reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 17 - Individual Planning of Treatment, Services and Supports › Rule 24-2-17.1 - Individual Plans

Current through June 25, 2024
A. The individual
				plan is the overall plan that directs the treatment and support of the person
				receiving services. The individual plan should be designed to increase or
				support independence and community participation. The individual plan may be
				referred to as the Treatment Plan, Plan of Services and Supports, Individual
				Service Plan, Wraparound Plan or Person-Centered Plan. The name of the plan is
				dependent upon the population being served and the process utilized to develop
				the plan.
B. The plan must be based
				on the strengths, challenges, desired outcomes, and activities to support
				outcomes of the person receiving services and his/her parent(s)/legal
				representative(s) (if applicable). Outcomes should be identified by the person,
				parent(s)/legal representative(s), and/or natural supports (if
				applicable).
C. Adults with a
				serious mental illness and children/youth with serious emotional disturbance
				must be seen in person or by telemedicine and evaluated by a licensed
				physician, licensed psychologist, psychiatric/mental health nurse practitioner,
				physician assistant, licensed professional counselor (LPC) , licensed marriage
				and family therapist (LMFT), or licensed certified (clinical) social worker to
				certify that the services planned are medically/therapeutically necessary for
				the treatment of the person. These professionals must see the person
				face-to-face or by telemedicine annually (or more often if medically indicated)
				to certify the same information in the person's record.
D. Certification and recertification must be
				documented as part of the individual plan directing treatment/support.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 17 - Individual Planning of Treatment, Services and Supports › Rule 24-2-17.2 - Development of Individual Plans

Current through June 25, 2024
A. Agency providers
				must utilize planning approaches that are considered to be best practices or
				evidence-based by their respective areas of focus (i.e., adults with serious
				mental illness, children/youth with serious emotional disturbance, people with
				co-occurring disorders, people with substance use disorders and people with
				intellectual/developmental disabilities, the elderly, etc.). Planning
				approaches must be documented and implemented through the development of
				policies and procedures specific to this process and the population being
				served.
B. Planning approaches must
				address the following, at a minimum:
1. The
				development of an individualized treatment/support team that includes the
				person, service providers and other supports (as appropriate) that may be
				identified and utilized by the person or team members;
2. A focus on recovery/resiliency and/or
				person-centeredness, depending on the population;
3. A focus on individual strengths and how to
				build upon strengths to achieve positive outcomes; and,
4. Proactive crisis planning, depending on
				the person receiving services.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 18 - Mental Health Targeted Case Management Services › Rule 24-2-18.1 - Mental Health Targeted Case Management Activities

Current through June 25, 2024
A.
				Targeted Case Management Services are defined as services that provide
				information/referral and resource coordination for a person and/or his/her
				family, or other supports. Targeted Case Management Services are directed
				towards helping the person maintain his/her highest possible level of
				independence. Case managers monitor the individual service plan and ensure team
				members complete tasks that are assigned to them, that follow-up and
				follow-through occur and help identify when the person's team may need to
				review the service plan for updates if the established plan is not
				working.
B. Targeted Case
				Management may be provided face-to-face or via telephone. Targeted Case
				Management is not designed to be a mobile service, but there is no prohibition
				on services being provided in a location other than a community mental health
				center or IDD Regional Program.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 18 - Mental Health Targeted Case Management Services › Rule 24-2-18.2 - Provision of Mental Health Targeted Case Management Services

Current through June 25, 2024
A. Targeted Case Management must be included
				in the person's plan.
B. The
				frequency of Targeted Case Management Services will be determined by the
				complexity of the situation and the need of the person receiving services, but
				shall not occur less than once monthly.
C. The employee caseload for Mental Health
				Targeted Case Management Services must not exceed one hundred (100) people.
				Caseload sizes must be based on the complexity of the needs of the person and
				whether or not the employee has additional responsibilities.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.1 - Crisis Response Services

Current through June 25, 2024
A. Crisis Response
				is an intensive therapeutic service which allows for the assessment of and
				intervention in a mental health crisis. Crisis Response Services are provided
				to children/youth and adults who are experiencing a significant
				emotional/behavioral crisis in which the person's mental health and/or
				behavioral health needs exceed the person's resources (in the opinion of the
				mental health professional assessing the situation.) Trained Crisis Response
				personnel provide crisis stabilization directed toward preventing
				hospitalization. Employees must be able to triage and make appropriate clinical
				decisions, including assessing the need for inpatient services or less
				restrictive alternatives. Without Crisis Response intervention, the person
				experiencing the crisis may be inappropriately and unnecessarily placed in a
				jail, holding facility, hospital or inpatient treatment facility. (Crisis
				Response Services do not include the Crisis Intervention/Crisis Support
				Services provided through the ID/DD Waiver.)
B. Crisis Response Services must be made
				available to the general public in every county/area served by agency providers
				certified by DMH to provide Crisis Response Services.
C. Crisis Response Services must be available
				twenty-four (24) hours a day, seven (7) days a week, three hundred sixty-five
				(365) days a year. Crisis Response Services must have the capability to respond
				to multiple crisis calls at a time. Services include:
1. Designated crisis telephone numbers which
				covers the agency provider's entire catchment area.
2. "Walk-in" Crisis Response capability at
				all DMH-certified service locations in the agency provider's catchment
				area.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.2 - Crisis Response Services Documentation Requirements

Current through June 25, 2024
A. Crisis Response Services must maintain
				written documentation (i.e., crisis log or list) of all crisis response
				contacts (face-to-face and telephone contacts), including, at a minimum:
1. Identification of the person in
				crisis;
2. Time and date contact
				was made;
3. Type of contact
				(face-to-face contact and/or telephone contact);
4. The location of contact, if it was
				face-to-face; and,
5. Name of the
				employee(s) addressing the emergency/crisis.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.4 - Mobile Crisis Response Team Staffing Requirements

Current through June 25, 2024
A.
				Crisis Response Services must consist, at a minimum, of the following
				employees:
1. A Certified Peer Support
				Specialist Professional with specific roles and responsibilities as a member of
				the team;
2. A Licensed and/or
				Credentialed Master's Level Therapist with experience and training in crisis
				response (Provisionally Licensed and/or Credentialed Therapists are
				excluded);
3. A Community Support
				Specialist with experience and training in crisis response;
4. A Crisis Response Coordinator for the
				agency provider's catchment area. Coordinator must be a Licensed and/or
				Credentialed Master's Level Therapist with a minimum of two (2) years'
				experience and training in crisis response; and,
5. At least one (1) employee must have
				experience and training in crisis response to each population served by the
				agency provider (MH, IDD, and/or SUD).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.5 - Mobile Crisis Response Services Coordination

Current through June 25, 2024
A. Mobile
				Crisis Response Services must provide crisis assessment and crisis support when
				requested by entities providing services to the following:
1. People held in a Certified Mental Health
				Holding Facility who are waiting for bed availability after an inpatient
				commitment.
2. People held in a
				local jail with a mental health emergency.
3. People presenting in local emergency rooms
				with a mental health emergency.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.6 - Crisis Residential Services - Crisis Residential Units

Current through June 25, 2024
A. Crisis Residential Services are
				time-limited residential treatment services provided in a Crisis Residential
				Unit which provides psychiatric supervision, nursing services, structured
				therapeutic activities and intensive psychotherapy (individual, family and/or
				group) to people who are experiencing a period of acute psychiatric distress
				which severely impairs their ability to cope with normal life circumstances.
				Crisis Residential Services must be designed to prevent civil commitment and/or
				longer term inpatient psychiatric hospitalization by addressing acute symptoms,
				distress and further decomposition. Crisis Residential Services content may
				vary based on each person's needs but must include close
				observation/supervision and intensive support with a focus on the
				reduction/elimination of acute symptoms.
B. Crisis Residential Services may be
				provided to children/youth with serious emotional/behavioral disturbance or
				adults with a serious and persistent mental illness.
C. Children/youth receiving Crisis
				Residential Services must be a minimum of six (6) years of age. Children/youth
				up to age eighteen (18) cannot be served in the same facility as adults. DMH
				may require a higher minimum age in order to increase accessibility for other
				youth and/or to improve the therapeutic environment.
D. Crisis Residential Services must be
				designed to accept admissions (voluntary and involuntary) twenty-four (24)
				hours per day, seven (7) days per week.
E. Crisis Residential Services must provide
				the following within twenty-four (24) hours of admission to determine the need
				for Crisis Residential Services and to rule out the presence of mental symptoms
				that are judged to be the direct physiological consequence of a general medical
				condition and/or illicit substance/medication use:
1. Initial assessment;
2 Medical screening;
3. Drug toxicology screening; and,
4. Psychiatric consultation.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.7 - Environment and Safety for Crisis Residential Units

Current through June 25, 2024
A. This rule applies to environmental and
				safety requirements that are in addition to or more stringent than the
				requirements in Chapter 13 and are specific to Crisis Residential Units. Crisis
				Residential Units must have procedures in place to access routinely for access
				to potential lethal means and to eliminate such risks.
B. The provider must assign, maintain and
				document on-site employee coverage twenty-four (24) hours a day, seven (7) days
				a week with an employee designated as responsible for the agency provider at
				all times and male/female employee coverage when necessary.
C. All service providers must ensure that
				service locations have furnishings that are safe, comfortable, appropriate, and
				adequate.
D. All service locations
				must ensure adequate visiting areas are provided for people and
				visitors.
E. All service locations
				must ensure the laundry room has an exterior ventilation system for the clothes
				dryer free from excessive lint and dust accumulation.
F. All service locations must have separate
				storage areas for:
1. Sanitary
				linen;
2. Food (Food supplies
				cannot be stored on the floor); and,
3. Cleaning supplies.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.9 - ID/DD Waiver Crisis Intervention Services

Current through June 25, 2024
A. Crisis
				Intervention Services provide immediate therapeutic intervention, available to
				a person on a twenty-four (24) hour basis, to address personal, social, and/or
				behavioral problems which otherwise are likely to threaten the health and
				safety of the person or others and/or may result in the person's removal from
				his/her current living arrangement.
B. Crisis Intervention Services are used in
				situations in which the need is immediate and exceeds the scope of Behavior
				Support Services.
C. This service
				is provided on a one-to-one (1:1) employee to person ratio.
D. There are three (3) models and primary
				service locations:
1) Crisis Intervention in
				the person's home;
2) Crisis
				Intervention provided in an alternate community living setting; or,
3) Crisis Intervention provided in the
				person's usual day setting.
1. Person's home-
				The agency provider will provide or coordinate support services with the
				person's community living and day services provider(s). These services will, to
				the greatest extent possible, allow the person to continue to follow his/her
				daily routine in the service setting, with accommodations consistent with the
				Crisis Intervention Plan and the person's current behaviors. The Crisis
				Intervention Plan indicates any adaptations/changes needed in the environments
				in which the person typically spends his/her days.
2. Alternate residential setting- In the
				event a person needs to receive Crisis Intervention Services in a setting away
				from his/her primary residence, the agency provider must have pre-arranged for
				such a setting to be available. This may be an apartment, motel or a bedroom at
				a different DMH-certified residence. The Crisis Intervention personnel, to the
				greatest extent possible, maintain the person's daily routine and follow the
				Crisis Intervention Plan to transition the person back to his/her primary
				residence. The Crisis Intervention Plan indicates any adaptations/changes
				needed in the environments in which the person typically spends his/her
				days.
3. Person's usual day
				setting- Crisis Intervention personnel will deliver services in such a way as
				to maintain the person's normal routine to the maximum extent possible,
				including direct support during Day Services-Adult, Prevocational Services, or
				Supported Employment.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 19 - Crisis Services › Rule 24-2-19.10 - ID/DD Waiver Crisis Support Services

Current through June 25, 2024
A. Crisis Support
				is provided in an ICF/IID and is used when a person's behavior or
				family/primary caregiver situation becomes such that there is a need for
				immediate specialized services that exceed the capacity of Crisis Intervention
				or Behavior Support Services. (Crisis Intervention and/or Behavior Support is
				not a pre-requisite for Crisis Support Services.) Such situations involve:
1. Behavioral Issues
(a) People who have exhibited high risk
				behavior, placing themselves and others in danger of being harmed
(b) Directly causes serious injury of such
				intensity as to be life threatening or demonstrates the propensity to cause
				serious injury to self, others or animals
(c) Sexually offensive behaviors
(d) Less intrusive methods have been tried
				and failed
(e) Criminal
				behavior
(f) Serious and repeated
				property destruction
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 20 - Mental Health Community Support Services › Rule 24-2-20.1 - Mental Health Community Support Services - General

Current through June 25, 2024
A.
				Community Support Services provide an array of support services delivered by
				community-based, mobile Community Support Specialists. Community Support
				Services are only provided by certified DMH/C and DMH/P providers. Community
				Support Services are directed towards adults, children, adolescents and
				families and will vary with respect to hours, type and intensity of services,
				depending on the changing needs of each person. The purpose/intent of a
				Community Support Specialist is to provide specific, measurable, and
				individualized services to each person served. Community Support Services
				should be focused on the person's ability to succeed in the community; to
				identify and access needed services; and, to show improvement in school, work,
				family, and community participation (Excludes IDD).
B. Community Support Services should be
				person-centered and focus on the person's recovery and ability to succeed in
				the community; to identify and access needed services; and, to show improvement
				in home, health, purpose and community. Community Support Services shall
				include the following:
1. Identification of
				strengths which will aid the person in his/her recovery and the barriers that
				will challenge the development of skills necessary for independent functioning
				in the community;
2. Individual
				therapeutic interventions with a beneficiary that directly increase the
				acquisition of skills needed to accomplish the goals set forth in the
				Individual Service Plan;
3.
				Monitoring and evaluating the effectiveness of interventions, as evidenced by
				symptom reduction and progress toward goals;
4. Psychoeducation on the identification and
				self-management of prescribed medication regimen and communication with the
				prescribing provider;
5. Direct
				interventions in de-escalating situations to prevent crisis;
6. Assisting a person in accessing needed
				services such as medical, social, educational, transportation, housing,
				substance use, personal care, employment and other services that may be
				identified in the Recovery Support Plan as components of Health, Home, Purpose
				and Community;
7. Assisting the
				person and natural supports in implementation of therapeutic interventions
				outlined in the Individual Service Plan;
8. Relapse prevention and disease management
				strategies;
9. Psychoeducation and
				training of family, unpaid caregivers, and/or others who have a legitimate role
				in addressing the needs of the person; and,
10. Facilitation of the Individual Service
				Plan and/or Recovery Support Plan which includes the active involvement of the
				beneficiary and the people identified as important in the person's
				life.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 20 - Mental Health Community Support Services › Rule 24-2-20.2 - Community Supports for Adults with Serious Mental Illness

Current through June 25, 2024
Providers of Community Support Services for adults with
				  serious mental illness must also adhere to Rule
				  20.1.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 20 - Mental Health Community Support Services › Rule 24-2-20.3 - Community Support Services for Children/Youth with Serious Emotional Disturbance

Current through June 25, 2024
A. Providers of
				Community Support Services for children/youth with serious emotional
				disturbance must also adhere to Rule
				20.1.
B. Input from the parent(s)/legal
				representative(s) in the development of the Recovery Support Plan for
				children/youth must be documented.
C. The caseload for a single Community
				Support Specialist providing services to children, youth, and transition-age
				youth enrolled in federal System of Care grants must not exceed twenty-five
				(25).
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 21 - Psychiatric/Physician Services › Rule 24-2-21.1 - Psychiatric/Physician Services

Current through June 25, 2024
A.
				Psychiatric/Physician Services are services of a medical nature provided by
				medically trained personnel to address medical conditions related to the
				person's mental illness or emotional disturbance. Medical services include
				medication evaluation and monitoring, nurse assessment, and medication
				injection.
B. If indicated by the
				initial assessment, the following priority groups of people with serious mental
				illness, children/youth with serious emotional disturbance and people with an
				intellectual/developmental disability (if applicable) must be provided
				Psychiatric/Physician's Services within fourteen (14) days of the date of
				his/her initial assessment unless the person states, in writing, that he/she
				does not want to receive the service. Appointment cancellations or "no shows"
				must be documented in the person's record.
1.
				People discharged from an inpatient psychiatric facility;
2. People discharged from an
				institution;
3. People discharged
				or transferred from Crisis Residential Services; and,
4. People referred from Crisis Response
				Services.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 22 - Outpatient Therapy Services › Rule 24-2-22.2 - Intensive Outpatient Programs for Adults with a Substance Use Disorder

Current through June 25, 2024
A. The ten (10) week Intensive Outpatient
				Program for Adults with a Substance Use Disorder (IOP-SUD) is a community-based
				outpatient service which provides an alternative to traditional Residential
				Treatment Services or hospital settings. The service is directed to adults
				eighteen (18) years or older who need services more intensive than traditional
				outpatient services, but who have less severe substance use disorders than
				those typically addressed in Residential Treatment Services. The Intensive
				Outpatient Program for Adults with a Substance Use Disorder allows people to
				continue to fulfill their obligations to family, job, and community while
				obtaining intensive treatment. An Intensive Outpatient Program for Adults with
				a Substance Use Disorder may be conducted during the day or at night in order
				to meet the needs of the people being served.
B. An Intensive Outpatient Program for Adults
				with a Substance Use Disorder must be limited to twelve (12) people per
				session.
C. An Intensive Outpatient
				Program for Adults with a Substance Use Disorder must provide the following
				services:
1. Group therapy for a minimum of
				three (3) sessions per week for at least ten (10) weeks. Session times may vary
				but cannot be less than one (1) hour and cannot exceed three (3) hours daily.
				People must receive and not exceed nine (9) total hours of group therapy per
				week. Groups may be of the following types: Psychoeducational groups,
				skills-development groups, drug or alcohol refusal training, relapse prevention
				techniques, assertiveness training, stress management, support groups (e.g.,
				process-oriented recovery groups), single-interest groups (can include gender
				issues, sexual orientation, criminal offense, and histories of physical and
				sexual abuse) family or couples groups;
2. Individual therapy at a minimum of one (1)
				counseling session, for a minimum of one (1) hour, per week; and,
3. Involvement of family to include no less
				than two (2) therapeutic family group sessions during the ten (10) week period,
				offered to meet the needs of the person.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 22 - Outpatient Therapy Services › Rule 24-2-22.3 - Intensive Outpatient Programs for Adolescents with a Substance Use Disorder

Current through June 25, 2024
A. An
				Adolescent-Intensive Outpatient Program (A-IOP) is a community-based outpatient
				service which provides an alternative to traditional Residential Treatment
				Services or hospital settings. The service is directed to adolescents ages
				twelve - eighteen (12-18) who need services more intensive than traditional
				outpatient services, but who have less severe substance use disorders than
				those typically addressed in Residential Treatment Services. The
				Adolescent-Intensive Outpatient Program allows people to continue to fulfill
				their obligations to family, job, school, and community while obtaining
				treatment. Adolescent-Intensive Outpatient Program is primarily conducted in
				the evening, but may be offered at varying locations and times to suit the
				needs of the adolescents being served.
B. An Adolescent-Intensive Outpatient Program
				must be limited to twelve (12) people per session.
C. An Adolescent-Intensive Outpatient Program
				must provide the following services:
1. Group
				therapy must be offered over the course of at least ten (10) weeks for six (6)
				hours per week. Times and locations for groups may vary based on the needs of
				the adolescents being served. Groups may be of the following types:
				psychoeducational groups, skills-development groups, drug or alcohol refusal
				training, relapse prevention techniques, assertiveness training, stress
				management, support groups (e.g., process-oriented recovery groups),
				single-interest groups (can include gender issues, sexual orientation, criminal
				offense, and histories of physical and sexual abuse) family or couples
				groups.
2. Individual therapy at a
				minimum of one (1) counseling session, for a minimum of one (1) hour, per
				week.
3. Involvement of family to
				include no less than two (2) therapeutic family group sessions during the ten
				(10) week period, offered to meet the needs of the person.
4. Providers utilizing Evidence-Based
				Practices or best practices in the provision of Adolescent-Intensive Outpatient
				Program must show verification that employees utilizing those practices have
				completed appropriate training or independent study as recommended by the
				developers of the model/practice for the practices being utilized.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 23 - Acute Partial Hospitalization Services for Children/Youth with Serious Emotional Disturbance, Adults with Serious Mental Illness and Partial Hospitalization Programs for Adults or Children/Youth with Substance Use Disorders › Rule 24-2-23.1 - Acute Partial Hospitalization Services (APH) for Children/Youth with Serious Emotional Disturbance or Adults with Serious Mental Illness or People with Substance Use Disorders

Current through June 25, 2024
A. Acute Partial
				Hospitalization Services provide medical supervision, nursing services,
				structured therapeutic activities and intensive psychotherapy (individual,
				family and/or group) to people who are experiencing a period of such acute
				distress that their ability to cope with normal life circumstances is severely
				impaired. Acute Partial Hospitalization Services are designed to provide an
				alternative to inpatient hospitalization for such people or to serve as a
				bridge from inpatient to outpatient treatment. Service content may vary based
				on need but must include close observation/supervision and intensive support
				with a focus on the reduction/elimination of acute symptoms. Acute Partial
				Hospitalization Services may be provided to children/youth with serious
				emotional disturbance or adults with serious and persistent mental illness or
				people with substance use disorders.
B. The Acute Partial Hospitalization Services
				must be a part of a written comprehensive plan of Crisis Stabilization and
				Community-Based Support Services offered to people participating in the Acute
				Partial Hospitalization Service that includes, at a minimum, family
				intervention, Targeted Case Management, medication monitoring, Crisis Response
				Services and Community Support Services. The Acute Partial Hospitalization
				Service must be designed to assist people in making the transition from acute
				inpatient services, and/or serve as an alternative to inpatient care.
C. There must be written policies and
				procedures implemented for providing Acute Partial Hospitalization Services
				that include at a minimum:
1. Admission
				criteria and procedures. These procedures must require that a physician conduct
				an admission evaluation and certify that the service is required to reduce or
				prevent inpatient services.
2.
				Procedures requiring documented medical supervision and follow along with
				ongoing evaluation of the medical status of the person.
3. Procedures requiring documented support
				services for families and significant others.
4. Procedures implementing and documenting
				discharge criteria to include follow-up planning.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 24 - Day Programs and Employment Related Services for Adults with Serious Mental Illness › Rule 24-2-24.1 - Psychosocial Rehabilitation Services

Current through June 25, 2024
A. Psychosocial
				Rehabilitation Services (PSR) consist of a network of services designed to
				support, restore and maintain community functioning and well-being of adults
				with a serious and persistent mental illness. The purpose of the service is to
				promote recovery, resiliency, and community integration by maintaining the
				person's optimal level of functioning and preventing psychiatric
				decompensation, thereby decreasing the risk of unnecessary hospitalization and
				the need for higher level intensity services such as Program of Assertive
				Community Treatment (PACT) and Acute Partial Hospitalization. Service
				activities aim to alleviate current symptomatology and address the person's
				underlying condition by reducing the negative effects of social isolation,
				promoting illness education, creating and monitoring wellness action plans, and
				the development of other coping and independent living skills.
B. Psychosocial Rehabilitation Services must
				utilize systematic curriculum based interventions for recovery skills
				development for participants. The curriculum based interventions must be
				evidence-based or recognized best-practices in the field of mental health as
				recognized by Substance Abuse and Mental Health Services Administration
				(SAMHSA). Curriculum based interventions must address the following outcomes
				for the people participating in Psychosocial Rehabilitation Services:
1. Increased knowledge about mental
				illnesses;
2. Fewer
				relapses;
3. Fewer
				re-hospitalizations;
4. Reduced
				distress from symptoms;
5.
				Increased consistent use of medications; and,
6. Increased recovery supports to promote
				community living.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 24 - Day Programs and Employment Related Services for Adults with Serious Mental Illness › Rule 24-2-24.3 - Supported Employment Services for Serious Mental Illness

Current through June 25, 2024
A. Supported Employment Services for serious
				mental illness are provided to people with severe and persistent mental
				illnesses who have indicated employment is one (1) of their goals. The
				activities of Supported Employment help people achieve and sustain recovery.
				The ultimate goal of the Supported Employment Services is to assist people with
				serious mental illness in discovering paths of self-sufficiency and recovery
				rather than disability and dependence.
B. Supported Employment Services will develop
				policies and procedures to provide and expand evidence-based Supported
				Employment Services (such as the Individual Placement and Support [IPS] model),
				to adults with severe and persistent mental illness as listed in the most
				current edition of the Diagnostic and Statistical Manual of the American
				Psychiatric Association. All adult people with severe mental disorders are
				eligible, including dual disorders of substance use and mental
				illness.
C. Supported Employment
				Services must be voluntary.
D.
				Supported Employment Services will have no eligibility restrictions such as:
				job readiness, no substance use, no violent behavior, minimal intellectual
				functioning, or mild symptoms.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 24 - Day Programs and Employment Related Services for Adults with Serious Mental Illness › Rule 24-2-24.4 - Staffing Requirements for Supported Employment for Serious Mental Illness

Current through June 25, 2024
A. Supported
				Employment Services must be delivered by a full-time Supported Employment
				Specialist. The Supported Employment Specialist will have at least a Bachelor's
				degree and will function as a part of a multidisciplinary mental health
				team.
B. Supported Employment
				service locations must have the organizational capacity to provide at least one
				(1) full-time equivalent Supported Employment Specialist dedicated to
				employment services. The location may choose to have more than one (1)
				Supported Employment Specialist, but each position must be full-time
				employment.
1. A Supported Employment
				Expansion Site must have the organization to provide at least one (1) full-time
				equivalent Support Employment Specialist dedicated to Employment
				Services.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 24 - Day Programs and Employment Related Services for Adults with Serious Mental Illness › Rule 24-2-24.5 - Supported Employment for Serious Mental Illness Service Requirements

Current through June 25, 2024
A. Any person who determines that employment
				is a treatment goal must be referred to the Supported Employment Specialist.
				The agency provider must develop policies and procedures to design a referral
				system throughout the agency provider.
B. Supported Employment Services must:
1. Be individually tailored for each person
				to address the preferences and identified goals of each person.
2. Be mobile and develop relationships with
				local businesses to establish employment opportunities.
3. Be delivered in an ongoing rather than
				time-limited basis to aid the process of recovery and ensure permanent
				employment.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 25 - Day Services for People with Alzheimer's and Other Dementia › Rule 24-2-25.1 - Alzheimer's Day Services

Current through June 25, 2024
A. The key elements
				of Alzheimer's Day Services are community-based services designed to meet the
				needs of adults with physical and psychosocial impairments, including memory
				loss, through individualized care plans. These structured, nonresidential
				services provide a variety of social and related support services in a safe
				setting. Alzheimer's Day Services include Alzheimer's Respite Services.
				Alzheimer's Day Services operate up to eight (8) hours per day, five (5) days
				per week. Alzheimer's Respite Services operate up to twenty (20) hours per week
				with operating times to be determined by the agency provider. Alzheimer's Day
				Services focus on the strengths and abilities of people served by the agency
				provider and optimizing the health of the people. Alzheimer's Day Services
				provide a structured environment for people with Alzheimer's disease and
				related dementia; counseling for family members and/or other caregivers;
				education and training for people providing services to those with Alzheimer's
				disease and related dementia and also to family members and/or caregivers; and,
				respite. By supporting families and caregivers, Alzheimer's Day Services enable
				people with Alzheimer's disease and other dementia to live in the
				community.
B. Alzheimer's Day
				Services provide services for adults with physical and psychosocial
				impairments, who require supervision, including:
1. People who have few or inadequate support
				systems.
2. People who require
				assistance with activities of daily living (ADLs).
3. People with memory loss and other
				cognitive impairment(s) resulting from Alzheimer's and other dementia that
				interfere with daily functioning.
4. People who require assistance in
				overcoming the isolation associated with functional limitations or
				disabilities.
5. People whose
				families and/or caregivers need respite.
6. People who, without intervention, are at
				risk of premature long-term placement outside the home because of memory loss
				and/or other cognitive impairment(s).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 25 - Day Services for People with Alzheimer's and Other Dementia › Rule 24-2-25.2 - Alzheimer's Day Service Locations

Current through June 25, 2024
A. Alzheimer's Day
				Service locations must meet the following minimum staffing requirements:
1. A full-time service supervisor with at
				least a Bachelor's degree in a mental health, intellectual/developmental
				disabilities, or social service-related field and be under the supervision of a
				person with a Master's degree in a mental health or intellectual/developmental
				disabilities- related field;
2. A
				full-time Activities Coordinator with a minimum of a high school diploma or
				equivalent and at least one (1) year of experience in developing and conducting
				activities for the population to be served;
3. A full-time service assistant with a
				minimum of a high school diploma or equivalent and at least one (1) year of
				experience in working with adults in a health care or social service
				setting;
4. If volunteers are
				utilized, people who volunteer must demonstrate willingness to work with people
				with Alzheimer's disease or related dementia, and they must successfully
				complete agency provider orientation and training. The duties of volunteers
				must be mutually determined by volunteers and employees. Volunteers' duties, to
				be performed under the supervision of an employee, can either supplement
				employees in established activities or provide additional services for which
				the volunteer has special talents.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 25 - Day Services for People with Alzheimer's and Other Dementia › Rule 24-2-25.3 - Alzheimer's Respite Service

Current through June 25, 2024
A. Each Alzheimer's
				Respite Service must meet the following minimum staffing requirements:
1. A full-time service supervisor with a
				Bachelor's degree in a mental health, intellectual/developmental disabilities
				or social service- related field and at least one (1) year of supervisory
				experience in a mental health, social or health service setting or two (2)
				years of comparable technical and human services training, with demonstrated
				competence and experience as a manager in a human services setting; this person
				can also serve as the Activities Coordinator;
2. A full-time Activities Coordinator with a
				minimum of a high school diploma or equivalent and at least one (1) year of
				experience in developing and conducting activities for the population to be
				served;
3. A full-time service
				assistant with a minimum of a high school diploma or equivalent and at least
				one (1) year of experience in working with adults in a health care or social
				service setting; and,
4. If
				volunteers are utilized, people who volunteer must demonstrate willingness to
				work with people with Alzheimer's disease or related dementia, and they must
				successfully complete agency provider orientation and training. The duties of
				volunteers must be mutually determined by volunteers and employees. Volunteers'
				duties, to be performed under the supervision of an employee, can either
				supplement employees in established activities or provide additional services
				for which the volunteer has special talents.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 26 - Day Programs for Children/Youth with Serious Emotional Disturbance › Rule 24-2-26.1 - Day Treatment Services-General

Current through June 25, 2024
A. Day Treatment
				Services are mid-level intensity programs designed to promote successful
				community living and well-being for children and youth with serious emotional
				disturbance. The services provide an alternative to the more restrictive
				community-based services, such as acute partial hospitalization and MYPAC, and
				serve to prevent the need for residential treatment, unnecessary acute
				psychiatric hospitalizations and/or minimize disruptions to the child/youth's
				participation in the regular school setting. Day Treatment Services are based
				on therapeutic interventions that address the child/youth's underlying
				condition, as well as the alleviation of current symptomology. Programmatic
				activities are based on behavior management principles and include, at a
				minimum, positive feedback, self-esteem building and social skills training.
				Additional components are determined by the needs of the participants at a
				particular service location and may include skills training in the areas of
				impulse control, anger management, problem solving, and/or conflict
				resolution.
B. At a minimum, one
				(1) Children/Youth's Day Treatment Program must be offered to each school
				district in the region served by each DMH/C or DMH/P agency provider.
C. Children/youth must have the following in
				order to receive Day Treatment Services:
1. An
				eligibility determination for one (1) of the following: Serious Emotional
				Disturbance or Autism/Asperger's.
2. A justification of the need for Day
				Treatment Services which must include documentation of the intensity and
				duration of problems, as part of the initial assessment or as part of a
				post-intake case staffing and at least annually thereafter.