California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 1 - Department of Mental Health › Chapter 3 - Community Mental Health Services Under the Short-Doyle Act › Article 4 - Services Subject to State Reimbursement › Section 541 - 24-Hour Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
24-Hour Services mean services designed to provide a therapeutic
					 environment of care and treatment within a residential setting for adults and
					 minors. Depending on the severity of the disorder, dangerousness to self or others,
					 and the need for related medical care, treatment is provided through one of the
					 following service functions:
(a) State
				  Hospital, or Developmental Center as specified in Section
				  4440.5
				  of the Welfare and Institutions Code, means a health facility licensed pursuant to
				  Section
				  1250 of
				  the Health and Safety Code and operated by the Departments of State Hospitals or
				  Developmental Services, as defined in Welfare and Institutions Code sections
				  7200
				  and
				  7500,
				  respectively, and which provides treatment services for mentally disordered and
				  developmentally disabled individuals.
(b) Local Hospital, which means an acute
				  psychiatric hospital as defined in Section
				  1250 of
				  the Health and Safety Code, or a distinct acute psychiatric part of a general
				  hospital as defined in Section
				  1250 of
				  the Health and Safety Code which is approved by the Department to provide
				  psychiatric services.
(c) Psychiatric
				  Health Facility, which means a health facility as defined in Section
				  1250.2
				  of the Health and Safety Code, or such facility which has a waiver of licensure from
				  the Department, which provides intensive care.
(d) Intensive Skilled Nursing Facility, which
				  means a health facility as defined in Section
				  1250 of
				  the Health and Safety Code, and staffed to provide intensive psychiatric
				  care.
(e) Short-Term-Crisis Residential
				  Service (Less than 14 Days), which means a licensed residential community care
				  facility available for admissions 24-hours a day, 7 days a week, and staffed to
				  provide crisis treatment as an alternative to hospitalization. Admissions are
				  generally limited to a stay of less than 14 days for voluntary patients without
				  medical complications requiring nursing care. Twenty-four hour capability for
				  prescribing and supervising medication must be available for patients requiring this
				  level of care. The prescribing capability shall be provided by written
				  agreement.
(f) Short-Term Crisis
				  Residential Service (Less than 30 Days), which means a licensed residential
				  community care facility available for admissions 24-hours a day, 7 days a week, and
				  staffed to provide mental health treatment services for voluntary patients without
				  medical complications requiring nursing care and who generally require an average
				  stay of 14-30 days for crisis resolution or stabilization. Twenty-four hour
				  capability for prescribing and supervising medication must be available. The
				  prescribing capability shall be provided by written agreement. Respite care, in
				  accordance with Welfare and Institutions Code, Chapter 5, up to a maximum of 30
				  days, may be provided within this definition.
(g) Jail Inpatient Unit, which means a distinct
				  unit within an adult or juvenile detention facility, designated by a County Board of
				  Supervisors pursuant to Section
				  5404
				  of the Welfare and Institutions Code and staffed to provide intensive psychiatric
				  treatment of inmates. Treatment services on the unit shall be under the control of
				  the Local Mental Health Director.
(h)
				  Transitional Residential On-Site Service, which means a licensed residential
				  community care facility, designed to provide a comprehensive program of care
				  consisting of a therapeutic residential community plus an all-inclusive structured
				  treatment and rehabilitation program for individuals recovering from an acute stage
				  of illness who are expected to move towards a more independent living situation, or
				  higher level of functioning, within a 3-to-12-month period.
(i) Transitional Residential Off-Site Service,
				  which means a licensed residential community care facility, designed to provide, for
				  a 3-to-12-month period, a therapeutic residential community including a range of
				  social rehabilitation activities for individuals who are in remission from an acute
				  stage of illness, and interim support to facilitate movement towards the highest
				  possible level of functioning. Individuals may receive day, outpatient and other
				  treatment services outside the transitional residence.
(j) Long-Term Services, which mean services
				  provided in a variety of community facilities for individuals who require care,
				  supervision, resocialization, rehabilitation, and life-enrichment for up to 3 years.
				  Consistent with individual level of care needs, services shall be provided in
				  skilled nursing facilities, intermediate care facilities, residential community care
				  facilities, or other similar facilities.
(k) Semi-Supervised Living Services, which mean
				  services provided for persons living alone or together in small cooperative housing
				  units, who require support in case of emergencies, as well as regular assessment and
				  evaluation of the problems of daily living. Services may include provision of a rent
				  subsidy. This service provides a transition to independent living or an indefinite
				  arrangement.
(l) Independent Living
				  Services, which mean services, including psychological support and rent subsidy, if
				  necessary, provided to persons who require only minimal support to remain in the
				  community.
1. Amendment
					 filed 8-23-83 as an emergency; effective upon filing (Register 83, No. 35). A
					 Certificate of Compliance must be transmitted to OAL within 180 days or emergency
					 language will be repealed on 2-19-84.
2. Reinstatement of section as it
					 existed prior to emergency amendment filed 8-23-83 by operation of Government Code
					 Section
					 11346.1(f)
					 (Register 84, No. 15).
3. Amendment filed 2-27-84 as an emergency;
					 effective upon filing (Register 84, No. 15). A Certificate of Compliance must be
					 transmitted to OAL within 180 days or emergency language will be repealed on
					 8-27-84.
4. Editorial correction of HISTORY NOTE No. 3 (Register 84, No.
					 28).
5. Editorial correction of HISTORY NOTE No. 3 (Register 84, No.
					 34).
6. Certificate of Compliance including amendment transmitted to OAL
					 8-14-84 and filed 9-28-84 (Register 84, No. 39).
7. Change without
					 regulatory effect amending subsections (a)-(b) and NOTE filed 8-26-2015 pursuant to
					 section 100, title 1, California Code of
					 Regulations (Register 2015, No. 35).
Note: Authority cited: Sections
						5750,
						10725
						and
						14700,
						Welfare and Institutions Code. Reference: Sections
						4000,
						5600,
						5600.4,
						5600.5,
						5600.6
						and
						5600.7,
						Welfare and Institutions Code.