Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 24 - Day Programs and Employment Related Services for Adults with Serious Mental Illness › Rule 24-2-24.2 - Senior Psychosocial Rehabilitation Services

Current through June 25, 2024
A.
				Senior Psychosocial Rehabilitation Services (Senior PSR) are structured
				activities designed to support and enhance the ability of the elderly to
				function at the highest possible level of independence in the most integrated
				setting appropriate to their needs. The activities target the specific needs
				and concerns of the elderly, while aiming to improve reality orientation,
				social adaptation, physical coordination, daily living skills, time and
				resource management, task completion and other areas of competence that promote
				independence in daily life. Activities in the service are designed to alleviate
				such psychiatric symptoms as confusion, anxiety, disorientation, distraction,
				preoccupation, isolation, withdrawal, and feelings of low self-worth.
B. Senior Psychosocial Rehabilitation
				Services must be designed to serve elderly people with serious mental illness
				who need assistance in socialization, training for daily living skills, use of
				leisure time activities, or other structured assistance in activities of
				life.
C. No person under fifty (50)
				years of age can be considered for Senior Psychosocial Rehabilitation
				Services.
D. Senior Psychosocial
				Rehabilitation Services must have an average daily attendance of at least five
				(5) people.
E. Each Senior
				Psychosocial Rehabilitation Service must have a written schedule of daily
				activities on file, which must include group therapy, socialization activities,
				activities of daily living, and recreational activities.
F. Senior Psychosocial Rehabilitation
				Services must have activities and physical surroundings that are age
				appropriate.
G. The service
				location must have sufficient space to accommodate the full range of service
				activities and services and must provide at least fifty (50) square feet of
				usable space for each person.
H.
				Employees must be assigned full-time to Senior Psychosocial Rehabilitation
				Services.
I. There must be a
				full-time supervisor at each location (see qualifications, Rule
				11.3 ). A director or Mental Health
				Therapist (see qualifications section) with the responsibility of therapeutic
				oversight must be on-site a minimum of five (5) hours per week. The Service
				Director (see qualifications, Rule
				11.3 ) or Mental Health Therapist must
				plan, develop and oversee the use of systematic curriculum based interventions
				implemented to address the needs of people receiving Psychosocial
				Rehabilitation Services. In addition to the minimum of five (5) hours of
				on-site supervision, the director or Mental Health Therapist must also
				participate in clinical staffing and/or Treatment Plan review for the people in
				the service(s) that he/she directs.
J. In addition to Rule 24.2.I, Senior
				Psychosocial Rehabilitation Services located in a Community Mental Health
				Center operated facility must meet the following:
1. There must be at least one (1) employee
				with minimum of a Bachelor's degree in a mental health or
				intellectual/developmental disabilities-related field who must be on-site and
				be actively engaged in service activities during all programmatic hours; this
				employee can be the on-site supervisor.
2. The employee with a Bachelor's degree (who
				must be on-site and actively engaged in service activities during all
				programmatic hours and who may or may not be the on-site supervisor) is
				required for eight (8) or fewer people.
3. When the service is certified for nine (9)
				or more people, there must be another employee for every eight (8) people for
				which the service location is certified to serve.
4. Develop and implement plans to involve
				people participating in Senior Psychosocial Rehabilitation Services in
				community activities to the maximum extent possible.
5. Senior Psychosocial Rehabilitation
				Services must be provided in each service location a minimum of three (3) days
				per week for a minimum of four (4) hours per day, excluding travel
				time.