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 26 - Day Programs for Children/Youth with Serious Emotional Disturbance › Rule 24-2-26.2 - Day Treatment Services for Pre-K

Current through June 25, 2024
A. In addition to
				Rule
				26.1, the standards that follow
				pertain to agency providers of Day Treatment Services for Pre-K that serve
				children three-five (3-5) years of age who are identified as having a serious
				emotional disturbance.
B. All
				children must be signed in and out of the program by a parent(s)/legal
				representative(s). If a child is being transported by the program employee, the
				parent(s)/legal representative(s) must sign when they put the child on and take
				the child off of the van. The parent(s)/legal representative(s) must sign their
				full name along with the time. If the child is to be signed in/out by any
				person other than the parent/legal representative, written permission from the
				parent/legal representative must be in the child/youth's record. Sign in/out
				documentation must be available for review.
C. Chairs and tables used in the room where
				Day Treatment Services for Pre-K are provided must be appropriate to the size
				and age of the children. This furniture must be kept clean with frequent
				disinfection.
D. Individual hooks
				or compartments must be provided for each child for hanging or storing outer
				and/or extra clothing. Individual hooks or compartments must be spaced well
				apart so that clothes do not touch those of another child. Each child must have
				an extra change of properly sized and season-appropriate clothes stored at the
				program at all times.
E. All
				children participating in Day Treatment Services for Pre-K must be
				age-appropriately immunized and must have a MS State Department of Health
				Certificate of Immunization Compliance on file.
F. Any child who is suspected of having a
				contagious condition must be removed from the room where Day Treatment Services
				are being provided and sent home with his/her parent/legal representative as
				soon as possible. The child will not be allowed to return to the Day Treatment
				program until he/she has been certified by a physician as no longer being
				contagious. Conditions that would require exclusion from the program include
				fever, diarrhea, vomiting, rash, sore throat if accompanied by a fever, and/or
				eye discharge.
G. During the hours
				the Day Treatment Program for Pre-K is in operation, children must be offered
				adequate and nutritious meals and snacks. Menus must be available for review.
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 27 - IDD Day and Employment-Related Services › Rule 24-2-27.1 - Day Services - Adult

Current through June 25, 2024
A. Day
				Services-Adult is the provision of regularly scheduled, individualized
				activities in a non-residential setting, separate from the participant's
				private residence or other residential living arrangements. Group and
				individual participation in activities that include daily living and other
				skills that enhance community participation and meaningful days for each person
				are provided. Personal choice of activities as well as food, community
				participation, etc., is required and must be documented and maintained in each
				person's record.
B. Activities and
				environments are designed to foster meaningful day activities for the person to
				include the acquisition and maintenance of skills, building positive group,
				individual and interpersonal skills, greater independence and personal choice.
				Services must optimize, not regiment individual initiative, autonomy and
				independence in making informed life choices including what he/she does during
				the day and with whom they interact. Opportunities to seek employment, work in
				competitive integrated settings, and control personal resources must be
				offered. The setting must be selected by the person from among setting options,
				including non-disability specific settings. The setting options are identified
				and documented in the person-centered service plan and are based on the
				person's needs and preferences.
C.
				Day Services-Adult must have a community component that is individualized and
				based upon the choices of each person.
1.
				People have the freedom to control their own schedules and activities, with
				employee support.
2. Community
				participation activities must allow access to the community to the same degree
				of access as someone not receiving Home and Community-Based Services.
3. Community participation can be provided
				individually or in groups of three (3) people.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 27 - IDD Day and Employment-Related Services › Rule 24-2-27.3 - Prevocational Services

Current through June 25, 2024
A. Prevocational
				Services provide meaningful day activities of learning and work experiences,
				including volunteer work, where the person can develop general, non-job task
				specific strengths and skills that contribute to paid employment in integrated
				community settings.
B.
				Prevocational Services are expected to be provided over a defined period of
				time with specific outcomes to be achieved as determined by the person and
				his/her team. There must be a written plan that includes job exploration, work
				assessment and work training. The plan must also include a statement of needed
				services and the duration of work activities.
C. People receiving Prevocational Services
				must have employment related outcomes in their Plan of Services and Supports;
				the general habilitation activities must be designed to support such employment
				outcomes.
D. Prevocational Services
				must enable each person to attain the highest level of work in an integrated
				setting with the job matched to the person's interests, strengths, priorities,
				abilities, and capabilities, while following applicable federal wage
				guidelines.
E. Services are
				intended to develop and teach general skills that are associated with building
				skills necessary to perform work in competitive, integrated employment.
				Teaching job specific skills is not the intent of Prevocational Services.
				Examples include but are not limited to:
1.
				Ability to communicate effectively with supervisors, coworkers and
				customers;
2. Generally accepted
				community workplace conduct and dress;
3. Ability to follow directions; ability to
				attend to tasks;
4. Workplace
				problem solving skills and strategies;
5. General workplace safety and mobility
				training;
6. Attention
				span;
7. Motor skills;
				and,
8. Interpersonal
				relations.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 27 - IDD Day and Employment-Related Services › Rule 24-2-27.4 - Job Discovery

Current through June 25, 2024
A. Job Discovery
				includes, but is not limited to, the following types of person-centered
				services:
1. Face-to-face interviews that
				include a review of current and previous supports and services;
2. Assisting the person with volunteerism,
				self-determination and self-advocacy;
3. Identifying support needs;
4. Developing a plan for achieving integrated
				employment;
5. Job
				exploration;
6. Job
				shadowing;
7.
				Internships;
8. Employment
				(informational) seeking skills; current labor market;
9. Interviewing skills;
10. Job and task analysis
				activities;
11. Job
				negotiation;
12. Employment
				preparation (i.e., resume development, work procedures, soft skills);
13. Business plan development for
				self-employment; and,
14.
				Environmental and work culture assessments.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 28 - Community Living Services for People with Serious Mental Illness › Rule 24-2-28.1 - Supervised Living Services for Serious Mental Illness Service Components

Current through June 25, 2024
A. Supervised Living Services provide
				individually tailored supports which assist with the acquisition, retention, or
				improvement in skills related to living in the community. Habilitation,
				learning and instruction are coupled with the elements of support, supervision
				and engaging participation to reflect the natural flow of learning, practice of
				skills, and other activities as they occur during the course of a person's day.
				Activities must support meaningful days for each person. Activities are to be
				designed to promote independence yet provide necessary support and
				assistance.
B. Supervised Living
				Services may be intensive and time-limited for adults with serious mental
				illness in order to provide readjustment and transitional living services for
				people discharged from a psychiatric hospital who have demonstrated mental,
				physical, social and emotional competency to function more independently in the
				community. These time-limited services may also be provided for people who need
				this service as an alternative to a more restrictive treatment
				setting.
C. Supervised Living
				Services must include the following services as appropriate to each person's
				support needs:
1. Direct personal care
				assistance activities such as:
(a)
				Grooming;
(b) Eating;
(c) Bathing;
(d) Dressing; and,
(e) Personal hygiene.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 28 - Community Living Services for People with Serious Mental Illness › Rule 24-2-28.2 - Environment and Safety for Supervised Living Services for Serious Mental Illness

Current through June 25, 2024
A. Supervised
				Living Services locations must, to the maximum extent possible, duplicate a
				"home-like" environment.
B. All
				locations must have furnishings that are safe, up-to-date, comfortable,
				appropriate, and adequate. Furnishings, to the greatest extent possible, are
				chosen by the people currently living in the home.
C. All agency providers must provide access
				to a washer and dryer in the home, apartment, or apartment complex and must
				ensure the laundry room or area has an exterior ventilation system for the
				clothes dryer free from excessive lint and dust accumulation.
D. Agency providers must develop policies
				regarding pets and animals on the premises. Animal/Pet policies must address,
				at a minimum, the following:
1. Documentation
				of vaccinations against rabies and all other diseases communicable to humans
				must be maintained on-site;
2.
				Procedures to ensure pets will be maintained in a sanitary manner (no fleas,
				ticks, unpleasant odors, etc.);
3.
				Procedures to ensure pets will be kept away from food preparation sites and
				eating areas; and,
4. Procedures
				for controlling pets to prevent injury to people living in the home as well as
				visitors and employees (e.g., animal in crate, put outside, put in a secure
				room, etc.).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 28 - Community Living Services for People with Serious Mental Illness › Rule 24-2-28.3 - Supported Living Services for Serious Mental Illness Service Components

Current through June 25, 2024
A. Supported Living Services is provided to
				people who reside in their own residences (either owned or leased) for the
				purposes of increasing and enhancing independent living in the community.
				Supported Living Services is for people who need less than twenty-four (24)
				hour employee support per day. Employees must be on-call 24/7 in order to
				respond to emergencies via phone call or return to the living site, depending
				on the type of emergency. Supported Living Services are provided in a home-like
				setting where people have access to the community at large to the same extent
				as people who do not have a serious mental illness.
B. Supported Living Services are for people
				age eighteen (18) and above with serious mental illness and are provided in
				residences in the community for six (6) or fewer people.
C. Supported Living Services provides
				assistance with the following, depending on each person's support needs:
1. Grooming;
2. Eating;
3. Bathing;
4. Dressing; and,
5. Personal hygiene.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 28 - Community Living Services for People with Serious Mental Illness › Rule 24-2-28.4 - Supported Living Services for Serious Mental Illness Environment and Safety

Current through June 25, 2024
A. Each housing
				unit/house must provide operable 2A-10B, C multi-purpose fire extinguishers in
				fixed locations that are readily accessible for use in the home, (i.e.,
				kitchens, laundry areas, garages, gas water heater locations) and which must be
				mounted in a secure manner.
B.
				Agency providers must document that all fire extinguishers are properly
				maintained and serviced. Homes must have evidence that fire extinguishers are
				being recharged or replaced, as needed, but at a minimum every six (6) years.
				Fire extinguishers that cannot be recharged for whatever reason must be
				replaced immediately.
C. Each
				housing unit/house must have, at a minimum, operable carbon monoxide detector
				where natural gas or any other source of carbon monoxide emission is used or
				where there is an open flame (e.g., gas heater, gas water heater, etc.). One
				(1) carbon monoxide detector must be located in every one thousand (1,000)
				square foot area or less.
D. In
				lieu of posted escape routes, agency providers must document training that
				prepares a person to exit his/her housing unit/house in the event of
				emergency.
E. At least annually,
				training must be provided to people receiving Supported Living Services
				(whether or not the housing unit/house is owned or controlled by the agency
				provider) which includes, but is not limited to, the following:
1. The PASS (Pull, Aim, Squeeze, Sweep)
				method of using a fire extinguisher. If necessary, employees must assist in
				obtaining and mounting the fire extinguisher;
2. Fire, smoke and carbon monoxide safety and
				the use of detectors. If necessary, employees must assist in obtaining and
				mounting fire, smoke and carbon monoxide detectors;
3. Hot water safety. If necessary, employees
				must assist in testing and regulating the hot water temperature, documenting
				such in a log to be maintained by the agency provider employees; and,
4. Any other health/safety issues based on
				the needs or identified risk for each 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 29 - Community Living Services for Children/Youth with Serious Emotional Disturbance › Rule 24-2-29.1 - All Community Living Services for Children/Youth with Serious Emotional Disturbance

Current through June 25, 2024
A. Each child/youth
				(ages 5 to 16 years) must be enrolled and attend an appropriate educational
				service in the local school district or be enrolled in an educational service
				operated by the agency provider that meets the individualized educational needs
				of the child/youth and is accredited by the MS Department of Education. The
				Community Living Handbook must describe how this occurs for the children/youth
				served.
B. Agency providers must
				provide a balance of age-appropriate, goal-oriented activities to meet the
				individualized needs and build on the strengths of the children/youth served in
				the service. Areas to be addressed by such services must include the following:
1. Social skills development based on each
				child/youth's diagnosis and functional assessment;
2. Wellness education;
3. Increasing self-esteem;
4. Leisure activities;
5. Substance use
				education/counseling;
6. HIV/AIDS
				education and/or counseling; and,
7. Education and counseling about sexually
				transmitted diseases.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 29 - Community Living Services for Children/Youth with Serious Emotional Disturbance › Rule 24-2-29.2 - Therapeutic Foster Care for Children/Youth with Serious Emotional Disturbance

Current through June 25, 2024
A. Agency providers
				of Therapeutic Foster Care must also meet the requirements in Rule
				29.1.
B. Therapeutic Foster Care Services are
				intensive community-based services for children/youth with significant
				developmental, emotional or behavioral needs provided by mental health
				professional personnel and trained foster parents, resource parents or group
				home agency providers who provide a therapeutic service for children/youth with
				serious emotional disturbances living in a resource home licensed by the MS
				Department of Child Protection Services.
C. Therapeutic Foster Care agency providers
				can use only adults with current documentation of foster parent or resource
				family approval from the MS Department of Child Protection Services.
D. Each foster home or resource home must
				have no more than one (1) child/youth with serious emotional disturbance placed
				in the home at a given time. Agency providers seeking to place more than one
				(1) child/youth with serious emotional disturbance in a resource home must
				obtain prior approval from the MS Department of Child Protection Services.
				Siblings with serious emotional disturbance may be placed together in the same
				home if all of the following conditions apply:
1. The siblings have never been
				separated;
2. The siblings are not
				a danger to others or to each other; and,
3. Therapeutic resource parents asked to
				place siblings in their home must consent, in advance in writing, to the
				placement. This documentation must be maintained in the record of each
				sibling.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 29 - Community Living Services for Children/Youth with Serious Emotional Disturbance › Rule 24-2-29.3 - Therapeutic Group Homes for Children/Youth with Serious Emotional Disturbance

Current through June 25, 2024
A. Agency providers
				of Therapeutic Group Homes must also meet the requirements in Rule
				29.1.
B. The maximum bed capacity of each
				Therapeutic Group Home is ten (10) beds per home for children/youth twelve (12)
				years of age through age twenty (20) years and (11) eleven months and eight (8)
				beds for children/youth ages six (6) years through eleven (11) years and eleven
				(11) months. DMH may require a lower bed capacity than described in this
				standard, depending on the age, developmental or level of functioning, or
				intensity of need for intervention and supervision of the population of
				children/youth served in the individual home.
C. There may be no more than two (2)
				children/youth per bedroom in a Therapeutic Group Home. The agency provider
				must ensure that the employees on-site are of a sufficient number to provide
				adequate supervision of children/youth in a safe, therapeutic home environment
				and must meet the following minimum requirements:
1. In Therapeutic Group Homes with five (5)
				or fewer children/youth, at least one (1) employee (which can be a direct
				support worker or house parent) with at least a Bachelor's degree in a mental
				health or related field must be assigned to direct service responsibilities for
				the children/youth during all hours.
2. For Therapeutic Group Homes with six (6)
				to ten (10) children/youth, at least two (2) employees must be assigned to
				direct service responsibilities during all hours children/youth are awake and
				not in school. One (1) of the two (2) employees can be a direct support worker
				or house parent and one (1) must be a professional employee with at least a
				Bachelor's degree in a mental health or related field.
3. Have a full-time director who is on-site
				at least forty (40) hours per week.
4. Other appropriate professional employees
				must be available to assist in emergencies, at least on an on-call basis, at
				all times.
5. DMH may require an
				employee to youth ratio lower than described above, depending on the age,
				developmental or functional level, or intensity of need for intervention and
				supervision of the population of children/youth served by the individual
				home.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.1 - Supervised Living Services for Intellectual/Developmental Disabilities Service Components

Current through June 25, 2024
A. Supervised
				Living Services provide individually tailored supports which assist with the
				acquisition, retention, or improvement in skills related to living in the
				community. Learning and instruction are coupled with the elements of support,
				supervision and engaging participation to reflect the natural flow of learning,
				practice of skills, and other activities as they occur during the course of a
				person's day. Activities must support meaningful days for each person.
				Activities are to be designed to promote independence yet provide necessary
				support and assistance. Agency providers should focus on working with the
				person to gain maximum independence and opportunity in all life activities.
				Agency providers must ensure each person's rights of privacy, dignity and
				respect and freedom from coercion. Services must optimize, but not regiment, a
				person's initiative, autonomy and independence in making life choices,
				including, but not limited to daily activities, physical environment, and with
				whom to interact.
B. Supervised
				Living Services must include the following supports as appropriate to each
				person's needs:
1. Direct personal care
				assistance activities such as:
(a)
				Grooming;
(b) Eating;
(c) Bathing;
(d) Dressing; and,
(e) Personal care needs.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.2 - Behavioral Supervised Living

Current through June 25, 2024
A. Behavioral
				Supervised Living is not a separate service than Supervised Living Services but
				allows an increased reimbursement rate for persons enrolled in ID/DD Waiver
				with significant behavioral issues. Additional eligibility requirements for
				persons who receive this level of support and requirements for Supervised
				Living Services settings to receive the increased reimbursement rate are
				outlined in this section. Rule
				30.1 Supervised Living Services for
				people with intellectual/developmental disabilities service components and Rule
				30.4 Environment and Safety for
				Supervised Living Services for people with intellectual/developmental
				disabilities applies to Behavioral Supervised Living.
B. Behavioral Supervised Living provides a
				level of service intended to support people with high frequency disruptive
				behaviors that pose serious health and safety concerns to self or others,
				including destructive behaviors that may or will result in physical harm or
				injury to self or others. To receive Behavioral Supervised Living, there must
				be a documented history of the behavior(s) listed below that is likely to
				re-occur without supervision and structure in the person's living arrangement.
				Behavioral Supervised Living must receive prior approval by the DMH Bureau of
				Intellectual/Developmental Disabilities and Specialized Needs
				Committee.
C. In order to provide
				Behavioral Supervised Living, a provider must first be approved to do so by the
				Bureau of Intellectual/Developmental Disabilities (BIDD). The following must be
				submitted through the Division of Certification:
1. Documentation and procedures to ensure the
				required team members are available to perform required duties. Refer to Rule
				11.4.C.
2. Documentation and procedures for how the
				team will address requirements for each Behavioral Supervised Living
				site.
3. Documentation and
				procedures describing that all staff in each approved home have the required
				training.
4. Documentation and
				procedures describing how trained staff coverage for the home, dependent upon
				the needs of the person/people receiving Behavioral Supervised Living and
				others who may be living in the home, will be provided.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.3 - Medical Supervised Living

Current through June 25, 2024
A. Medical
				Supervised Living is not a separate service from Supervised Living Services but
				allows an increased reimbursement rate for persons enrolled in ID/DD Waiver
				with significant medical needs. Additional eligibility requirements for persons
				who receive this level of support and requirements for Supervised Living
				settings to receive the increased reimbursement rate are outlined in this
				section. Rule
				30.1 Supervised Living Services for
				Intellectual/Developmental Disabilities Service Components and Rule
				30.4 Environment and Safety for
				Supervised Living Services for People with Intellectual/Developmental
				Disabilities, applies to Medical Supervised Living.
B. Medical Supervised Living provides
				additional support for people with chronic physical or medical condition(s)
				requiring prolonged dependency on medical treatment for which skilled nursing
				intervention is necessary. Medical Supervised Living cannot be received unless
				the person requires frequent nursing oversight to include a minimum of monthly
				nursing assessments by the registered nurse.
C. In order to provide Behavioral Supervised
				Living, a provider must first be approved to do so by the Bureau of
				Intellectual/Developmental Disabilities (BIDD). The following must be submitted
				through the Division of Certification:
1.
				Documentation and procedures to ensure a Registered Nurse (RN) will conduct all
				Nursing Assessments and develop all Nursing Care Plans.
2. Documentation and procedures describing
				how nursing staff will provide coverage twenty-four (24) hours per day, seven
				(7) days per week in order to respond to the person's medical needs and
				requests for assistance/information from staff in the home. Documentation must
				include a copy of the nurse's current license to provide nursing
				care.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.4 - Environment and Safety for Supervised Living Services for Intellectual/Developmental Disabilities

Current through June 25, 2024
A. Supervised
				Living Services locations must be a "home-like" environment.
B. All service locations must have
				furnishings that are safe, up-to-date, comfortable, appropriate, and adequate.
				Furnishings, to the greatest extent possible, are chosen by the people
				currently living in the home.
C.
				All agency providers must provide access to a washer and dryer in the home,
				apartment, or apartment complex and must ensure the laundry room or area has an
				exterior ventilation system for the clothes dryer free from excessive lint and
				dust accumulation.
D. Agency
				providers must develop policies regarding pets and animals on the premises.
				Animal/Pet policies must address, at a minimum, the following:
1. Documentation of vaccinations against
				rabies and all other diseases communicable to humans must be maintained
				on-site;
2. Procedures to ensure
				pets will be maintained in a sanitary manner (no fleas, ticks, unpleasant
				odors, etc.);
3. Procedures to
				ensure pets will be kept away from food preparation sites and eating areas;
				and,
4. Procedures for controlling
				pets to prevent injury to people living in the home as well as visitors and
				employees (e.g., animal in crate, put outside, put in a secure room,
				etc.).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.5 - ID/DD Waiver Host Homes

Current through June 25, 2024
A. Host Homes are
				private homes where no more than one (1) person who is at least five (5) years
				of age lives with a family and receives personal care and supportive services.
				If the person requesting this service is under five (5) years of age, admission
				must receive prior approval by the Bureau of Intellectual/Developmental
				Disabilities' Director.
B. Host
				Home families are a stand-alone family living arrangement in which the
				principal caregiver in the Host Home assumes the direct responsibility for the
				participant's physical, social, and emotional well-being and growth in a family
				environment.
C. Host Home Services
				include assistance with personal care, leisure activities, social development,
				family inclusion, community inclusion, and access to medical services. Natural
				supports are encouraged and supported. Supports are to be consistent with the
				participant's skill level, goals, and interests.
D. Host Homes are administered and managed by
				agency providers that are responsible for all aspects of Host Home Services.
				Host Home agency providers must:
1. Complete
				an evaluation of each prospective Host Home family and setting. The evaluation
				must receive prior approval by the Bureau of Intellectual/Developmental
				Disabilities;
2. Conduct background
				checks for all Host Home family members over the age of eighteen
				(18);
3. Provide training to Host
				Home service providers that is in compliance with Chapter 12;
4. Ensure each Host Home family member has
				had a medical examination within twelve (12) months of anyone moving into the
				Host Home and at least annually thereafter which indicates that they are free
				from communicable disease(s);
5.
				Maintain current financial and personal property records for each person served
				in a Host Home;
6. Conduct at least
				monthly home visits to each Host Home;
7. Ensure availability, quality and
				continuity of Host Homes;
8. Take
				into account compatibility with the Host Home family member(s) including age,
				support needs, and privacy needs;
9. Ensure each person receiving Host Home
				Services has his/her own bedroom;
10. Recruit and oversee the Host
				Home;
11. Have twenty-four (24)
				hour responsibility for the Host Homes which includes backup staffing for
				scheduled and unscheduled absences of the Host Home family; and,
12. Have plans for when a Host Home family
				becomes unable to provide the services to someone on an immediate basis. The
				agency provider must ensure the availability of back-up plans to support the
				person until another suitable living arrangement can be secured.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.6 - Supported Living Services for Intellectual/Developmental Disabilities Service Components

Current through June 25, 2024
A. Supported Living
				Services are provided to people who reside in their own residences (either
				owned or leased by themselves or an agency provider) for the purposes of
				increasing and enhancing independent living in the community. Supported Living
				Services are for people who need less than twenty-four (24) hour employee
				support per day. Employees must be on-call 24/7 in order to respond to
				emergencies via phone call or return to the living site, depending on the type
				of emergency.
B. Supported Living
				Services are for people age eighteen (18) and above who have
				intellectual/developmental disabilities. Supported Living Services are provided
				in a home-like setting where people have access to the community at large to
				the same extent as people who do not have an intellectual/developmental
				disability. If Supported Living Services are provided in a provider owned or
				controlled setting, the setting must have four (4) or fewer people living in
				the home. The residence can be a Supervised Living Services-certified location,
				if the person so chooses.
C.
				Supported Living Services provide assistance with the following, depending on
				each person's support needs:
1.
				Grooming;
2. Eating;
3. Bathing;
4. Dressing; and,
5. Other personal needs.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.7 - Supported Living Services for Intellectual/Developmental Disabilities Environment and Safety

Current through June 25, 2024
A. Agency Providers
				who own or lease to persons receiving Supported Living Services must meet the
				following requirements:
1. Each housing
				unit/house must provide operable 2A-10B, C multi-purpose fire extinguishers in
				fixed locations that are readily accessible for use in the home, (i.e.,
				kitchens, laundry areas, garages, gas water heater locations) and must be
				mounted in a secure manner.
2.
				Agency providers must document that all fire extinguishers are properly
				maintained and serviced. Each housing unit/home must have evidence that fire
				extinguishers are being recharged or replaced, as needed, but at a minimum
				every six (6) years. Fire extinguishers that cannot be recharged for whatever
				reason must be replaced immediately.
3. Each housing unit/house must have, at a
				minimum, operable carbon monoxide detectors where natural gas or any other
				source of carbon monoxide emission is used or where there is an open flame
				(e.g., gas heater, gas water heater, etc.). One (1) carbon monoxide detector
				must be located in every one thousand (1,000) square foot area or
				less.
4. In lieu of posted escape
				routes, agency providers must document training that prepares a person to exit
				his/her housing unit/house in the event of emergency.
5. Supported Living Services are provided in
				home-like settings where people have access to the community at large, to the
				extent they desire, as documented in the Plan of Services and Supports and
				Activity Support Plan.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.8 - Shared Supported Living Services for Intellectual/Developmental Disabilities Service Components

Current through June 25, 2024
A. Shared Supported
				Living Services are for people age eighteen (18) and older who have an
				intellectual/developmental disability and are provided in compact geographical
				areas (e.g., an apartment complex) in residences either owned or leased by
				themselves or an agency provider. Employee supervision is provided at the
				service location and in the community but does not include direct employee
				supervision at all times.
1. The amount of
				employee supervision someone receives is based on tiered levels of support
				based on a person's support level on the Inventory for Client and Agency
				Planning.
2. There must be awake
				employee(s) twenty-four (24) hours per day, seven (7) days per week when people
				are present in any of the living units. Employees must be able to respond to
				requests/need for assistance from people receiving services within five (5)
				minutes at all times people are present at the service location.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 30 - Residential Services for People with Intellectual/Developmental Disabilities › Rule 24-2-30.9 - Shared Supported Living Services for Intellectual/Developmental Disabilities Environment and Safety

Current through June 25, 2024
A. Each housing
				unit/house must provide operable 2A-10B, C multi-purpose fire extinguishers in
				fixed locations that are readily accessible for use in the home, (i.e.,
				flammable storage areas, kitchens, laundry areas, garages, gas water heater
				locations) and must be mounted in a secure manner.
B. Agency providers must document that all
				fire extinguishers are properly maintained and serviced. Housing units/houses
				must have evidence that fire extinguishers are being recharged or replaced, as
				needed, but at a minimum every six (6) years. Fire extinguishers that cannot be
				recharged for whatever reason must be replaced immediately.
C. Each housing unit/house must have, at a
				minimum, operable carbon monoxide detectors located where natural gas or any
				other source of carbon monoxide emission is used or where there is an open
				flame (e.g., gas heater, gas water heater, etc.). One (1) carbon monoxide
				detector must be located in every one thousand (1,000) square foot area or
				less.
D. In lieu of posted escape
				routes, agency providers must document training that prepares a person to exit
				his/her housing unit/house in the event of emergency.
E. Training must take place upon admission
				and at least monthly thereafter. This documentation must be maintained on site,
				in each person's record.
F. Upon
				admission and at least annually thereafter, training must be provided to people
				receiving Shared Supported Living Services (whether or not the housing
				unit/house is owned or controlled by the agency provider) which includes, but
				is not limited to, the following:
1. The PASS
				(Pull, Aim, Squeeze, Sweep) method of using a fire extinguisher. If necessary,
				employees must assist in obtaining and mounting fire extinguisher(s);
2. Fire, smoke and carbon monoxide safety and
				the use of detectors. If necessary, employees must assist in obtaining and
				mounting fire, smoke and carbon monoxide detectors;
3. Hot water safety. If necessary, employees
				must assist in testing and regulating the hot water temperature, documenting
				such in a log to be maintained by the agency provider employees;
4. Any other health/safety issues based on
				the needs or identified risk for each person;
5. How to contact 911 in an emergency;
				and,
6. How to contact agency
				provider employees in an 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 31 - Community Living Services for People with Substance Use Disorders › Rule 24-2-31.1 - General Community Living for People with Substance Use Disorders

Current through June 25, 2024
A. Substance Use Disorder Residential
				Treatment Services support people as they develop the skills and abilities
				necessary to improve their health and wellness, live self-directed lives, and
				strive to reach their full potential in a life of recovery. Services are
				offered in a community-based treatment setting. The residential continuum of
				care includes both Primary Residential Services and Transitional Residential
				Services for people with a substance use disorder.
B. Staffing must be sufficient to meet
				service requirements. Male and female (as appropriate) employees must be
				on-site and available twenty-four (24) hours per day, seven (7) days per
				week.
C. Residential Services
				accommodating children/youth must adhere to the following:
1. Provide an adequate, secure, and
				supervised play space.
2. Prohibit
				any form of corporal punishment by personnel or people receiving services.
				Employees must provide people with information regarding positive approaches to
				management of children/youth's behavior.
3. Safety measures in place to prohibit
				access by any child perpetrators/offenders. This includes potential residents
				or visitors.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 31 - Community Living Services for People with Substance Use Disorders › Rule 24-2-31.3 - Animals/Pets on the Premises

Current through June 25, 2024
A. Agency providers
				must develop policies regarding pets and animals on the premises for all
				community living service locations.
B. Animal/Pet policies must address, at a
				minimum, the following:
1. Documentation of
				vaccinations against rabies and all other diseases communicable to humans must
				be maintained on-site;
2.
				Procedures to ensure pets will be maintained in a sanitary manner (no fleas,
				ticks, unpleasant odors, etc.);
3.
				Procedures to ensure pets will be kept away from food preparation sites and
				eating areas; and,
4. Procedures
				for controlling pets to prevent injury to people living in the home as well as
				visitors and employees (e.g., animal in crate, put outside, put in a secure
				room, etc.).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 31 - Community Living Services for People with Substance Use Disorders › Rule 24-2-31.4 - Transitional Residential Services

Current through June 25, 2024
A. Transitional
				Residential Services are provided in a safe and stable group living environment
				which promotes recovery while encouraging the pursuit of vocational or related
				opportunities.
B. A person must
				have successfully completed a primary residential substance use disorder
				treatment service in order to be eligible for admission to transitional
				residential services. The person may transition from a primary residential
				substance use disorder treatment service to a secondary treatment service when
				deemed appropriate by the clinical staff and attending physician according to
				the
American Society of Addiction Medicine
© (ASAM)
				Criteria.
C. The program components
				include at a minimum:
1. At least one (1) hour
				of individual therapy per week with each person.
2. A minimum attendance of at least two (2)
				hours of group therapy per week. Group therapy must be offered at times that
				accommodate the schedules of the people.
3. Family therapy must be offered and
				available as needed. Documentation of attendance or refusal is
				required.
4. Psychoeducational
				groups individualized to the people. Topics to be addressed may include, but
				are not limited to, vocation, education, employment, recovery, or related
				skills.
5. Therapeutic and
				leisure/recreational/physical exercise activities (with physician's
				approval).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 31 - Community Living Services for People with Substance Use Disorders › Rule 24-2-31.5 - Primary Residential Services

Current through June 25, 2024
A. Primary
				Residential Service is the highest community-based level of care for the
				treatment of substance use disorders. This level of treatment provides a safe
				and stable group living environment where the person can develop, practice and
				demonstrate necessary recovery skills.
B. People admitted into Primary Residential
				Services must receive a medical assessment within forty-eight (48) hours of
				admission to screen for health risks.
C. Services must ensure access to each of the
				following professionals either through agency provider employees or affiliation
				agreement/contract:
1. A licensed psychiatrist
				or psychologist with experience in the treatment of substance use disorders
				or
2. A licensed physician with
				experience in the treatment of substance use disorders.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 31 - Community Living Services for People with Substance Use Disorders › Rule 24-2-31.6 - Environment and Safety for Primary and Transitional Residential Services

Current through June 25, 2024
A. Service locations must adhere to
				environmental and safety requirements in this section that are in addition to
				or more stringent than the requirements in Part 2: Chapter 13 and are specific
				to Primary and Transitional Services.
B. The agency 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 service location
				at all times and male/female employee coverage when necessary.
C. All service providers must ensure adequate
				visiting areas are provided for people and visitors.
D. Any service location that has a clothes
				dryer must ensure that the clothes dryer has an exterior ventilation system
				free from excessive lint and dust accumulation.
E. 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.