Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.02 - Psychiatric Day Treatment Services › Section 10.21.02.02 - General Provisions

Current through Register Vol. 51, No. 14, July 12, 2024
A. Program
				  Approval. Psychiatric day treatment services which are under the auspices of a
				  psychiatric unit located in a licensed psychiatric hospital or under the
				  auspices of a psychiatric unit of a licensed acute general hospital shall be
				  reviewed and approved by the Mental Hygiene Administration on the basis of
				  these regulations. Free-standing psychiatric day treatment services and those
				  under the auspices of a community mental health program shall also be reviewed
				  and approved by the Mental Hygiene Administration on the basis of these
				  regulations.
B. Standards for
				  Psychiatric Day Treatment Services.
(1) The
				  daily treatment program shall provide intensive treatment following a treatment
				  plan developed by a multi-disciplinary staff team on the basis of an evaluation
				  of the patient's needs. A variety of psychiatric modes shall be available,
				  including psychopharmacological treatment, occupational therapy, activity
				  therapy, and other necessary medical, psychological, and social
				  services.
(2) There shall be an
				  acceptable plan and procedure which fix responsibility for the care and
				  treatment of the patient if an emergency occurs during the patient's stay
				  within the day treatment service.
(3) The treatment center shall have an
				  agreement with at least one licensed general or psychiatric hospital to provide
				  inpatient services as needed.
(4)
				  The day treatment program shall assure continuity of care by developing
				  appropriate mechanisms for referral to outpatient services if the patient does
				  not have a private therapist and to necessary support and residential services,
				  developing written agreements whenever feasible. When patients continue in
				  treatment with a therapist who is not a member of the day treatment program
				  team, the program shall have an agreement with the therapist which clearly
				  delineates relative treatment responsibilities of the day treatment team and
				  the other therapist.
(5) A
				  registered nurse shall be on the premises throughout the treatment
				  day.
(6) Within 4 working days of
				  admission, every patient shall have an individual treatment plan, developed
				  collaboratively by a multi-disciplinary team, which clearly defines
				  expectations and means of accomplishing the goals of the plan. The treatment
				  plan shall be signed by the psychiatrist responsible for its development. The
				  names of the other members of the mental health treatment team involved in the
				  development of the plan shall be listed adjacent to the signature of the
				  psychiatrist. The treatment plan shall describe the patient's problems and
				  probable diagnosis, state the short- and long-term goals of treatment, and
				  delineate the modalities, including medications, to be used to accomplish these
				  goals. The treatment plan shall record any physical condition which can affect
				  the treatment plan.
(7) There shall
				  be a utilization review committee which shall include at least one qualified
				  person who has no financial or other direct interest, past or present, in the
				  treatment of the patient or the operation of the program. In addition to its
				  other duties, the committee shall review the treatment plans for patients whose
				  expected length of stay exceeds 30 full treatment days.
(8) Programs for children, adolescents, and
				  adults shall be separate, although some activities may be shared with mutual
				  benefit.
(9) Each day treatment
				  program shall describe in writing its mechanisms for quality assurance,
				  including systematic case review and program evaluation, and shall define the
				  composition and responsibilities of the utilization review committee.