Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 8 - Office of Health Policy and Planning › Subpart 90 - Planning and Resource Development › Chapter 03 - Mental Health › Section 15-8-90-03-306 - Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03 - Service Specific Certificate of Need Criteria and Standards for Acute Psychiatric, Chemical Dependency, and/or Psychiatric Residential Treatment Facility Beds/Services › Section 15-8-90-03-306.03.05 - Psychiatric Residential Treatment Facility Beds/Services

Current through June 25, 2024
Need Criterion 1: Statistical Need for
						  Psychiatric Residential Treatment Beds
MSDH shall base statistical need for psychiatric
						  residential treatment beds on a ratio of 0.5 beds per 1,000 population aged
						  five (5) to nineteen (19) for 2023 in the state as a whole as projected by the
						  Division of Health Planning and Resource Development. Table 3-8 presents the
						  statistical need for psychiatric residential treatment facility beds.
Need Criterion 2: Age Group to be
						  Served
The application shall state the age group that the
						  applicant will serve in the psychiatric residential treatment facility and the
						  number of beds dedicated to each age group (5 to 13, 14 to 17, and 18 to
						  21).
Need Criterion 3: Structural Design of
						  Facility
The applicant shall describe the structural design of
						  the facility for the provision of services to children less than fourteen (14)
						  years of age. Of the beds needed for psychiatric residential treatment facility
						  services, twenty-five (25) beds are hereby set aside exclusively for the
						  treatment of children less than fourteen (14) years of age. An applicant
						  proposing to provide psychiatric residential treatment facility services to
						  children less than fourteen (14) years of age shall make provision for the
						  treatment of these patients in units which are programmatically and physically
						  distinct from the units occupied by patients older than thirteen (13) years of
						  age. A facility may house both categories of patients if both the physical
						  design and staffing ratios provide for separation.
Need Criterion 4: Bed Count as Authorized by the
						  Legislature
This criterion does not preclude more than twenty-five
						  (25) psychiatric residential treatment facility beds being authorized for the
						  treatment of patients less than fourteen (14) years of age. However, MSDH shall
						  not approve more psychiatric residential treatment facility beds statewide than
						  specifically authorized by legislation. This authorization is limited to 334
						  beds for the entire state.
Need Criterion 5: Proposed Size of
						  Facility/Unit
The applicant shall provide information regarding the
						  proposed size of the facility/unit. A psychiatric residential treatment
						  facility should provide services in a homelike environment. Ideally, a facility
						  should provide cottage-style living units not exceeding fifteen (15) beds. A
						  psychiatric residential treatment facility should not be larger than sixty (60)
						  beds.
Need Criterion 6: Staffing
The applicant shall provide documentation regarding the
						  staffing of the facility. Staff should be specially trained to meet the
						  treatment needs of the age category of patients being served. Staff should
						  include both psychiatrists and psychologists and should provide a
						  multi-discipline psychosocial medical approach to treatment. The treatment
						  program must involve parents and/or significant others. Aftercare/follow-up
						  services must also be provided.
Table 3-6
Statewide Acute Psychiatric Bed Need
						  2025
Bed Category and Ratio
2025 Projected Population
Projected Beed Need
Licensed beds
Difference
Adult Psychiatric: 0.21 beds per 1,000
										population aged 18+
2,370,512
498
677
-179
Child/ Adolescent Psychiatric: 0.55 beds per
										1,000 population aged 5 to 17
508,846
280
277
3
Source(s): Applications for Renewal of Hospital License
						  for FY 2020; State Data Center of Mississippi, University of Mississippi Center
						  for Population Studies
Table 3-7
Statewide Chemical Dependency Bed Need
						  2025
Bed Category and Ratio
2025 Projected Population
Projected Bed Need
Licensed Beds
CON Approved Beds
Difference
Adult Chemical Dependency: 0.14 beds per
										1,000 population aged 18+
2,370,512
332
153
16
163
Child/ Adolescent Chemical Dependency: 0.44
										beds per 1,000 population aged 5 to 17
508,846
224
32
192
Source(s): Applications for Renewal of Hospital License
						  for FY 2020; State Data Center of Mississippi, University of Mississippi Center
						  for Population Studies
Table 3-8
Statewide Psychiatric Residential Treatment
						  Facility Bed Need 2023
Age Cohort
Bed Ratio per 1,000
										Population
2023 Projected Population
Projected Bed Need
Licensed/CON Approved
Difference
5 to 19
0.50
633,751
317
314
3
Source(s): Applications for Renewal of Hospital License
						  for FY 2020; State Data Center of Mississippi, University of Mississippi Center
						  for Population Studies