 Life Safety Code Handbook, Chapter 18/19: New and Existing Health Care Occupancies;
6. Furnishings, hardware, fixtures, or protrusions of the CSU and any associated CSC and/or Temp Obs must be:
a. Made of materials which mitigate the risk of use as weapons or for self-harm (hanging, cutting, etc.);
b. Intact and functional;
c. Maintained in good condition; and
d. Tamper resistant.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.22 - Fire Prevention and Safety Requirements

Current through Rules and Regulations filed through June 27, 2024
1. The CSU and any associated CSC and/or Temp Obs functions shall have an emergency fire and disaster plan that includes the following:
a. Protocols for and documentation of practice of monthly fire drills rotated so that all shifts have had at least one (1) drill quarterly including time taken to complete the drills and follow-up recommendations for drills that are unsatisfactorily completed;
b. Disaster drills protocols such as flood, tornado, and hurricane are practiced at least quarterly;
c. Directions for evacuation of the CSU and any associated CSC and/or Temp Obs utilizing posted evacuation routes;
d. Preparation of the individuals for evacuation;
e. Documentation of monthly fire extinguisher inspection;
f. Documentation of annual inspections of other safety mechanisms such as sprinklers, smoke alarms, emergency lights, kitchen range/hood, etc.
g. Provision for annual review and revision of the fire and emergency safety plan;
h. Procedures for training staff on all emergency and disaster drills;
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.23 - Human Resources

Current through Rules and Regulations filed through June 27, 2024
The CSU and any associated CSC and/or Temp Obs shall comply with the following:
1. Develop and implement policies and procedures that address the hiring, training, promotion and termination of staff;
2. Define the responsibilities, qualifications, competencies of staff for all positions;
3. Ensure that the type and number of professional staff attached to the unit are:
a. Properly licensed or credentialed in the professional field as required;
b. Present in numbers to provide adequate supervision to staff;
c. Present in numbers to provide services, supports, care and treatment to individuals as required;
d. Experienced and competent in the profession they represent; and
e. At least one (1) staff trained in Basic Cardiac Life Support (BCLS) and first aid shall be on duty at all times. In addition, one (1) staff trained in the use of the Automated External Defibrillator (AED) equipment shall also be on duty.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.24 - Transportation

Current through Rules and Regulations filed through June 27, 2024
1. The CSU and any associated Temp Obs functions shall assist in the coordination of necessary transportation through transfer and/or discharge to community-based services.
2. The CSU shall provide transportation in compliance with the DBHDD Provider Manual for Community Behavioral Health Providers for individuals in transitional beds who are otherwise unable to access services in the community while in transitional status.
O.C.G.A. Sec. 37-1-29.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.25 - Incident and Complaint Reporting and Investigation Procedures

Current through Rules and Regulations filed through June 27, 2024
The CSU, CSC and/or Temp Obs shall:
1. Report critical incidents to the Department as defined by the Departmental policy on reporting of incidents;
2. Have internal mechanisms to document, investigate and take appropriate action for complaints and incidents which are not required to be reported to the Department;
3. Post in a visible area the procedure to be taken to make a complaint directly to the Department.
O.C.G.A. Secs. 37-1-29, 37-3-149, 37-7-149.
Compilation of Rules and Regulations of the State of Georgia › Department 82 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES › Chapter 82-3 › Subject 82-3-1 - ADULT CRISIS STABILIZATION UNITS › Rule 82-3-1-.26 - Department Complaint and Incident Investigation Procedures

Current through Rules and Regulations filed through June 27, 2024
1. The Department shall be authorized to conduct investigations:
a. Investigations shall be conducted to ensure compliance with all applicable laws, rules and regulations;
b. Department representatives shall be authorized to enter the premise at any time to survey or investigate to ensure compliance with or prevent a violation to ensure the quality and integrity of care of individuals;
c. The Department shall have complete access to, including but not limited to authorization to examine and reproduce, any records required to be maintained in accordance with contracts, standards, laws, rules and regulations of the Department;
d. The Department shall maintain the confidentiality of records as specified by federal and state law.