Code of Massachusetts Regulations › 104 CMR - DEPARTMENT OF MENTAL HEALTH › Title 104 CMR 28.00 - Licensing and Operational Standards for Community Services › Subpart C - STANDARDS FOR COMMUNITY CRISIS STABILIZATION SERVICES › Section 28.18 - Additional Requirements for all CCS Services

Current through Register 1525, July 5, 2024
Providers of Community Crisis Stabilization Services Licensed
				  as Class I, II or III or any Combination thereof shall meet the following
				  requirements:
(1)
Hours of
				Operation
. The service shall operate and accept admissions 24
				hours per day, seven days per week, 365 days per year.
(2)
Admission
				Procedures
. Within 24 hours of admission, the provider shall
				conduct a screening for risk including but not limited to suicide risk and
				substance use/misuse using standardized screening tools. Admission procedures
				shall also include a comprehensive assessment that includes a history of trauma
				including, but not limited to, physical or sexual abuse or witnessing violence,
				to inform and develop an individualized treatment plan and an initial
				transition/discharge plan and make referrals for aftercare services where
				clinically indicated for each person admitted to the service. A clinical
				formulation, psychiatric assessment, and a medication evaluation shall be
				completed and documented and entered in the person's record. Risk screenings
				and assessments conducted by the referring entity may be incorporated into the
				provider's screening and assessments to the extent clinically
				appropriate.
(3)
Staffing
. In addition, to the requirements of
				104 CMR
				28.12(2)  and
				104 CMR
				28.14(3), and any specific
				contractual requirements under which a provider may be operating, the service
				shall be staffed at a level sufficient to meet the clinical needs of persons
				admitted, as well as the administrative and ancillary services necessary for
				the operation of the service. Clinical staff must have sufficient education,
				training, and requisite professional licensure to provide the services
				including, but not limited to, crisis prevention and stabilization, initial and
				continuing biopsychosocial assessment, nursing assessments, psychiatric
				evaluations, care management, and medication management.
(a) The provider shall employ a physician to
				fulfill the role of medical director who is responsible for the administration
				of all medical or behavioral health services performed by the service. The
				medical director shall be fully licensed to practice medicine under
				Massachusetts law, and shall be board-eligible or board-certified in
				psychiatry.
(b) The provider must
				have staff who are qualified by education, training, and experience to provide
				peer support, psychoeducation and assist with mobilization of
				family/guardian/natural supports and linkages to community resources.
(c) The provider shall have adequate nursing
				leadership to meet the needs for training and supervision of nursing staff for
				the applicable service.
(d) Members
				of the multidisciplinary treatment team must have experience, skills, and
				training in the acute treatment of mental health and co-occurring mental health
				and substance use conditions of youth and adults, commensurate with the
				service's applicable class of license.
(e)
Staffing must include peer
				roles
. An ACS service must have adequate Adult Peer Specialists
				and for YCS service, adequate Young Adult Peer Mentors and Family Partners, as
				clinically appropriate