Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 50 - Admission Criteria › Chapter 2 - Mental Health Services › Section 9 CSR 50-2.510 - Admissions to Adult Community Residential Settings

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment removes the department's
				  obsolete supported community living offices and stipulates the responsibilities
				  of administrative agents and affiliates for processing referrals and managing
				  admissions to adult community residential settings.
PURPOSE: This rule prescribes eligibility and
				  admission criteria, the application process, and notification procedures for
				  adult community residential settings funded by the Division of Behavioral
				  Health (DBH). This rule applies to administrative agents, affiliates, and
				  community residential settings.
(1) Definitions. Terms defined in sections
				630.005 and
				632.005, RSMo, shall
				be used in the interpretation and enforcement of this rule. Unless the Division
				of Behavioral Health (DBH) residential services contract clearly requires
				otherwise, the following other terms, as used in this rule, shall mean:
(A) Administrative agent, an organization and
				its approved designee(s) authorized by the department as an entry and exit
				point into the state mental health service delivery system for a geographic
				service area defined by the department;
(B) Affiliate, an organization that is
				contracted with the department to provide specific community psychiatric
				rehabilitation (CPR) services for adults in a designated geographic
				area;
(C) Applicant, an individual
				for whom admission to a community residential setting has been requested;
(D) Charged consumer, an
				individual who has been permanently determined to lack capacity to understand
				the proceedings against him/her or to assist in his/her own defense under
				section
				552.020,
				RSMo, for offenses the individual would otherwise have been required to
				register as an offender on or after January 1, 1995, under sections
				589.400
				to
				589.425,
				RSMo;
(E) Charged consenting
				consumer, a charged consumer whose guardian has given consent to the DBH
				regional community operations office to disclose such legal charges against
				his/her ward to other individuals (guardian, if appointed) who may or will be
				residing with the charged consumer;
(F) Community Psychiatric Rehabilitation
				(CPR), an array of community-based, outpatient mental health services for
				children, youth, and adults who have been diagnosed with a severe, disabling
				mental illness or serious emotional disturbance. Administrative agents or their
				affiliates are responsible for providing these services to eligible individuals
				in their designated service area(s);
(G) DBH-funded community residential setting
				(used interchangeably in this rule with residential setting), living
				arrangements in the community designated for adults who meet the admission
				criteria specified in this rule. These settings include, but are not limited
				to, Psychiatric Individualized Supported Living (PISL), Intensive Residential
				Treatment Settings (IRTS), clustered apartments, residential care facilities,
				assisted living facilities, and intermediate care facilities;
(H) Forensic client, a person who is a client
				of the Division of Behavioral Health pursuant to sections
				552.030
				and
				552.040,
				RSMo;
(I) General notification,
				written notification to an individual (guardian, if appointed) receiving DBH
				funding in a residential setting or other community dwelling, such as an
				apartment setting, of the potential to reside with a registered offender or
				charged consumer;
(J) Regional
				community operations, the DBH office responsible for overseeing DBH-funded
				community residential settings in assigned regions of the state;
(K) Registered offender, a person who is
				registered or will be registered by law enforcement upon discharge from a
				DBH-oper-ated inpatient psychiatric facility or correctional facility pursuant
				to sections
				589.400
				to
				589.425,
				RSMo; and
(L) Specific
				notification, written notification to an individual (guardian, if appointed)
				receiving DBH funding in a residential setting or other community dwelling,
				such as an apartment setting, when a registered offender or charged consenting
				consumer has been referred for admission to the same setting, as well as when a
				registered offender or charged consenting consumer currently resides in the
				same setting, regardless of whether the offender or charged consenting consumer
				requires DBH funding. Specific notification is managed by the DBH regional
				community operations office. Specific notification of a registered offender
				includes the name of the offender, physical description, registerable
				offense(s), associated date(s) of offense(s), and the name of the residential
				setting where the offender is referred to or resides. The specific notification
				of a charged consenting consumer includes the name of the charged consumer,
				offense(s) and associated date(s) of offense(s), and the name of facility the
				charged consenting consumer is referred to or resides.