Kentucky Administrative Regulations › Title 908 - CABINET FOR HEALTH AND FAMILY SERVICES - DEPARTMENT FOR DEVELOPMENTAL HEALTH, DEVELOPMENTAL AND INTELLECTUAL DISABILITIES › Chapter 2 - Mental Health › Section 908 KAR 2:065 - Community transition for individuals with serious mental illness

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO:
				KRS
				205.245,
				216.765(2),
				216B.303,
				216B.305
NECESSITY, FUNCTION, AND CONFORMITY:
				KRS
				194A.050(1) requires the
				secretary of the Cabinet for Health and Family Services to promulgate
				administrative regulations necessary to protect the health of Kentucky citizens
				and to implement programs mandated by federal law or to qualify for the receipt
				of federal funds. KRS 210.450 requires the
				secretary to promulgate administrative regulations governing qualifications of
				personnel and standards for personnel management for community programs for
				behavioral health or individuals with an intellectual disability. This
				administrative regulation establishes housing assistance guidelines and the
				range of community transition services to be made available to qualified
				individuals diagnosed with serious mental illness residing in, or at risk of
				residing in, personal care homes.
Section
			 1. Definitions.
(1) "Assertive
			 community treatment" or "ACT" means an evidence-based practice model designed
			 to provide treatment, rehabilitation, and support services, using a
			 multidisciplinary approach, to individuals who are diagnosed with a serious
			 mental illness. These services shall be provided in accordance with
			 907 KAR 15:020, Section
			 3(2)(j).
(2) "Case management"
			 means those services provided pursuant to 907 KAR Chapter 15 by a targeted case
			 manager eligible and trained to provide those services pursuant to
			 908 KAR 2:260.
(3) "Community integration supplementation"
			 or "CIS" means supplementation as set forth in
			 921 KAR 2:015, Section
			 6.
(4) "Crisis services" means
			 services that are timely and accessible and provide supports to those
			 individuals experiencing a behavioral health crisis as provided in 907 KAR
			 Chapter 15. The services may include mobile crisis teams, residential crisis
			 services, and twenty-four (24) hours per day/seven (7) days per week crisis
			 telephone lines. The services shall be offered in the least restrictive setting
			 possible.
(5) "Housing assistance"
			 means assistance in gaining access to housing in the community in accordance
			 with Section 3(1) of this administrative regulation. Housing in the community
			 does not include a personal care home, group home, nursing facility, boarding
			 home, assisted living residence, supervised living setting, or any setting
			 required to be licensed.
(6) "Peer
			 support services" means the social and emotional support that is provided by
			 persons having a mental health, substance use, or co-occurring disorder to
			 others with a similar disorder, in order to bring about a desired social or
			 personal change as provided in 907 KAR Chapter 15.
(7) "Person centered recovery plan" means a
			 treatment and recovery plan created for adults with SMI, which is developed
			 with the individual, the designated clinician, and any other parties designated
			 by the individual. This plan shall build upon identified strengths, wants, and
			 needs of each individual.
(8)
			 "Personal care home" or "PCH" means a facility licensed as a personal care home
			 and regulated by
			 902 KAR 20:031 and
			 902 KAR 20:036.
(9) "Provider" means a community mental
			 health center (CMHC), its affiliate provider organizations, and any individual
			 or organization qualified to provide behavioral health service, including
			 behavioral health services organizations (BHSO).
(10) "Serious mental illness" or "SMI" means
			 a mental illness or disorder (but not a primary diagnosis of Alzheimer's
			 disease or dementia), that is described in the Diagnostic and Statistical
			 Manual of Mental Disorders (DSM), 5th Edition, or the DSM currently in use,
			 that impairs or impedes functioning in one (1) or more major areas of living
			 and is unlikely to improve without treatment, services, or supports.
(11) "Supported employment services" means
			 services that will assist individuals in preparing for, identifying, and
			 maintaining integrated, paid, competitive employment. Services may include job
			 coaching, transportation, assistive technology, specialized job training,
			 person centered employment plans, job development, and individually-tailored
			 supports.
(12) "Tenancy rights"
			 means rights created by a landlord/tenant relationship whether through a direct
			 lease or sublease in which the individual is identified as the
			 tenant.