Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.045 - Intensive Community Psychiatric Rehabilitation (ICPR)

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies the intent of ICPR
				  services as well as the related staffing requirements for this
				  service.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Intensive Community Psychiatric
				Rehabilitation (ICPR). ICPR is separate and distinct from other community
				psychiatric rehabilitation (CPR) services. The individual treatment plan shall
				specify interventions and supports to be provided by ICPR staff that are
				separate from other CPR services (such as community support) to prevent
				duplication of services.
(A) Services are
				designed to help individuals who are experiencing a severe psychiatric
				condition, alleviating or eliminating the need to admit them into a psychiatric
				inpatient setting or a restrictive living setting. ICPR is a comprehensive,
				time-limited, community-based service for individuals who are exhibiting
				symptoms that interfere with individual/family life in a highly disabling
				manner.
(B) ICPR in all settings
				(children/youth and adult) must be approved by the department prior to
				implementation. Written proposals shall be submitted to the department and must
				include the following:
1. The proposed
				service, setting, and timeline for implementation;
2. Method for determining eligibility for the
				service;
3. Staffing patterns/staff
				qualifications, including identification of the qualified mental health
				professional (QMHP) who supervises the ICPR setting;
4. Evidence that the site(s) is safe;
5. Process for obtaining
				multidisciplinary input into treatment plans;
6. Type of documentation to be used;
7. Strategy for preventing the
				duplication of services and supports delivered by residential and
				community-based CPR staff;
8. Plan
				for financial separation of room and board from services; and
9. Plan for providing personal spending funds
				to individuals served.
(C) ICPR is intended for-
1. Persons who would be hospitalized without
				the provision of intensive community-based intervention;
2. Persons who have extended or repeated
				hospitalizations;
3. Persons who
				have psychiatric crisis episodes;
4. Persons who are at risk of being removed
				from their home or school to a more restrictive environment; and
5. Persons who require assistance in
				transitioning from a highly restrictive setting to a community-based
				alternative, including specifically persons being discharged from inpatient
				psychiatric settings who need intensive CPR services and may require assertive
				outreach and engagement.
(D) Treatment teams deliver services that will
				maintain the individual within the family and significant support systems and
				assist them in meeting basic living needs and age appropriate developmental
				needs.