California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 1 - Department of Mental Health › Chapter 17 - Enhanced Treatment Program › Article 1 - General Provisions › Section 4800 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  "Department" shall mean the Department of State Hospitals.
(b) "Enhanced Treatment Program" or "ETP," as used
				  in this chapter, authorized under Health and Safety Code section
				  1265.9,
				  is a pilot program aimed at treating a Patient at High Risk of Most Dangerous
				  Behavior who may benefit from concentrated, evidence-based clinical therapy and
				  structured milieu or treatment with the goal of reducing the risk of violent
				  behavior in a Standard Treatment Environment.
(c) "Forensic Needs Assessment Panel" or "FNAP,"
				  as used in this chapter, is a panel that consists of one psychiatrist, one
				  psychologist, and a medical director or their designee. The FNAP convenes a
				  placement evaluation meeting for each ETP patient in accordance with Welfare and
				  Institutions Code section
				  4144,
				  subdivisions (c) and (d). None of the FNAP members shall be involved in an ETP
				  patient's treatment or diagnosis at the time of that patient's placement evaluation
				  meeting. The Department shall utilize the panel to determine if the patient
				  clinically requires ETP treatment and to certify ETP placement.
(d) "Forensic Needs Assessment Team" or "FNAT," as
				  used in this chapter, is a panel of psychologists, not part of the ETP Treatment
				  Team, with expertise in forensic assessment or violence risk assessment. Each FNAT
				  shall have a supervising psychologist, who shall assign an ETP case or group of
				  cases to each FNAT psychologist.
(e)
				  "Individualized Treatment Interventions," as used in this chapter, means
				  interventions provided to a patient to address patient-specific risk factors for
				  highest risk of violence.
(f) "Most
				  Dangerous Behavior," as used in this chapter, means aggressive acts that may cause
				  substantial physical harm upon others in an inpatient setting.
(g) "Standard Treatment Environment," as used in
				  this chapter, means any non-ETP setting at a Department state hospital.
(h) "Standardized Violence Risk Assessment," as
				  used in this chapter, is a violence risk assessment of an ETP patient using the
				  Standardized Violence Risk Assessment Methodologies defined in subdivision (i) of
				  this section.
(i) "Standardized Violence
				  Risk Assessment Methodologies," as used in this chapter, are reliable and valid
				  methods used in violence risk assessment, which may include, but are not limited to,
				  an analysis of the severity, frequency, and intensity of a patient's past violent
				  behavior, and an evaluation of the static and dynamic violence risk
				  factors.
(j) "Treatment Team," as used
				  in this chapter, is a group of ETP treatment providers assigned to an ETP patient
				  and generally includes a primary psychiatrist, a psychologist, a clinical social
				  worker, a rehabilitation therapist, a registered nurse, and a psychiatric
				  technician.
(k) "Patient at High Risk of
				  Most Dangerous Behavior," as used in this chapter, means a patient has a history of
				  physical violence and currently poses a demonstrated danger of inflicting
				  substantial physical harm upon others in an inpatient setting, as determined by an
				  in-depth Standardized Violence Risk Assessment conducted by the
				  Department.
1. New chapter 17
					 (articles 1-5, sections
					 4800-5200), article 1 (section
					 4800) and section filed 4-23-2020 as an
					 emergency; operative 4-23-2020 (Register 2020, No. 17). This action is a deemed
					 emergency pursuant to Welfare and Institutions Code section
					 4144(m).
					 A Certificate of Compliance must be transmitted to OAL by 10-20-2020 or emergency
					 language will be repealed by operation of law on the following day.
2.
					 Emergency filed 4-23-2020 extended 60 days (Executive Order N-40-20) (Register 2020,
					 No. 19). A Certificate of Compliance must be transmitted to OAL by 12-21-2020 or
					 emergency language will be repealed by operation of law on the following
					 day.
3. Emergency filed 4-23-2020 extended an additional 60 days pursuant
					 to Executive Order N-66-20 (Register 2020, No. 37). A Certificate of Compliance must
					 be transmitted to OAL by 2-19-2021 or emergency language will be repealed by
					 operation of law on the following day.
4. Repealer of chapter 17
					 (articles 1-5, sections
					 4800-5200), article 1 (section
					 4800) and section by operation of
					 Government Code section
					 11346.1(g)
					 (Register 2021, No. 9).
5. Readoption of chapter 17 (articles 1-5,
					 sections 4800-5200), article 1 (section
					 4800) and section filed 3-29-2021 as an
					 emergency; operative 3-29-2021 (Register 2021, No. 14). This action is a deemed
					 emergency pursuant to Welfare and Institutions Code section
					 4144(m).
					 Expiration date of emergency extended 60 days (Executive Order N-40-20) plus an
					 additional 60 days (Executive Order N-71-20). A Certificate of Compliance must be
					 transmitted to OAL by 10-26-2021 or emergency language will be repealed by operation
					 of law on the following day.
6. Readoption of chapter 17 (articles 1-5,
					 sections 4800-5200), article 1 (section
					 4800) and section filed 10-21-2021 as an
					 emergency; operative 10-27-2021 pursuant to Government Code section
					 11346.1(d)
					 (Register 2021, No. 43). This action is a deemed emergency pursuant to Welfare and
					 Institutions Code section
					 4144(m).
					 A Certificate of Compliance must be transmitted to OAL by 1-25-2022 or emergency
					 language will be repealed by operation of law on the following day.
7.
					 Certificate of Compliance as to 10-21-2021 order, including amendment of section,
					 transmitted to OAL 12-30-2021 and filed 2-11-2022; amendments effective 2-11-2022
					 pursuant to Government Code section
					 11343.4(b)(3)
					 (Register 2022, No. 6).
Note: Authority cited: Sections
						4005.1,
						4027,
						4101,
						4143
						and
						4144,
						Welfare and Institutions Code. Reference: Section
						4144,
						Welfare and Institutions Code.