reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 13 - REAPPOINTMENT › Rule 15-16-1-51.13.4

Current through June 25, 2024
The committee's review of the clinical privileges of a
						staff member for reappointment should include the individual's past and current
						professional performance as well as his or her adherence to the governing body
						and professional staff bylaws, rules and regulations.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 13 - REAPPOINTMENT › Rule 15-16-1-51.13.5

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall limit the time within which the professional staff reappointment and
						privilege delineation processes must completed.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 14 - ORGANIZATION › Rule 15-16-1-51.14.1

Current through June 25, 2024
The professional staff shall be organized to accomplish
						its required functions. The professional staff organization must provide a
						framework in which the staff can carry out its duties and functions
						effectively. The complexity of the organization shall be consonant with the
						size of the facility and the scope of its activities.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 14 - ORGANIZATION › Rule 15-16-1-51.14.2

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall provide for the selection of officers for an executive committee, and
						when appropriate, for other organizational components of the
						facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 14 - ORGANIZATION › Rule 15-16-1-51.14.3

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						should specify the organization needed to provide effective governance of the
						professional staff.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 15 - EXECUTIVE COMMITTEE › Rule 15-16-1-51.15.1

Current through June 25, 2024
The executive committee shall be empowered to act for
						the professional staff in the intervals between the staff
						meetings.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 15 - EXECUTIVE COMMITTEE › Rule 15-16-1-51.15.2

Current through June 25, 2024
The committee shall serve as a liaison mechanism between
						the professional staff and the administration.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 15 - EXECUTIVE COMMITTEE › Rule 15-16-1-51.15.3

Current through June 25, 2024
There shall be a mechanism that assures medical
						participation in the deliberations of the executive
						committee.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 15 - EXECUTIVE COMMITTEE › Rule 15-16-1-51.15.4

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall define the size, composition, method of selecting members, and frequency
						of meetings of the executive committee.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 15 - EXECUTIVE COMMITTEE › Rule 15-16-1-51.15.5

Current through June 25, 2024
The executive committee shall maintain a permanent
						record of its proceedings and actions.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 15 - EXECUTIVE COMMITTEE › Rule 15-16-1-51.15.6

Current through June 25, 2024
The functions and responsibilities of the executive
						committee shall include at least the following:
1. Receiving and acting upon reports and
					 recommendations from professional staff committees, departments, and
					 services;
2. Implementing the
					 approved policies of the professional staff;
3. Recommending to the governing body all
					 matters relating to appointments and reappointments, staff categorization and
					 assignments, clinical privileges, and except when such is a function of the
					 professional staff or one of its committees, corrective action;
4. Fulfilling the professional staff's
					 accountability to the governing body for the quality of the overall clinical
					 care rendered to patients in the facility; and
5. Initiating and pursuing corrective action
					 when warranted, in accordance with the provisions of the professional staff
					 bylaws, rules and regulations.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.1

Current through June 25, 2024
The professional staff shall develop and adopt bylaws,
						rules and regulations to establish a framework of self-government and a means
						of accountability to the governing body.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.2

Current through June 25, 2024
The bylaws, rules and regulations shall be subject to
						the approval of the governing body.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.3

Current through June 25, 2024
The professional staff shall regulate itself by its
						bylaws, rules and regulations.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.4

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall reflect current staff practices, shall be enforced, and shall be
						periodically reviewed and revised as necessary.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.5

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall include a requirement for an ethical pledge from each
						practitioner.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.6

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall describe the specific role of each discipline represented on the
						professional staff or exercising clinical privileges in the care of
						patients.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.7

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall include the following patient record requirement:
1. Symbols and abbreviations shall be used
					 only when they have been approved by the professional staff and when there is
					 an explanatory legend;
2. The
					 categories of personnel who are qualified to accept and transcribe verbal
					 orders, regardless of the mode of transmission of the orders, shall be
					 specifically identified;
3. The
					 period of time following admission to the facility within which a history and
					 physical examination must be entered in the patient record shall be
					 specified;
4. The time period in
					 which patient records must be completed following discharge shall be specified
					 and shall not exceed fourteen (14) days; and
5. The entries in patient records that must
					 be dated and authenticated by the responsible practitioner shall be
					 specified.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 16 - PROFESSIONAL STAFF BYLAWS › Rule 15-16-1-51.16.8

Current through June 25, 2024
The professional staff bylaws, rules and regulations
						shall specify mechanisms for the denial of staff appointments and
						reappointments, as well as for denial, curtailment, suspension, or revocation
						of clinical privileges. When appropriate, this procedure shall provide for a
						practitioner to be heard, upon request, at some stage of the
						process.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.1

Current through June 25, 2024
Within the scope of its activities, the facility shall
						have enough appropriately qualified health care professional, administrative
						and support staff available to adequately assess and address the identified
						clinical needs of patients. Appropriately qualified professional staff may
						include qualified child and/or adolescent psychiatrists and other physicians,
						clinical psychologists, social workers, psychiatric mental health nurse
						practitioners, psychiatric nurses, and other health care professionals in
						numbers and variety appropriate to the services offered by the facility and
						with training and experience working with children and/or
						adolescents.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.2

Current through June 25, 2024
The plan shall describe the services offered by the
						facility so that a frame of reference for judging the various aspects of the
						facility's operation is available.
1.
					 The written plan for professional services shall describe the
					 following:
2. The population
					 served, including age groups and other characteristics of the patient
					 population;
3. The hours and days
					 the facility operates;
4. The
					 methods used to carry out initial screening and/or triage;
5. The intake or admission process; including
					 how the initial contact is made with the patient and the family or significant
					 others;
6. The assessment and
					 evaluation procedures provided by the facility;
7. The methods used to deliver services to
					 meet the identified clinical needs of patients served;
8. The basic therapeutic programs offered by
					 the facility;
9. The treatment
					 planning process and the periodic review of therapy;
10. The discharge and post-therapy planning
					 processes;
11. The organizational
					 relationships of each of the facility's therapeutic programs, including
					 channels of staff communication, responsibility, and authority, as well as
					 supervisory relation-ships; and
12.
					 The means by which the facility provides, or makes arrangements for the
					 provision of, the following:
a. Other medical,
					 special assessments, and therapeutic services;
b. Patient education services, whether
					 provided from within or outside the facility;
c. Emergency services and crisis
					 intervention; and
d. Discharge and
					 aftercare, including post-therapy planning and follow-up evaluation.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.3

Current through June 25, 2024
When the facility is organized by departments or
						services, the written plan for professional services shall describe how each
						department or service relates to the goals and other programs of the facility,
						specify lines of responsibility within each department of service, and define
						the rolls of department or service personnel and the methods for
						interdisciplinary collaboration.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.4

Current through June 25, 2024
When a facility is organized on a team or unit basis,
						either totally or in part, the written plan for professional services shall
						delineate the roles and responsibilities of team members in meeting the
						identified clinical needs of patients and in relation to the goals and programs
						of the facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.5

Current through June 25, 2024
The written plan for professional services shall be made
						known and available to all professional personnel and to the chief executive
						officer.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.6

Current through June 25, 2024
The plan shall be reviewed at least annually, and
						revised as necessary, in relation to the changing needs of the patients, the
						community, and the overall objectives and goals of the facility, and it shall
						be signed and dated by the reviewers.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.7

Current through June 25, 2024
Within the scope of its activities, the facility shall
						have enough appropriately qualified health care professional, administrative
						and support staff available to adequately assess and address the identified
						clinical needs of patients.
Appropriately qualified professional staff may include
						qualified child and/or adolescent psychiatrists and other physicians, clinical
						psychologists, social workers, psychiatric nurses, and other health care
						professionals in numbers and variety appropriate to the services offered by the
						facility and with training and experience working with children and/or
						adolescents.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.8

Current through June 25, 2024
When appropriate qualified professional staff are not
						available or needed on a full-time basis, arrangements shall be made to obtain
						sufficient services on an attending continuing consultative or part-time
						basis.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.9

Current through June 25, 2024
The professional staff shall include, but not be limited
						to, the following appropriately qualified mental health professionals and
						paraprofessionals; child psychiatrists; child psychologists; social workers;
						psychiatric nurse; child care workers; educators; speech, hearing, and language
						specialists; activity and recreation specialists; and vocational
						counselors.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 17 - WRITTEN PLAN FOR PROFESSIONAL SERVICES › Rule 15-16-1-51.17.10

Current through June 25, 2024
The professional staff who are assigned full time to the
						child/adolescent psychiatric residential treatment program, are not shared with
						other programs.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 18 - ADMISSION AND DISCHARGE CRITERIA › Rule 15-16-1-51.18.1

Current through June 25, 2024
Only a psychiatrist on the staff of the facility shall
						determine whether admission of a child/adolescent to the psychiatric
						residential facility is appropriate. The decision shall be based upon either a
						direct examination conducted personally by the psychiatrist or upon the
						psychiatrist's review of the findings of an appropriately trained and trusted
						clinician. When the admitting psychiatrist is not a child psychiatrist,
						consultation with a child psychiatrist regarding the advisability of admission
						shall be required.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 18 - ADMISSION AND DISCHARGE CRITERIA › Rule 15-16-1-51.18.2

Current through June 25, 2024
Each child/adolescent psychiatric residential treatment
						facility shall maintain written admission and discharge criteria which are
						consistent with its goals and objectives and state rules and regulations and
						which are subject to approval of the Mississippi Department of
						Health.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 18 - ADMISSION AND DISCHARGE CRITERIA › Rule 15-16-1-51.18.3

Current through June 25, 2024
The admission criteria must, at a minimum, provide that
						the child/adolescent meet each of the following criteria:
1. Identification of a serious and persistent
					 psychopathology as evidenced by:
a. Severe
					 thought disorder, or
b. Severe mood
					 disorder, or
c. Severe
					 anxiety/panic disorder, or
d.
					 Moderate thought disorder in conjunction with an impulse control disorder or a
					 deficit in activities of daily living skills, or
e. Severe conduct disorder in conjunction
					 with an impulse control disorder or a deficit in activities of daily living
					 skills, or
f. Severe personality
					 disorder in conjunction with an impulse control disorder or a deficit in
					 activities of daily living skills, or
g. Complex, concurrent disorders (such as a
					 physiologic disorder or other psychiatric disorder, including but not limited
					 to an eating disorder or a substance abuse disorder), or
h. Any combination of the above;
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 18 - ADMISSION AND DISCHARGE CRITERIA › Rule 15-16-1-51.18.4

Current through June 25, 2024
The admitting psychiatrist shall document the reasons
						why a lower level of care is not medically appropriate, which may
						include:
1. Complex case because of
					 one or more complicating concurrent disorders requiring a higher level of care
					 to provide medically necessary evaluation or active treatment, or
2. Lack of access, or
3. Inadequate support (family and/or school
					 and/or community) to use a lower level of care, or
4. Patient lives alone, or lives with family
					 members who are significantly impaired by psychiatric or substance abuse
					 disorders, or
5. Persistent
					 hampering of evaluation or treatment by family, making evaluation or treatment
					 in an outpatient setting ineffective, or
6. Patient behavior which persists despite
					 appropriate treatment in an outpatient setting and which either seriously
					 disrupts family life or which arouses antagonism towards the patient, making
					 treatment in an outpatient setting ineffective.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 18 - ADMISSION AND DISCHARGE CRITERIA › Rule 15-16-1-51.18.5

Current through June 25, 2024
Any additional admission criteria must relate to
						observable characteristics of the child/adolescent. Such criteria may include
						age and gender.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 18 - ADMISSION AND DISCHARGE CRITERIA › Rule 15-16-1-51.18.6

Current through June 25, 2024
The discharge criteria must relate to the continued need
						of the individual child/adolescent for services in a residential treatment
						facility. Age in and of itself shall not be an appropriate basis for discharge
						from a residential treatment facility except that no resident may remain in a
						residential treatment facility after attaining the age of
						twenty-two.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 19 - STAFF COMPOSITION › Rule 15-16-1-51.19.1

Current through June 25, 2024
A child/adolescent psychiatric residential treatment
						facility shall continuously employ an adequate number of staff and an
						appropriate mix of staff to carry out its goals and objectives as well as to
						ensure the continuous provision of sufficient regular and emergency supervision
						of all patients 24 hours a day. As a component of the written plan for services
						and staff composition, the psychiatric residential treatment facility shall
						submit a written staffing rationale which justifies the staff to be utilized,
						the mix of staff and the plan for appropriate supervision and training. This
						staffing plan shall be based on the population to be served and the services to
						be provided. The staffing plan and its rationale shall be subjected to approval
						by the Mississippi Department of Health.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 19 - STAFF COMPOSITION › Rule 15-16-1-51.19.2

Current through June 25, 2024
At least fifty percent of the professional staff hours
						shall be provided by full time employees.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 19 - STAFF COMPOSITION › Rule 15-16-1-51.19.3

Current through June 25, 2024
Professional staff are individuals who are qualified by
						training and experience to provide direct service under minimal supervision,
						and shall include, but not be limited to, the following:
1. Registered Nurse;
2. Occupational Therapist/Therapeutic
					 Recreation Specialist/Rehabilitation Counselor;
3. Physician;
4. Child Psychiatrist;
5. Psychologist;
6. Licensed Clinical Social Worker/Licensed
					 Professional Counselor;
7.
					 Teacher;
8. Speech Pathologist;
					 and
9. Licensed Master Level Social
					 Worker.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 19 - STAFF COMPOSITION › Rule 15-16-1-51.19.4

Current through June 25, 2024
Other professional disciplines may be included as
						professional staff provided that the discipline is from a field related to the
						treatment of mental illness, and the individual shall be licensed or certified
						in such discipline as required by state laws and regulations, and the
						individual shall have specialized training or experience in working with
						children/adolescents.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 19 - STAFF COMPOSITION › Rule 15-16-1-51.19.5

Current through June 25, 2024
The child/adolescent psychiatric residential treatment
						facility shall have on staff an adequate number and mix of professional staff
						who meet the qualifications provided by these standards and other state laws
						and regulations. The staffing plan shall meet each of the following
						requirements. A single staff member may be counted against more than one
						requirement:
1. At least one full time
					 Registered Nurse.
2. At least one
					 additional person representing a professional staff category as delineated
					 below shall be employed on a full-time basis:
a. Physician;
b. Child Psychiatrist;
c. Psychologist;
d. Licensed Clinical Social Worker/Licensed
					 Professional Counselor;
e. Teacher;
					 or
f. Licensed Professional Art
					 Therapist.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 19 - STAFF COMPOSITION › Rule 15-16-1-51.19.6

Current through June 25, 2024
The child/adolescent residential treatment facility
						shall ensure that an adequate number of professional staff is qualified by
						training and experience to provide clinical supervision of other staff and to
						provide programmatic direction. The staffing composition pattern shall be
						subject to approval by the State Department of Health and shall include, but
						not be limited to, the following:
1. A
					 licensed Registered Nurse who has at least three years of experience working
					 with children/adolescents; and/or
2. A licensed psychiatric mental health nurse
					 practitioner who has at least three years of experience working with
					 children/adolescents; and/or
3. A
					 licensed physician who is a board certified or board eligible pediatrician or
					 who is board eligible in family practice;
4. A licensed physician who is a board
					 certified or board eligible psychiatrist qualified in child
					 psychiatry;
5. A licensed
					 psychologist who has specialized training and experience in the evaluation and
					 treatment of mental disorders of children and/or adolescents;
6. A licensed master level social worker who
					 has a master's degree and is clinically qualified by training and two years
					 experience in working with mentally ill children/adolescents or a Licensed
					 Professional Counselor who is clinically qualified by training and two years
					 experience in working with mentally ill children/adolescents;
7. A qualified therapeutic recreation
					 specialist;
8. A qualified
					 rehabilitation counselor who has three years of experience in working with
					 mentally ill children/adolescents.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 19 - STAFF COMPOSITION › Rule 15-16-1-51.19.7

Current through June 25, 2024
The child/adolescent psychiatric residential treatment
						facility shall provide adequate supervision of patients in a safe therapeutic
						manner and shall meet the following minimum requirements:
1. At least two direct care staff members
					 shall be assigned to patient care responsibilities during all hours the
					 patients are awake and not in school.
2. At least one direct care staff member
					 shall be assigned to direct care responsibilities for each five patients during
					 all hours the patient are awake and not in school.
3. At least one direct care staff member
					 shall be assigned patient care responsibility for each ten patients, be awake,
					 and be continuously available to the children/adolescents on each living unit
					 during hours the patient are asleep. A minimum of one additional direct care
					 staff member for each fourteen children/adolescents shall be immediately
					 available on site to assist with emergencies or problems which might occur at
					 any time.
4. At least one licensed
					 nurse (registered nurse or practical nurse) shall be on duty at all times, 24
					 hours a day, seven days a week.
5.
					 During waking hours, one professional staff member (other than a nurse) shall
					 be on duty for each 22 patients.
6.
					 Other appropriate professional staff shall be available to assist in
					 emergencies on at least an on-call basis at all times.
7. A licensed physician shall be available on
					 at least an on-call basis at all times.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 20 - PSYCHIATRIC SERVICES › Rule 15-16-1-51.20.1

Current through June 25, 2024
Psychiatric services are under the supervision of a
						medical/clinical director, service chief or equivalent licensed physician who
						is qualified to provide the leadership required for an intensive treatment
						program.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 20 - PSYCHIATRIC SERVICES › Rule 15-16-1-51.20.2

Current through June 25, 2024
The director of psychiatric services shall be a
						qualified child psychiatrist.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 20 - PSYCHIATRIC SERVICES › Rule 15-16-1-51.20.3

Current through June 25, 2024
Primary psychiatric care for all patients in a
						child/adolescent psychiatric residential care facility shall be provided by a
						qualified child psychiatrist directly or at least by consultation; or either by
						a qualified psychiatric mental health nurse practitioner.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 20 - PSYCHIATRIC SERVICES › Rule 15-16-1-51.20.4

Current through June 25, 2024
The number of psychiatrists and/or number of psychiatric
						mental health nurse practitioners is commensurate with the size and scope of
						the child/adolescent residential treatment program.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 20 - PSYCHIATRIC SERVICES › Rule 15-16-1-51.20.5

Current through June 25, 2024
Psychiatrists in a child/adolescent residential
						treatment program who have not completed an approved child fellowship be
						supervised by or regularly consult with a qualified child psychiatrist with
						regard to evaluation, treatment, and discharge of children/adolescents within
						the facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 20 - PSYCHIATRIC SERVICES › Rule 15-16-1-51.20.6

Current through June 25, 2024
All psychiatrists or psychiatric mental health nurse
						practitioners shall be licensed in the State of Mississippi.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 21 - MEDICAL SERVICES › Rule 15-16-1-51.21.1

Current through June 25, 2024
Physicians shall be available at all times to provide
						necessary medical and surgical diagnostic and treatment services, including
						specialized services.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 21 - MEDICAL SERVICES › Rule 15-16-1-51.21.2

Current through June 25, 2024
If medical surgical diagnosis and treatment services are
						not available within the facility, qualified consultants or attending
						physicians are immediately available or arrangements are made to transfer
						patients to a general hospital.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 21 - MEDICAL SERVICES › Rule 15-16-1-51.21.3

Current through June 25, 2024
All physicians shall be licensed in the State of
						Mississippi.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 22 - NURSING SERVICES › Rule 15-16-1-51.22.1

Current through June 25, 2024
Nursing services shall be under the direct supervision
						of a registered nurse who has had at least two years of experience in
						psychiatric or mental health nursing and at least one year of experience in a
						supervisory position.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 22 - NURSING SERVICES › Rule 15-16-1-51.22.2

Current through June 25, 2024
The number of registered professional nurses, licensed
						practical nurses, and other nursing personnel shall be adequate to formulate
						and carry out the nursing components of the individual treatment plan for each
						patient, and shall include at least one registered nurse for each sixty
						patients seven days a week. There shall be at least one licensed nurse on a 24
						hour basis, seven days a week, for each sixty patients. The nurse staffing
						ratios, including licensed and unlicensed nursing personnel, shall be subject
						to approval by the Mississippi Department of Health.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 22 - NURSING SERVICES › Rule 15-16-1-51.22.3

Current through June 25, 2024
All registered nurses and practical nurses shall be
						licensed in the State of Mississippi
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 23 - PSYCHOLOGICAL SERVICES › Rule 15-16-1-51.23.1

Current through June 25, 2024
Patients shall be provided psychological services, in
						accordance with their needs by a qualified psychologist.
1. Services to patients include evaluations,
					 consultations, therapy, and program development.
2. Clinical psychological testing and
					 evaluation procedures may only be provided by or under the supervision of a
					 licensed and qualified psychologist.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 23 - PSYCHOLOGICAL SERVICES › Rule 15-16-1-51.23.2

Current through June 25, 2024
Specialist with a Master's or Bachelor's degree in
						psychology shall be supervised by a qualified psychologist.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 24 - SOCIAL/CLINICAL SERVICES › Rule 15-16-1-51.24.1

Current through June 25, 2024
Social/Clinical services are under the supervision of a
						licensed clinical social worker or licensed professional
						counselor.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 24 - SOCIAL/CLINICAL SERVICES › Rule 15-16-1-51.24.2

Current through June 25, 2024
All social workers shall be licensed in the State of
						Mississippi. All counselors shall have a minimum of a Master's degree in
						counseling, or a related field.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 24 - SOCIAL/CLINICAL SERVICES › Rule 15-16-1-51.24.3

Current through June 25, 2024
Social/Clinical services staff is qualified and adequate
						to provide the following services:
1.
					 Psychosocial data for diagnosis and treatment planning;
2. Direct therapeutic services to individual
					 patients, patient groups or families;
3. Develop community resources; and
4. Participate in interdisciplinary
					 conferences and meetings concerning treatment planning, including
					 identification and utilization of other facilities and alternative forms of
					 care and treatment.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 25 - ANCILLARY SERVICES › Rule 15-16-1-51.25.1

Current through June 25, 2024
Qualified therapists, consultants, assistants or aides
						are sufficient in number to provide comprehensive ancillary services, including
						at least occupational, recreational, or physical therapy or art therapy as
						needed, to assure that appropriate treatment is rendered for each patient, and
						to establish and maintain a therapeutic milieu.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 26 - EDUCATIONAL SERVICES › Rule 15-16-1-51.26.1

Current through June 25, 2024
Educational and vocational services available to
						patients of the psychiatric residential treatment facility shall, at a minimum,
						meet the requirements of the state law with regard to compulsory education.
						Compulsory education services may be provided directly by the residential
						treatment facility or may be provided by written agreement with the local
						school district. In any case, compulsory education services must be available
						either on the same site or in close physical proximity to the psychiatric
						residential treatment facility.
Miss. Code Ann.
						§
												43-11-13