reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 11 - Human Resources › Rule 24-2-11.9 - Multidisciplinary Personnel at DMH/C and DMH/P Providers

Current through June 25, 2024
Community Mental Health Center providers (certified under the
				  DMH/C option) and other community service providers certified as DMH/P
				  providers must have multidisciplinary personnel, with at least the following
				  disciplines represented:
A. A
				psychiatrist who is board certified or board eligible and licensed to practice
				medicine in Mississippi (available on a contractual, part-time or full-time
				basis);
B. A psychologist licensed
				to practice in Mississippi (available on a contractual, part-time or full-time
				basis);
C. A full-time or full-time
				equivalent registered nurse;
D. A
				full-time or full-time equivalent Licensed Master Social Worker (LMSW),
				Licensed Professional Counselor (LPC), Provisional-Licensed Professional
				Counselor (P-LPC) or Licensed Marriage and Family Therapist (LMFT);
E. A full-time or full-time equivalent
				business manager who is capable of assuming responsibility for the fiscal
				operations of the agency provider;
F. A full-time or full-time equivalent
				records practitioner or designated records clerk who is capable of assuming
				responsibility for the supervision and control of all center records;
				and,
G. An employee with at least a
				Master's degree in a mental health or related field to supervise children's
				mental health services on a full-time basis. This person must have
				administrative authority and responsibility for children's mental health
				services. This person may carry a caseload of fifteen (15) children, youth or
				young adults.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 12 - Training/Employee Development › Rule 24-2-12.2 - Employee Training Plans

Current through June 25, 2024
A. Agency providers
				must develop an Employee Training Plan specific to each position classification
				as listed below. Each Employee Training Plan must be based on job
				responsibilities, service/position requirements, and identified employee needs.
				The Employee Training Plan must be reviewed annually for changes and/or
				updates. Documentation of annual reviews by the agency provider should be
				available for review by DMH personnel upon request. Position specific training
				must be provided within ninety (90) days of hire and consist of a minimum of
				twenty (20) hours of training (medical personnel excluded - i.e.,
				psychiatrists, nurses, etc.). The following position classifications must be
				addressed:
1. Direct service providers (i.e.,
				therapist, Community Support Specialist, service assistants, Support
				Coordinator, Targeted Case Manager, Transition Coordinator)
2. Administrative/support personnel (i.e.,
				office manager, medical records technician, accounting personnel)
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 12 - Training/Employee Development › Rule 24-2-12.3 - Continuing Education Plans

Current through June 25, 2024
A. Agency providers
				must develop an Annual Continuing Education Plan specific to each position
				classification as listed below. Each Continuing Education Plan should be based
				on job responsibilities, credentialing requirements, and identified employee
				needs. The Continuing Education Plan must be reviewed annually for changes
				and/or updates and must be available for review by DMH personnel. The following
				position classifications and required minimum hours of continuing education
				must be addressed:
1. Employees who hold a
				DMH credential must adhere to the continuing education requirements of current
				DMH PLACE rules.
2. IDD direct
				service providers (i.e., direct support workers, Support Coordinators, Targeted
				Case Managers, And Transition Coordinators) who do not hold a license or DMH
				Credential, a minimum of fifteen (15) hours per year of continuing education is
				required.
3. Professionally
				licensed personnel (i.e., psychologists, social workers, etc.) must adhere to
				the continuing education requirements of their respective state licensing
				boards.
4. Administrative/support
				personnel (i.e., office manager, medical records technician, accounting
				personnel).
5. Medical personnel
				(i.e., psychiatrists, nurses) - as required by state licensing
				boards.
6. All employees must
				comply with their agency provider-specific training requirements.
7. Assistance with medication usage by
				non-licensed personnel (if applicable).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 12 - Training/Employee Development › Rule 24-2-12.4 - Required Components of Employees Training Plans and Continuing Education Plans

Current through June 25, 2024
A. At a minimum,
				Employee Training Plans and Continuing Education Plans for direct service
				employees only must address the following areas:
1. Crisis intervention and prevention
				concepts;
2. Continued CPR
				certification for all employees who have contact with people receiving services
				(must be a live, face-to-face training which is conducted by a certified CPR
				instructor);
3. Continued Basic
				First Aid for all employees who have contact with people receiving
				services;
4. Person-Centered,
				Recovery Oriented Systems of Care (Mental Health Agency Providers and Substance
				Use Disorder Agency Providers);
5.
				Person-Centered Planning (Intellectual/Developmental Disabilities Agency
				Providers);
6. Concepts of
				Wraparound Service Delivery (Children/ Youth Mental Health Agency
				Providers);
7. Accurate gathering,
				documentation and reporting of data elements outlined in the current version of
				the DMH Manual of Uniform Data Standards for employees responsible for data
				collection and entry;
8. Positive
				behavior support concepts (as applicable to the population being served);
				and,
9. At least two (2) hours in
				the area of cultural competency and at least two (2) hours in the area of
				ethics.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 12 - Training/Employee Development › Rule 24-2-12.5 - Skills and Competencies

Current through June 25, 2024
A. For employees
				working with people receiving services, orientation, training and continuing
				education must focus on skills and competencies directed towards the
				intellectual, developmental, behavioral and health needs of the people being
				served.
B. All employees who have
				contact with people receiving the following services must be trained and
				certified in a nationally recognized and DMH approved technique for managing
				aggressive or risk-to-self behaviors to include verbal and physical
				de-escalation (i.e., MANDT © or CPI), prior to contact with people
				receiving services and/or service delivery.
1.
				All IDD Services
2. Mobile Crisis
				Response
3. Crisis Residential
				Units (both Adult and Children/Youth)
4. Acute Partial Hospitalization
5. Day Treatment Services
6. Therapeutic Group Homes (TGH) for
				Children/Youth with SED
7.
				Intensive Community Outreach and Recovery Team
8. Psychosocial Rehabilitation
				Services
9. Programs of Assertive
				Community Treatment
10. Supervised
				Living for Serious Mental Illness
11. Senior Psychosocial Rehabilitation
				Services
12. Drop-In
				Center
13. Primary Residential
				Treatment
14. Transitional
				Residential Treatment
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 13 - Health and Safety › Rule 24-2-13.1 - Compliance

Current through June 25, 2024
All DMH-certified agency providers, regardless of type, must
				  follow the rules and standards outlined in this chapter. Shared Supported
				  Living, Supervised Living and Supported Living service locations that are not
				  owned or controlled by a certified agency provider are exempt from some or all
				  of the procedures and standards outlined in this part as noted. Additionally,
				  Therapeutic Foster Care Services and Therapeutic Group Homes licensed by the MS
				  Department of Child Protection Services, schools licensed by the MS Department
				  of Education and nursing homes licensed by the MS State Department of Health
				  are exempt from the rules outlined in this chapter.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 13 - Health and Safety › Rule 24-2-13.5 - Accessibility

Current through June 25, 2024
A. All service locations and services must be
				in compliance with Section 504 of the
Rehabilitation Act of 1973, as
				Amended
, and the Americans with Disabilities Act (
				P.L.
				101-336 ).
B. For Supervised Living, Supported Living,
				Shared Supported Living, and Host Homes, and based on the needs of the people
				served in each residence, the agency provider must make necessary modifications
				as outlined in Rules 13.5.B-1 and 13.6. Services cannot be denied based on the
				need for modifications. (Exclusion: Supported Living service locations that are
				not owned or controlled by a certified agency provider).
C. New construction of service locations or
				renovation of existing locations must be in compliance with Americans with
				Disabilities Act (ADA) requirements.
D. The clear width of doorways when the door
				is in the full open position must not be fewer than thirty-two (32)
				inches.
E. At least one (1)
				restroom at the location must be accessible to people with physical
				disabilities with either one (1) accessible restroom for each sex or one (1)
				accessible unisex restroom being acceptable. Additionally, day service
				locations serving people with intellectual/developmental disabilities must have
				adequate private changing facilities.
F. The accessible restroom stall must have
				grab bars behind and beside the toilet. Additionally, a grab bar must be
				installed on the wall nearest the lavatory/sink if any person receiving
				services needs this accommodation.
G. All faucets, soap and other dispensers,
				and hand dryers (if present) must be within reach of someone using a wheelchair
				and usable with one closed fist.
H.
				All doors, including stall doors in the restroom, must be operable with a
				closed fist from the inside (Exclusion: Crisis Residential Units).
I. Any service location that has drinking
				fountains must have at least one (1) fountain that is Americans with
				Disabilities Act accessible.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 13 - Health and Safety › Rule 24-2-13.6 - Stairs

Current through June 25, 2024
A. Doors opening onto stairs must have a
				landing, at a minimum, the width of the door.
B. Minimum head room on stairs and ramps to
				clear all obstructions must be six feet and eight inches (6' 8").
C. Stairs in the service locations, must have
				the following dimensions:
1. Stair width must
				be at least thirty-two (32) inches;
2. Minimum tread depth of each step of the
				stairs must be at least eleven (11) inches; and,
3. Maximum height of risers in each step must
				not exceed seven (7) inches.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 13 - Health and Safety › Rule 24-2-13.7 - Transportation of People Receiving Services

Current through June 25, 2024
The interior and exterior of each vehicle must be maintained
				  in a safe and sanitary manner. Vehicles must be kept clean, well-kept and in
				  good repair. Agency providers providing transportation in agency provider
				  vehicles to people receiving services must meet the following criteria:
A. All vehicles and drivers must comply with
				the applicable laws of Mississippi regarding motor vehicle operation,
				licensure, maintenance, and be kept in good repair.
B. When transporting people receiving
				services, the following employee to person ratios apply only for the stated
				populations below:
1. When transporting
				children age zero to six (0-6) years, the employee ratio in addition to the
				driver must be one (1) employee to five (5) children and one (1) employee to
				three (3) children when more than three (3) are infants or toddlers (0-24
				months).
2. When transporting
				people with intellectual/developmental disabilities, there must be adequate
				personnel to meet the needs of people being transported.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 13 - Health and Safety › Rule 24-2-13.8 - Medication and First Aid Kits

Current through June 25, 2024
A. Agency providers
				must have written policies and procedures and documentation of their
				implementation pertaining to medication control which assures that:
1. The administration of all prescription
				drugs and/or other medical procedures must be directed and supervised by a
				licensed physician or a licensed nurse in accordance with the MS Nursing
				Practice Law and Rules and Regulations.
2. All medications must be clearly labeled.
				Labeling of prescription medications must also include the name of the person
				for whom it was prescribed.
3.
				Medication prescribed for a specific person must be discarded when no longer
				used by said person and according to a written procedure to do so.
4. Adequate space is provided for storage of
				drugs that is well lighted and kept securely locked. (Exception: Supported
				Living service locations not owned or controlled by an agency
				provider).
5. Medication stored in
				a refrigerator which contains items other than drugs will be kept in a separate
				locked compartment or container with proper labeling. (Exception: Supported
				Living service locations not owned or controlled by an agency
				provider).
6. Drugs for external
				and internal use will be stored in separate cabinets or on separate shelves
				which are plainly labeled according to such use. (Exception: Supported Living
				service locations not owned or controlled by an agency provider).
7. Prescription drugs will be stored in a
				separate cabinet or compartment utilized only for that purpose. Prescription
				drugs must not be stored with nonprescription drugs. All drugs must be stored
				in a location utilized only for storage of prescription and nonprescription
				drugs. (Exception: Supported Living service locations not owned or controlled
				by an agency provider).
8.
				Transportation and delivery of medications must follow any rules, regulations,
				guidelines, and statutes set forth by governing bodies authorized to do
				such.
9. Practices for the
				self-administration of medication by people served in a service location are
				developed with consultation of the medical personnel of the agency provider or
				the person's treating medical provider(s).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 13 - Health and Safety › Rule 24-2-13.9 - Disaster Preparedness and Response

Current through June 25, 2024
A. An
				Emergency/Disaster Response Plan must be developed and maintained for each
				location. Information may be similar to other locations, but specific location
				information is required. A Continuity of Operations Plan (COOP) must be
				developed for each agency provider and a copy maintained at each
				location.
B. Agency providers must
				develop and maintain an Emergency/Disaster Response Plan for each
				facility/service location that is specific to each certified service location,
				approved by the governing body, for responding to natural disasters and manmade
				disasters (fires, bomb threats, utility failures and other threatening
				situations, such as workplace violence). The plan should identify which events
				are most likely to affect the facility/service location. This plan must address
				at a minimum:
1. Lines of authority and
				Incident Command;
2. Identification
				of a Disaster Coordinator;
3.
				Notification and plan activation;
4. Coordination of planning and response
				activities with local and state emergency management authorities;
5. Assurances that employees will be
				available to respond during an emergency/disaster;
6. Communication with people receiving
				services, employees, governing authorities, and accrediting and/or licensing
				entities;
7. Accounting for all
				people involved (employees and people receiving services);
8. Conditions for evacuation;
9. Procedures for evacuation;
10. Conditions for agency provider
				closure;
11. Procedures for agency
				provider closure;
12. Schedules of
				drills for the plan;
13. The
				location of all fire extinguishing equipment, carbon monoxide detectors (if gas
				or any other means of carbon monoxide emission is used in facility) and
				alarms/smoke detectors;
14. The
				identified or established method of annual fire equipment inspection;
15. Escape routes and procedures that are
				specific to location/site and the type of disaster(s) for which they apply;
				and,
16. Procedures for post event
				conditions (i.e., loss of power, telephone service, ability to
				communicate).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 14 - Rights of People Receiving Services › Rule 24-2-14.2 - Employees Roles in Protecting Rights of People Receiving Services

Current through June 25, 2024
A. The agency provider must define each
				employee's responsibility in maintaining a person's rights, as well as the
				ability to explain these rights to the person receiving services or their
				family member(s)/legal representative(s) in a manner that is clearly
				understood.
B. The agency
				provider's policies and procedures must be written in such a way that employee
				roles in maintaining or explaining these rights are clearly defined.
C. The policies and procedures must also
				clearly explain how the agency provider will train employees to develop and
				retain the skills needed to uphold this role. This includes specific training
				regarding each right and how to explain it in a manner that is understandable
				to the person and/or family member(s)/legal representative(s). Training must
				focus on the population being served, but can include other related areas for
				broadened understanding.
D. A
				person receiving services cannot be required to do work which would otherwise
				require payment to agency provider employees or contractual employees. For work
				done, wages must be in accordance with local, state, and federal requirements
				(such as the provision of Peer Support Services by a Certified Peer Support
				Specialist Professional) or the agency provider must have a policy that the
				people do not work for the agency provider.
E. A record of any person for whom the agency
				provider is the legal representative or a representative payee must be on file
				with supporting documentation.
F.
				For agency providers serving as conservator or representative payee, the
				following action must be taken for each person:
1. A record of sums of money received
				for/from each person and all expenditures of such money must be kept up-to-date
				and available for inspection by DMH personnel; and,
2. The person and/or his/her legal
				representative(s) must be furnished a receipt, signed by the lawful agent(s) of
				the agency provider, for all sums of money received and expended at least
				quarterly or more often if requested.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 14 - Rights of People Receiving Services › Rule 24-2-14.3 - Ethical Conduct

Current through June 25, 2024
A. In addition to
				complying with ethical standards set forth by any relevant licensing or
				professional organizations, the governing authority and all employees and
				volunteers (regardless of whether they hold a professional license) must adhere
				to the highest ethical and moral conduct in their interactions with the people
				and family members they serve, as well as in their use of agency provider funds
				and grants.
B. Breaches of ethical
				or moral conduct toward people, their families, or other vulnerable people,
				include but are not limited to, the following situations from which an agency
				provider is prohibited from engaging:
1.
				Borrowing money or property;
2.
				Accepting gifts of monetary value;
3. Sexual (or other inappropriate)
				contact;
4. Entering into business
				transactions or arrangement, (an exception can be made by the Executive
				Director of the certified agency provider. The Executive Director of the
				certified agency provider is responsible for ensuring that there are no ethical
				concerns associated with the hiring and supervision practices);
5. Physical, mental or emotional
				abuse;
6. Theft, embezzlement,
				fraud, or other actions involving deception or deceit, or the commission of
				acts constituting a violation of laws regarding vulnerable adults, violent
				crimes or moral turpitude, whether or not the employee or volunteer is
				criminally prosecuted and whether or not directed at people or the people's
				families;
7.
				Exploitation;
8. Failure to
				maintain proper professional and emotional boundaries;
9. Aiding, encouraging or inciting the
				performance of illegal or immoral acts;
10. Making reasonable treatment-related needs
				of the people secondary or subservient to the needs of the employee or
				volunteer;
11. Failure to report
				knowledge of unethical or immoral conduct or giving false statements during
				inquiries to such conduct;
12.
				Action or inaction, which indicates a clear failure to act in an ethical,
				moral, legal, and professional manner;
13. Breach of and/or misuse of confidential
				information; and,
14. Failure to
				report suspected or confirmed abuse, neglect or exploitation of a person
				receiving services in accordance with state reporting laws to include (but not
				limited to) the Vulnerable Persons Act and Child Abuse or Neglect Reporting
				requirements.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 14 - Rights of People Receiving Services › Rule 24-2-14.4 - Limited English Proficiency Services and Cultural Competency

Current through June 25, 2024
A. Language assistance services, including
				bilingual employees and interpreter services, must be offered at no cost to
				people with limited English proficiency. These services must be offered at all
				points of contact with the person while he/she is receiving services. A
				detailed description of when and how these services will be provided must be
				clearly explained in the agency provider's policies and procedures.
B. All agency providers must develop and
				implement policies and procedures that address Culturally and Linguistically
				Appropriately Services (CLAS) federal guidelines developed by the Office of
				Minority Health (OMH), which is part of the US Department of Health and Human
				Services in order to improve access to care for limited English proficient
				people through the elimination of language and cultural barriers. All policies
				and procedures must include:
1. The process
				for offering language assistance to people who have limited English proficiency
				and/or other communication needs, at no cost to them, to facilitate timely
				access to all services.
2. How the
				agency provider informs people of the availability of language assistance
				services clearly and in their preferred language, verbally and in
				writing.
3. Ensure the competence
				of people providing language assistance, recognizing that the use of untrained
				people and/or minors as interpreters should be avoided.
4. Provide easy-to-understand print and
				multimedia materials and signage in the languages commonly used by the
				population in the service area.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 14 - Rights of People Receiving Services › Rule 24-2-14.5 - Local Grievance Policies and Procedures

Current through June 25, 2024
A. There
				must be written policies and procedures for implementation of a process through
				which people's grievances can be reported and addressed at the local service
				location/center level. These policies and procedures, minimally, must ensure
				the following:
1. People receiving services
				from the agency provider have access to a fair and impartial process for
				reporting and resolving grievances;
2. People are informed and provided a copy of
				the local procedure for filing a grievance with the agency provider and of the
				procedure and timelines for resolution of grievances upon admission and
				annually thereafter;
3. People
				receiving services and/or parent(s)/legal representative(s) are informed of the
				procedures for reporting/filing a grievance with DMH, including the
				availability of the toll-free telephone number upon admission and annually
				thereafter;
4. People receiving
				services and/or parent(s)/legal representative(s) are informed of the
				procedures for reporting suspicions of abuse, exploitation or neglect in
				accordance with state reporting laws to include (but not limited) to the
				Vulnerable Persons Act and Child Abuse or Neglect Reporting requirements upon
				admission and annually thereafter; and,
5. The agency provider will post in a
				prominent public area the DMH Office of Consumer Support informational poster
				containing procedures for filing a grievance with DMH. The information provided
				by DMH Office of Consumer Support must be posted at each service
				location.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 14 - Rights of People Receiving Services › Rule 24-2-14.6 - Use of Restraints

Current through June 25, 2024
A. All agency
				providers are prohibited from the use of mechanical restraints, chemical
				restraints, physical restraints, and time-out.
B. Agency providers are prohibited from the
				use of seclusion except for certified Crisis Residential Services. (See Rules
				19.6.P-R) Seclusion means a behavior
				control technique involving locked isolation.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 14 - Rights of People Receiving Services › Rule 24-2-14.7 - Search and Seizure

Current through June 25, 2024
A. Agency providers
				must develop policies and procedures regarding the search of the person's room,
				person and/or possessions (Exception: Unannounced searches may not be conducted
				in Supported Living, Shared Supported Living and Host Home settings unless
				there is reason to believe that a crime has been committed), to include but not
				limited to:
1. Circumstances in which a
				search may occur;
2. Employees
				designated to authorize searches;
3. Documentation of searches; and,
4. Consequences of discovery of prohibited
				items.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 15 - Incident Reporting › Rule 24-2-15.1 - Incident Reporting Process

Current through June 25, 2024
A. Providers must
				report incidents in a system designated by DMH, according to the process
				outlined by DMH.
B. Reporting to
				DMH does not replace other legally mandated reporting.
C. Incidents must be reported to the DMH
				Office of Incident Management within required timelines (see below). Additional
				information may be requested based on the circumstances. The report must
				address initial information known about the incident to include, but not
				limited to:
1. Name of Agency
				Provider;
2. Date;
3. Time;
4. Physical location;
5. Who was involved;
6. What led to the incident;
7. A description of the incident;
8. Consequences of incident;
9. Witnesses; and,
10. Notifications.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 15 - Incident Reporting › Rule 24-2-15.2 - Incidents to Report to DMH Within Eight (8) Hours of Discovery or Notification of Incident

Current through June 25, 2024
A. Incidents that
				must be reported to the DMH Office of Incident Management within eight (8)
				hours of discovery or notification of the incident include:
1. Death of a person on agency provider
				property, participating in an agency provider-sponsored event, being served
				through a certified community living service, Crisis Residential Unit, Primary
				Residential Treatment, and Transitional Residential Treatment;
2. Death of a person receiving IDD
				Services;
3. Unexplained absences
				from any of the previously mentioned services or Alzheimer's Day Services
				locations; and,
4. Suspicions of
				abuse, neglect or exploitation of a person receiving services while on agency
				provider property, at an agency provider-sponsored event, or being transported
				by a DMH-certified agency provider.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 15 - Incident Reporting › Rule 24-2-15.3 - Incidents to Report to DMH Within Twenty-Four (24) Hours of Incident

Current through June 25, 2024
A. The following are examples (not an
				exhaustive list) of types of incidents that must be reported to the DMH Office
				of Incident Management and other appropriate authorities within twenty-four
				(24) hours, as specified below:
1. Suicide
				attempts on agency provider property, at an agency provider-sponsored event, or
				by a person being served through a community living service;
2. Unexplained or unanticipated absence of a
				person receiving services of any length of time from any DMH-certified service
				location of any type;
3. Incidents
				involving injury of a person receiving services while on agency provider
				property, at an agency provider-sponsored event, or being transported by a
				DMH-certified agency provider;
4.
				Emergency hospitalization or emergency treatment of a person receiving
				services;
5. Accidents which
				require hospitalization that may be related to abuse, neglect or exploitation,
				or in which the cause is unknown or unusual;
6. Disasters, such as fires, floods,
				tornadoes, hurricanes, blizzards, etc.;
7. Any type of mandatory evacuation by local
				authorities that affects the service location/facility; and,
8. Use of seclusion or restraint that was not
				part of a person's treatment Behavior Management Plan or that was planned but
				not implemented properly, or resulted in discomfort or injury for the person.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 15 - Incident Reporting › Rule 24-2-15.4 - Policies and Procedures for Incident Reporting

Current through June 25, 2024
The agency provider must have written and implemented
				  policies and procedures in place regarding incidents that include:
A. Description of what constitutes an
				incident;
B. Prevention of
				incidents;
C. Remedial
				actions;
D. Reporting of
				incidents;
E. Documentation of
				incidents;
F. Training and
				documentation that employees have received, and acknowledged, information on
				required reporting of abuse, neglect and/or exploitation of a vulnerable
				person;
G. Maintenance of
				documentation related to incidents;
H. Assurance of cooperation with DMH for
				follow-up to incidents;
I. Analysis
				of all incidents; and,
J. Employees
				responsible for analysis of incidents.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 15 - Incident Reporting › Rule 24-2-15.5 - Written Analyses of All Reportable Incidents

Current through June 25, 2024
A. The
				governing authority or a committee designated by the governing authority must
				review all incidents and conduct a written analysis of all incidents at least
				quarterly. Written analysis must be made available to DMH for review upon
				request.
B. If a committee is
				designated by the governing authority, that committee must include
				representatives of multiple disciplines and positions within the agency. For
				example, medical personnel, administrative personnel, human resources, clinical
				personnel, etc.
C. The written
				analysis must address the following:
1. A
				determination of the cause of each incident;
2. Identification of any trends in incidents;
				and,
3. Remedial actions to be
				taken to prevent similar future events.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 16 - Service Organization › Rule 24-2-16.1 - Determinations of Serious Emotional Disturbance (SED), Serious Mental Illness (SMI), and/or Intellectual/Developmental Disability (IDD)

Current through June 25, 2024
A. All of the following information must be
				documented to support a determination of serious emotional disturbance:
1. Child/youth has at least one (1) of the
				eligible diagnosable mental disorders defined in the most current version of
				the Diagnostic and Statistical Manual of Mental Disorders (DSM).
2. Child/youth with serious emotional
				disturbance are birth up to twenty-one (21) years.
3. The identified disorder must have resulted
				in functional impairment in basic living skills, instrumental living skills, or
				social skills, as indicated by an assessment instrument/approach approved by
				DMH.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 16 - Service Organization › Rule 24-2-16.2 - Admission to Services

Current through June 25, 2024
A. Written policies
				and procedures must address admission to services and must at a minimum:
1. Describe the process for admission and
				readmission to service(s).
2.
				Define the criteria for admission or readmission to service(s), including:
(a) Description of the population to be
				served (age[s], eligibility criteria, any special populations, etc.);
(b) Process for determination of
				appropriateness of services to address the needs of the person seeking
				services;
(c) Number of people to
				be served (agency providers of community living services only);
(d) Expected results/outcomes; and,
(e) Methodology for evaluating expected
				results/outcomes.
3.
				Assure equal access to treatment and services and non-discrimination based on
				ability to pay, race, sex, age, creed, national origin, or disability for
				people who meet eligibility criteria.
4. Describe the process or requirements for
				intake/initial assessment, including the process for requesting appropriate
				consent to obtain relevant records of people receiving services from other
				agency providers.
5. Describe the
				procedure for people who are ordered into behavioral healthcare treatment by
				the court system.
6. Describe
				written materials provided to people upon admission, including materials that
				may be included in an orientation packet, etc.
7. Describe the process for informing people,
				children/youth (if age appropriate) and children/youth's parent(s)/legal
				representative(s) of their rights and responsibilities (including any
				applicable service rules) prior to or at the time of admission.
8. Describe the process to be followed when
				admission or readmission to service(s) offered by the agency provider is not
				appropriate for the person, including referral to other agency providers and
				follow-up, as appropriate. Such referral(s) and follow-up contacts must be
				documented.
9. Describe procedures
				for maintaining and addressing a waiting list for admission or readmission to
				service(s) available by the agency provider.
10. Assure equal access to treatment and
				services for HIV-positive people who are otherwise eligible.
11. Describe procedures for providing a
				schedule to people and their families for each service and/or service location
				that includes the hours of daily operation, number of days per year the
				service/ service location is available, and the scheduled dates of
				closure/unavailability and reasons.
12. Describe procedures for disbursing funds
				on behalf of people receiving services.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 16 - Service Organization › Rule 24-2-16.3 - Discharge and Termination

Current through June 25, 2024
A. Discharge and
				termination are two (2) unique terms and actions.
B. Termination is the action utilized and
				documented to discontinue a service and/or service location within a
				DMH-certified agency provider. For people receiving ID/DD Waiver or IDD
				Community Support Program, the Support Coordinator/Targeted Case Manager will
				send a Service Authorization with termination date.
C. Discharge is the action utilized and
				documented to signify that a person is no longer receiving services through
				that particular DMH-certified agency provider.
D. All agency providers must implement
				policies and procedures for discharge or termination from the service/agency
				provider which must, at a minimum, address the following:
1. Reason(s) for
				discharge\termination;
2.
				Assessment of progress toward objectives contained in the individual
				plan;
3. Discharge instructions
				given to the person who received services or his/her authorized representative,
				parent(s)/legal representative(s), including referrals made; and,
4. Any other information deemed appropriate
				to address the needs of the person being discharged from the service/agency
				provider.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 16 - Service Organization › Rule 24-2-16.4 - Service Location Postings

Current through June 25, 2024
A. Service rules
				(if applicable) for any service/service location must be posted in a location
				highly visible to the people served and/or made readily available to those
				people. (Exception: IDD Services.)
B. IDD Services must use person-centered
				practices and not impede on rights of people based on blanket rules. Policies
				and procedures should be readily available to the people being
				supported.
C. For day service
				locations of all types, emergency contact number(s) posted in a conspicuous
				location. Service postings in community living settings should not conflict
				with the efforts to provide a home-like environment for the people living in
				the setting.
D. For day service
				locations of all types, community living services of all types, and Crisis
				Residential Units, the following contact information should be kept securely at
				the service location and available to all employees:
1. Family member(s)/legal representative(s)
				or other contacts (if appropriate and consent is on file)
2. Targeted Case Manager, Community Support
				Specialist, Therapist, and/or Support Coordinator for people (if applicable).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 16 - Service Organization › Rule 24-2-16.7 - Record Management

Current through June 25, 2024
A. A single record
				must be maintained for each person receiving services (Exception: Substance Use
				Prevention Services, Consultation and Education Services and Family Support and
				Education Services) from the agency provider. In lieu of access to people's
				records, employees may utilize an on-site working record that contains
				information from the person's record that is utilized to provide services at
				that location (e.g., individual plans, emergency contact information, and
				medication profile).
B. The agency
				provider must maintain an indexing or referencing system that allows for
				locating particular people's records whenever they are removed from the central
				file area.
C. Records of people
				served must be readily accessible to authorized personnel and there must be
				written procedures assuring accessibility to people's records by emergency
				personnel after hours.
D. All
				entries in people's records must be in a permanent form (i.e., ink), accurate,
				legible, dated, signed, and include the credentials of employees making the
				entry. Corrections in the original information entered in the record(s) of
				people receiving services must be made by marking a single line through the
				changed information. Changes must be initialed and dated by the person making
				the change. The correct information should be entered in the next available
				space. Correction fluid, erasing, or totally marking out original information
				is not permissible.
E. Late entries
				to the person's record should be avoided. However, late entries must also be
				documented. Late entries should be documented as soon as possible. Late entries
				should be identified as a "late entry." The date and time when the entry is
				actually being made must be included. Events described in the late entry must
				include the actual date and time (if available) that the event(s)
				occurred.
F. No information in a
				person's record shall contain the whole name or other identifiable information
				of another person receiving services.
G. For substance use service records, the
				case must be closed when no contacts are recorded for ninety (90) days.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 16 - Service Organization › Rule 24-2-16.8 - Assessment

Current through June 25, 2024
A. For all people receiving mental health
				services and/or substance use services, the initial assessment and subsequent
				assessments are the face-to-face securing of information from the person
				receiving services and/or collateral contact, of the person's family
				background, educational/vocational achievement, needs, problem history, history
				of previous treatment, medical history, current medication(s), source of
				referral and other pertinent information in order to determine the nature of
				the person's or family's needs, barriers, strengths, and the most appropriate
				course of treatment for the person and/or family.
B. The initial assessment and subsequent
				assessments must be completed by a DMH Credentialed Mental Health Therapist,
				DMH Credentialed IDD Therapist, DMH Credentialed Addictions Therapist or
				professionally licensed individual.
C. The following priority groups of people
				with serious mental illness, children/youth with serious emotional disturbance
				and people with an intellectual/developmental disability must receive an
				initial assessment within fourteen (14) days of the date that services are
				sought and/or the date the referral is made.
1. People discharged from an inpatient
				psychiatric facility
2. People
				discharged from an institution
3.
				People discharged or transferred from Crisis Residential Services
4. People referred from Crisis Response
				Services.