reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs › Section 10.21.18.08 - Program Staff

Current through Register Vol. 51, No. 14, July 12, 2024
A. Based on the
				  complexity of the services provided and the number of enrollees in the
				  therapeutic nursery, a therapeutic nursery program shall provide sufficient
				  staff to maintain the staff-to-child ratio provided in §E of this
				  regulation and to carry out the therapeutic goals of the therapeutic
				  nursery.
B. Therapeutic Nursery
				  Staff. A provider of therapeutic nursery services shall ensure that the
				  therapeutic nursery staff includes, at a minimum:
(1) A program director who:
(a) Is a mental health professional or has a
				  master's degree in a health services administration field;
(b) Is on a site of the therapeutic nursery
				  at least 50 percent of the operating hours of the therapeutic nursery
				  program;
(c) If a therapeutic
				  nursery program operates in more than one site, has contact with each site each
				  week; and
(d) Is responsible for
				  operational oversight for, at a minimum:
(i)
				  Fulfilling the administrative requirements under COMAR 10.21.17,
(ii) Recruiting, hiring, and providing
				  administrative supervision of staff,
(iii) Developing and implementing the
				  budget,
(iv) Keeping the governing
				  body informed of, at a minimum, the program's approval status and performance,
				  and
(v) Recruiting and enrolling
				  program participants;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs › Section 10.21.18.09 - Policies and Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
In addition to the policy and procedure requirements
					 outlined in COMAR
					 10.21.17.08C, a
					 therapeutic nursery program shall adopt policies and procedures for:
A. Licensure by the Department of Human
				  Resources under COMAR 07.04.02;
B.
				  Physical setting, furnishings, materials, and equipment, as required by
				  Regulations .10 and .11 of this chapter;
C. Health and safety, as required by
				  Regulation .12 of this chapter; and
D. Transportation, as required by Regulation
				  .13 of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs › Section 10.21.18.10 - Physical Setting

Current through Register Vol. 51, No. 14, July 12, 2024
A. Capacity.
(1) The Department shall determine the
				  capacity of a therapeutic nursery based on:
(a) Space requirements under §C(1) of
				  this regulation;
(b) Staff
				  requirements, including the staff-to-child ratio, required under Regulation
				  .08D of this chapter; and
(c)
				  Maintenance of the therapeutic milieu described in Regulation .03B(2) of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs › Section 10.21.18.11 - Materials, Equipment, Furnishings, and Storage

Current through Register Vol. 51, No. 14, July 12, 2024
A. Materials and Equipment. In addition to
				  any other requirements of law or regulation, the therapeutic nursery program
				  shall:
(1) Provide a sufficient quantity and
				  variety of materials and equipment for indoor and outdoor activities, according
				  to the numbers and ages of the children enrolled, including materials and
				  equipment for:
(a) Vigorous play,
(b) Creative or dramatic play,
(c) Socialization,
(d) Manipulation, including construction,
				  exploration of art, music, language arts, and science, and
(e) Individual pursuits;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs › Section 10.21.18.12 - Health and Safety Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
The therapeutic nursery program director shall:
A. Ensure that a criminal background
				  investigation as required under Family Law Article, 5-560-----5-568, Annotated
				  Code of Maryland, has been completed and is on file in each staff member's
				  personnel record;
B. If a child is
				  involved in an accident or is injured while in attendance at a therapeutic
				  nursery program:
(1) Notify the primary
				  caretaker on the day that the accident or injury occurs;
(2) If the injury is serious, notify the
				  parent or guardian immediately;
(3)
				  Ensure that appropriate treatment is provided; and
(4) Document the incident according to the
				  requirements of the risk management policy of the therapeutic
				  nursery;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs › Section 10.21.18.13 - Transportation

Current through Register Vol. 51, No. 14, July 12, 2024
If the therapeutic nursery provides transportation, the
					 therapeutic nursery program shall ensure that:
A. Vehicles used for the transport of
				  therapeutic nursery enrollees are in compliance with the requirements outlined
				  in Transportation Article, Title 22, Annotated Code of Maryland;
B. Each driver:
(1) Possesses a valid Class D license,
				  and
(2) Presents the driver's
				  record, certified by the Motor Vehicle Administration, showing not more than
				  two points, at the time of employment and annually after that; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  applies to programs organized to provide intensive, assertive mental health
				  treatment and support services delivered by a multidisciplinary treatment team
				  to an adult or a minor whose mental health treatment needs have not been met
				  through routine, traditional outpatient mental health programs. Services are
				  provided flexibly and in the various community settings determined by the needs
				  of the individual.
B. The purpose
				  of mobile treatment services (MTS) is to enable the individual to:
(1) Remain in the community, thus reducing
				  the individual's admissions to emergency rooms, inpatient facilities, or
				  detention centers; and
(2) Achieve
				  transition to less intensive outpatient services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
In this chapter, terms have the meanings stated in COMAR
					 10.21.17.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.02-1 - Approval

Current through Register Vol. 51, No. 14, July 12, 2024
The Department shall grant approval to a program to be
					 eligible to receive State or federal funds for providing MTS if the program
					 meets the requirements:
A. For
				  approval outlined in COMAR 10.21.16;
B. For administration outlined in COMAR
				  10.21.17; and
C. Of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.03 - Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
The program director shall assure that services:
A. Are therapeutic and are age and culturally
				  appropriate;
B. Are provided by MTS
				  staff who:
(1) As determined by the program,
				  are appropriately credentialed and privileged; and
(2) Are available:
(a) As indicated in the screening assessment
				  or the individual's ITP, to deliver services at a time and in a setting
				  agreeable to the individual served, and
(b) On an on-call basis, 24 hours per day, 7
				  days per week;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.04 - Eligibility, Screening, and Admission

Current through Register Vol. 51, No. 14, July 12, 2024
A. Eligibility. An individual is eligible for
				  MTS if:
(1) Based on a screening assessment
				  conducted according to the provisions of §B of this regulation, the
				  individual would benefit from services that are:
(a) Directed at providing mental health
				  treatment; and
(b) Available, by
				  being delivered at a site that is accessible to an individual who:
(i) Is homeless,
(ii) Has been unable or unwilling to use, on
				  a continuing basis, community-based mental health services that are prescribed
				  for the individual, or
(iii) Is in
				  an institution or inpatient facility and would be able to reside in a community
				  setting if the individual received MTS and other appropriate support services;
				  and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.05 - Evaluative Services Provided

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Initial MTS Psychiatric Evaluation. Within 30 days of receipt of referral for
				  MTS, the MTS psychiatrist, in collaboration with the individual's assigned
				  treatment coordinator, shall conduct a face-to-face evaluation of the
				  individual to:
(1) Collect and evaluate
				  relevant history;
(2) Evaluate
				  current mental status, including:
(a) The need
				  for medication, and
(b) A review of
				  current medications and source of prescriptions;
(3) Assess the individual's general physical
				  health, and either:
(a) Perform a physical
				  examination,
(b) Document a
				  physical examination of the individual during the prior year,
(c) Refer the individual for a physical
				  examination, or
(d) Waive the
				  requirement that the individual have a physical examination and document the
				  rationale for the waiver;
(4) Formulate and document the psychiatric
				  diagnosis and the rationale for the diagnosis or affirm a psychiatric diagnosis
				  that has been entered in the individual's MTS medical record;
(5) In collaboration with the individual:
(a) Identify the individual's needs,
				  strengths, and goals, and
(b)
				  Assess the individual's level of functioning and availability of family and
				  other social supports;
(6) Document the rationale for the
				  determination that MTS are medically necessary; and
(7) Develop an initial brief plan of
				  care.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.06 - Treatment and Support Services Provided

Current through Register Vol. 51, No. 14, July 12, 2024
A. Medication Services.
(1) Evaluation and Prescription. When
				  prescribing medication for an individual, the MTS psychiatrist shall:
(a) Conduct a face-to-face evaluation of the
				  individual;
(b) Through a medical
				  history, evidence of a recent physical examination, records review, laboratory
				  testing, or other appropriate measures, assure that there are no
				  contraindications to the prescription of specific medications;
(c) Document in the individual's medical
				  record the rationale for prescribing the medication;
(d) Explain to the individual or the
				  individual's legal guardian both the benefits and the side effects of
				  prescribed psychiatric medications before and, when appropriate, during
				  treatment and document the explanation in the individual's medical record;
				  and
(e) Order and monitor tests at
				  medically recommended intervals and document the results in the individual's
				  medical record.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.06-1 - Supported Housing Services for Adults

Current through Register Vol. 51, No. 14, July 12, 2024
A. Housing Development. The program director
				  shall ensure that the program:
(1)
				  Collaborates with the CSA in developing the CSA's plan for affordable,
				  accessible housing in the community;
(2) Maintains information about available
				  regular housing that is:
(a) Integrated
				  throughout the community,
(b) Not
				  limited as to length of stay, or conditional upon an individual's participation
				  in mental health treatment or support services, and
(c) Within the price range that is affordable
				  to individuals enrolled in the program; and
(3) In conjunction with the CSA:
(a) Attempts to develop financial resources
				  to assist an individual temporarily in such circumstances as an individual's
				  hospitalization or loss of job, benefits, or housemate, and
(b) Establishes priorities by which housing
				  financial resources are allocated to individuals.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.07 - Discharge and Transitioning

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Discharge Procedures.
(1) An MTS program may
				  discharge an individual from MTS only when:
(a) The individual:
(i) Is unwilling to continue to accept
				  MTS,
(ii) Is admitted to an
				  inpatient facility for longer than 3 months, or
(iii) Moves from the area served by MTS;
				  or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.08 - Required Staff

Current through Register Vol. 51, No. 14, July 12, 2024
A provider of MTS shall ensure that the MTS staff includes,
					 at a minimum:
A. A program director
				  who:
(1) Is a mental health
				  professional;
(2) Is available to
				  provide MTS administration and supervision:
(a) If fewer than 40 individuals are
				  receiving services, for an amount of time calculated on the basis of 1/2 hour
				  per week for each individual who is receiving services, or
(b) If 40 or more individuals are receiving
				  services, 20 hours per week;
(3) Is responsible for operational oversight
				  for, at a minimum:
(a) Fulfilling the
				  administrative requirements under COMAR 10.21.17 and the day-to-day clinical
				  responsibilities for MTS,
(b)
				  Recruiting, hiring, training, and supervising staff,
(c) Developing and implementing the
				  budget,
(d) Keeping the governing
				  body informed of, at a minimum, the program's approval status and
				  performance,
(e) Ensuring that MTS
				  are available to the individual, if needed, 24 hours per day, 7 days per week,
				  and establishing on-call responsibilities,
(f) Ensuring continuity of care during the
				  time that an individual is receiving MTS by evaluating caseloads and
				  coordinating staff schedules, and
(g) Ensuring that transition services are
				  provided; and
(4) May
				  carry out any of the clinical and training duties of a mental health
				  professional or other MTS staff;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.09 - Treatment Coordinator

Current through Register Vol. 51, No. 14, July 12, 2024
The program director shall assign to each individual who is
					 receiving MTS a mental health professional who is the individual's treatment
					 coordinator, and who shall:
A. Assess
				  the individual's needs by:
(1) Collaborating
				  in the initial psychiatric evaluation conducted according to the provisions of
				  Regulation .05A of this chapter, and
(2) Collecting and evaluating relevant
				  history;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.10 - Additional Staff

Current through Register Vol. 51, No. 14, July 12, 2024
As needed, based on the number of individuals served, the
					 program director may include on the MTS staff direct service providers
					 who:
A. May include the staff
				  identified in Regulation .08C and D of this chapter; and
B. As permitted under Health Occupations
				  Article, Annotated Code of Maryland, perform assigned duties that the direct
				  service provider is credentialed and privileged to perform.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.19 - Community Mental Health Programs-Mobile Treatment Services › Section 10.21.19.11 - Capacity

Current through Register Vol. 51, No. 14, July 12, 2024
A provider of MTS shall base the capacity of the MTS
					 program on the basis of one full-time treatment staff person for each 12
					 individuals served.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to programs that provide mental health
					 treatment services to individuals on an outpatient basis.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
In this chapter, terms have the meanings stated in COMAR
					 10.21.17.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.03 - Approval

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  applicants shall be eligible for approval as an outpatient mental health center
				  (OMHC), if the applicant demonstrates experience providing mental health
				  services for a minimum of 1 year:
(1) A group
				  practice; or
(2) A program
				  currently approved under another Mental Hygiene Administration community mental
				  health program chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.04 - Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  outpatient mental health center (OMHC) shall provide services that are:
(1) Age and culturally appropriate;
(2) Coordinated with other components of the
				  service delivery system; and
(3)
				  Focused on recovery and resiliency.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.05 - Eligibility, Screening, Enrollment, and Orientation

Current through Register Vol. 51, No. 14, July 12, 2024
A. Eligibility.
(1) An individual is eligible for services
				  through the public mental health system (PMHS) if the services are
				  preauthorized, if required, by the Administration's administrative services
				  organization (ASO), according to the provisions of COMAR
				  10.21.17.03A.
(2) In addition to those
				  individuals described in §A(1) of this regulation, an OMHC may provide
				  services to other individuals who wish to contract privately for
				  services.
(3) If an OMHC provides
				  services to an individual described in §A(2) of this regulation, an OMHC
				  may not seek reimbursement by the PMHS for providing services to that
				  individual.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.06 - Evaluative Services Provided

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Assessment and Diagnosis. The medical director shall ensure that an appropriate
				  licensed mental health professional shall, by the individual's second visit and
				  based on the initial face-to-face diagnostic evaluation of the individual:
(1) Formulate and document in the
				  individual's medical record information that includes:
(a) A description of the presenting
				  problem;
(b) Relevant history,
				  including family history and somatic problems;
(c) Mental status examination; and
(d) A diagnosis and the rationale for the
				  diagnosis; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.07 - Treatment Planning and Documentation

Current through Register Vol. 51, No. 14, July 12, 2024
A. Individual Treatment Plan (ITP).
(1) Initial ITP.
(a) Not later than the fifth visit after an
				  individual is enrolled in an OMHC and based on the assessment conducted under
				  Regulation .05B of this chapter, the treatment coordinator and the individual,
				  and if the individual is a minor, the minor's parent, guardian, or primary
				  caretaker if appropriate, shall develop an ITP in collaboration with:
(i) With proper consent, family or others
				  designated by the individual, and others involved in the individual's care;
				  and
(ii) Other OMHC staff, as
				  appropriate.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.08 - Treatment Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. An OMHC
				  shall have the capacity to provide the treatment services outlined in
				  §§B-F of this regulation as required by the individual's
				  ITP.
B. Mental Health Treatment.
				  The program director shall ensure that licensed mental health professionals
				  provide mental health treatment including:
(1)
				  Individual therapy;
(2) Family
				  therapy; and
(3) Group
				  therapy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.09 - Support Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  combination with one or more of the treatment services outlined in Regulation
				  .08 of this chapter, an OMHC shall have the capacity to provide, as required by
				  an individual's ITP, the support services outlined in §§B-E of this
				  regulation.
B. Referral Services.
				  The program director shall ensure that the OMHC provides recommendations and
				  referral, if appropriate, for:
(1)
				  Psychiatric rehabilitation and support services;
(2) Somatic care;
(3) Speech and language services;
(4) Vision and hearing services;
(5) Special instruction, special education,
				  or other educational interventions;
(6) Occupational therapy;
(7) Self-help organizations; and
(8) Substance abuse services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.10 - Program Staff

Current through Register Vol. 51, No. 14, July 12, 2024
A. Required
				  Staff. The OMHC shall have staff that is sufficient in numbers and
				  qualifications to provide clinically appropriate services to the individuals
				  served and includes, at a minimum:
(1) A
				  program director who is:
(a) A licensed
				  mental health professional, or has a master's degree in one of the following
				  fields:
(i) Mental health;
(ii) Health services; or
(iii) Business administration;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.20 - Community Mental Health Programs-Outpatient Mental Health Centers › Section 10.21.20.11 - Multi-Facility Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A. An OMHC
				  program that operates multiple sites shall assure that each additional site
				  adheres to the application modification as outlined in COMAR
				  10.21.16.04E.
B. The program director and the
				  medical director shall, on a routine basis, and as clinically required, provide
				  on-site consultation at each site to ensure adequate clinical and
				  administrative oversight.
C. The
				  program shall designate for each additional OMHC site:
(1) A clinical coordinator who:
(a) Is a licensed mental health professional
				  with demonstrated competency in clinical supervision;
(b) Is located at each additional OMHC site
				  for 50 percent of the site's regularly scheduled hours;
(c) Has regular, direct access to the medical
				  director and all clinical and administrative resources of the OMHC;
				  and
(d) Provides clinical oversight
				  of the individuals served;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter outlines the service requirements and staffing
					 standards for a psychiatric rehabilitation program (PRP) that provides
					 psychiatric rehabilitation services to an adult at the program site or at an
					 off-site location, including a residential rehabilitation program, appropriate
					 to the individual's needs.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
In this chapter, terms have the meanings stated in COMAR
					 10.21.17.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.03 - Approval

Current through Register Vol. 51, No. 14, July 12, 2024
The Department shall grant approval to a program to be
					 eligible to receive State or federal funds for providing PRP services if the
					 program meets the requirements:
A. For
				  approval outlined in COMAR 10.21.16;
B. For administration outlined in COMAR
				  10.21.17; and
C. Of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.04 - Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
A. A provider
				  of PRP services for adults shall:
(1) Have a
				  facility or office that:
(a) Meets all
				  relevant federal, State, or local ordinances, laws, regulations and orders
				  governing the program;
(b) Is not
				  located in a private residence;
(c)
				  Is accessible to the public; and
(d) Contains a secure area where records,
				  logs, and business information may be kept; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.05 - Eligibility, Screening, and Initiation of Service

Current through Register Vol. 51, No. 14, July 12, 2024
A. Eligibility. An individual is eligible for
				  PRP services if:
(1) The individual is in
				  need of program services to enable the individual to improve or restore
				  independent living and social skills necessary to support the individual's:
(a) Recovery;
(b) Ability to make informed decisions and
				  choices; and
(c) Participation in
				  community life;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.06 - Evaluation and Planning Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Review of Somatic Status.
(1) According to the provisions outlined in
				  this section and upon an individual's enrollment into the program, a staff
				  member assigned by the program director shall document in the individual's
				  medical record:
(a) Pertinent past and current
				  medical history including:
(i) The
				  individual's somatic health problems, if any, including but not limited to
				  allergies, neurologic disorders, and communicable diseases;
(ii) Relevant medical treatment, including
				  medications; and
(iii) Needed
				  somatic care follow-up, if any; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.07 - Rehabilitation and Support Services Provided

Current through Register Vol. 51, No. 14, July 12, 2024
A. Rehabilitation and support services may
				  only be provided:
(1) To an individual
				  consistent with the individual's IRP or ITRP; and
(2) By staff who have been determined
				  competent by the program to provide the services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.08 - Residential Rehabilitation Program (RRP) Managed Intervention Plan (MIP)

Current through Register Vol. 51, No. 14, July 12, 2024
A. The program
				  director shall:
(1) Ensure that the program
				  has a written policy regarding the development of and process for the
				  implementation of a managed intervention plan (MIP) for an individual receiving
				  RRP services; and
(2) Upon
				  initiation of service, document that the individual has received the written
				  policy regarding the MIP.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.09 - Supported Housing Services for Adults

Current through Register Vol. 51, No. 14, July 12, 2024
A. Housing Development. The program director
				  shall ensure that the program:
(1)
				  Collaborates with the CSA to access affordable housing in the
				  community;
(2) Maintains
				  information about available regular housing that is:
(a) Integrated throughout the
				  community;
(b) Not conditional upon
				  an individual's participation in mental health treatment or support services;
				  and
(c) Within the price range that
				  is affordable to individuals enrolled in the program; and
(3) In conjunction with the CSA:
(a) Attempts to develop financial resources
				  to assist an individual temporarily in such circumstances as an individual's
				  hospitalization or loss of job, benefits, or housemate; and
(b) Establishes priorities by which housing
				  financial resources are allocated to individuals.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.10 - Staff Qualifications and Responsibilities

Current through Register Vol. 51, No. 14, July 12, 2024
A. Program Director. The program director:
(1) Shall have sufficient qualifications,
				  knowledge, and experience to execute the duties of the position;
(2) Shall be knowledgeable of the regulations
				  applicable to the program;
(3)
				  Shall be responsible for administrative oversight of the PRP including, at a
				  minimum:
(a) Fulfilling the administrative
				  requirements under COMAR 10.21.17;
(b) Fulfilling the programmatic requirements
				  of this chapter;
(c) Keeping the
				  advisory committee, or governing body, whichever is applicable, informed of, at
				  a minimum, the program's approval status and performance;
(d) Quality management; and
(e) Ensuring the development of a staffing
				  plan that identifies the type and number of staff needed to provide a program
				  of rehabilitation and recovery services for individuals with serious mental
				  illness; and
(4) May be
				  responsible for the duties of the psychiatric rehabilitation specialist under
				  §B of this regulation as specified in Regulation .11B-D of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.11 - Required Program Staff

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  provider shall ensure that the staff of the PRP includes the following, who are
				  employed by the PRP for the amounts of time outlined in §§B-D of this
				  regulation:
(1) A program director;
(2) A psychiatric rehabilitation specialist;
				  and
(3) Psychiatric rehabilitation
				  direct care staff.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.12 - Ratio

Current through Register Vol. 51, No. 14, July 12, 2024
A. The program
				  shall maintain an average ratio of at least one rehabilitation staff member
				  serving each ten individuals who are receiving on-site PRP services, or
				  receiving off-site PRP services in a group.
B. To achieve this ratio, the program:
(1) May not include:
(a) The program director; or
(b) Consultants and volunteers; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.21 - Community Mental Health Programs-Psychiatric Rehabilitation Programs for Adults › Section 10.21.21.13 - Volunteers and Students

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Students. The program may use students according to the provisions of COMAR
				  10.21.17.12E.
B. Volunteers. The program may use
				  volunteers according to the provisions of COMAR
				  10.21.17.12F.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. The purpose of
				  this chapter is to outline the site, staffing, and service requirements that a
				  psychiatric rehabilitation program (PRP) shall fulfill in order to be eligible
				  to be approved to provide residential rehabilitation program (RRP)
				  services.
B. The Department may
				  approve a program as an RRP if the applicant:
(1) Is approved by the Department under COMAR
				  10.21.21;
(2) Leases or owns at
				  least one residence to be operated under the requirements of this chapter;
				  and
(3) For a residence of four or
				  more individuals, holds a license under COMAR 10.21.04.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
In this chapter, terms have the meanings stated in COMAR
					 10.21.17.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.03 - Application and Initial Approval Process

Current through Register Vol. 51, No. 14, July 12, 2024
A. Consultation. Before submitting an
				  application, a PRP that is applying for approval to operate an RRP may request
				  assistance regarding the proper compilation of application materials and
				  completion of the application from the Administration or the appropriate:
(1) Core service agency (CSA) director;
				  or
(2) Residential
				  specialist.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.04 - Process for Annual Approval of a Residence

Current through Register Vol. 51, No. 14, July 12, 2024
A. Annual Review of a Residence. Within not
				  more than 1 year from the date of the last certificate of approval of a
				  residence, the residential specialist, using the residential checklist, shall:
(1) Conduct an on-site evaluation to:
(a) Inspect the residence for continued
				  compliance with:
(i) The documentation
				  required under Regulation .03C(1)(b) of this chapter, and
(ii) Site requirements outlined in Regulation
				  .05 of this chapter, using the residential checklist;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.05 - Site Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  General Requirements. The RRP director shall ensure that:
(1) All areas of a residence, including
				  storage areas, are safe, clean, and free of hazards and clutter;
(2) A residence has:
(a) No housing code or zoning
				  violations;
(b) Working smoke
				  alarms or smoke detectors that meet local fire codes for residential
				  dwellings;
(c) Hot and cold running
				  water and adequate light, heat, and ventilation; and
(d) Sufficient, appropriate, and functional
				  furnishings, equipment, supplies, and utensils comparable to those found in the
				  residences of nondisabled individuals;
(3) A resident:
(a) Has the resources to purchase or has
				  access to food:
(i) For at least three meals
				  per day for 7 days each week, and
(ii) That meets the individual's dietary,
				  nutritional, and religious needs;
(b) Has the resources to acquire an adequate
				  supply of soap, towels, and toilet tissue;
(c) Who self-administers medication, has
				  access to a secure storage area for the individual's medications;
(d) Has access to a secure storage area for
				  funds and valuables;
(e) Has access
				  to transportation;
(f) Has access
				  to a telephone in the residence; and
(g) To the extent possible, may use personal
				  possessions and preferences in furnishing and decorating the resident's space;
				  and
(4) The following
				  emergency procedures are in place:
(a) Posted
				  near the telephone are telephone numbers for the:
(i) Fire department, police, ambulance, and
				  poison control center, and
(ii)
				  Program's on-call staff; and
(b) An emergency evacuation procedure that is
				  explained to and practiced by residents within 10 days of residence and, at a
				  minimum, every 3 months after that.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.06 - Residential Rehabilitation Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
A. The RRP director shall organize, maintain,
				  and develop:
(1) Policies directed to ensure
				  the provision of flexible services which respond to the current needs of an
				  individual in an RRP; and
(2)
				  Services that:
(a) Promote the individual's
				  ability to engage and participate in appropriate community activities,
				  and
(b) In a supportive
				  environment, enable the individual to develop the daily living skills needed
				  for independent functioning.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.07 - Eligibility, Screening, and Enrollment

Current through Register Vol. 51, No. 14, July 12, 2024
A. An RRP shall conduct eligibility review,
				  screening, and enrollment according to the provisions of COMAR
				  10.21.21.04G.
B. If the RRP residence is a group
				  home that is licensed under COMAR 10.21.04, the RRP shall admit residents
				  according to the additional limitations outlined under COMAR
				  10.21.04.03BB and
				  C.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.08 - Evaluation and Planning Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Assessment. Within 30 days of initiation
				  of RRP services, staff, in collaboration with the individual, shall complete an
				  RRP assessment that includes:
(1) The
				  rehabilitation service requirements noted in the PRP assessment; and
(2) An assessment of the individual's:
(a) Need for RRP services,
(b) Behaviors, if any, that are potentially
				  dangerous to self or others,
(c)
				  Ability to perform basic self-care and to maintain personal safety,
(d) History, if any, of requiring
				  intermittent intensive levels of support in order to remain in the community,
				  and
(e) Need for changing intensity
				  of intervention based on the episodic nature of illness.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.09 - Residential Rehabilitation and Support Services Provided

Current through Register Vol. 51, No. 14, July 12, 2024
In addition to the provision of PRP services, the RRP
					 program director shall ensure that:
A.
				  RRP services support the program model outlined in Regulation .06 of this
				  chapter;
B. Staff provide an
				  appropriate range of services:
(1) Based on
				  the assessment under Regulation .08A of this chapter, and
(2) In a flexible manner, as needed by the
				  individual;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.10 - Discharge, Suspension, and Discontinuation of Residential Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Discharge
				  Policy. The program director shall:
(1)
				  Collaborate with the Administration's administrative services organization
				  (ASO) to:
(a) Arrange for discharge from the
				  program when services are no longer authorized by the Administration's ASO,
				  and
(b) Discontinue residential
				  services to an individual whose clinical needs exceed the RRP's ability to
				  secure the safety and welfare of the individual or others;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.11 - RRP Staff

Current through Register Vol. 51, No. 14, July 12, 2024
A. RRP Program
				  Director. The PRP program director shall either:
(1) Carry out the RRP program director's
				  duties that are delineated in this chapter; or
(2) Appoint an RRP program director with the
				  qualifications outlined in COMAR
				  10.21.21.08C.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.22 - Community Mental Health Programs-Residential Rehabilitation Programs › Section 10.21.22.12 - Quality Management (QM)

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  addition to the QM requirements in COMAR
				  10.21.17.10C,
				  annually the RRP program director shall complete and document reviews of the
				  RRP's staff support, as described in Regulation .09D of this chapter, to
				  evaluate the relationship between staff deployment and the:
(1) Number of:
(a) Admissions to inpatient psychiatric
				  facilities,
(b) Visits to emergency
				  departments, and
(c) Suspensions
				  and terminations; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.23 - Community-Based Fund › Section 10.21.23.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes the process for deposits to and
					 disbursements from a community-based fund that is established when a ward is
					 closed at a State inpatient facility.