reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.03 - Requirements for Individual Treatment Plans › Section 10.21.03.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. These
				  regulations shall apply to every individual admitted either voluntarily or
				  involuntarily to any inpatient mental health facility licensed by, or under the
				  jurisdiction of, the Department of Health and Mental Hygiene. These regulations
				  may not apply to institutions for the care of developmentally disabled
				  patients, or to those patients committed by the courts for evaluation
				  only.
B. These regulations are
				  supplemental to any other laws and regulations that may be applicable. In the
				  event of conflict between these regulations or laws and any other regulations
				  or laws, the more stringent shall apply.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.03 - Requirements for Individual Treatment Plans › Section 10.21.03.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. "Active
				  treatment" means the regular participation by a patient in professionally
				  developed and supervised activities, experiences, or therapies based on an
				  individual treatment plan.
B.
				  "Department" means the Department of Health and Mental Hygiene.
C. "Mental health professional treatment
				  team" means:
(1) One or more duly licensed
				  physicians or psychiatrists, one of whom shall assume responsibility for the
				  development and implementation of an individual treatment plan. If the
				  physician member of the mental health professional treatment team has less than
				  2 years of postdegree experience in a mental health setting, at least one other
				  member of the team shall have attained the master's degree and have 2 years of
				  postdegree experience in a mental health setting.
(2) One or more of the following mental
				  health professionals:
(a) A psychologist,
				  licensed in the State, or an individual with a master's degree in psychology or
				  a related field from an accredited college or university in a program
				  acceptable to the Board of Examiners of Psychologists, under the supervision of
				  a licensed psychologist, and with at least 2 years of postdegree experience in
				  a mental health setting;
(b) A
				  professional registered nurse licensed in the State with at least one of the
				  following credentials:
(i) Two years of
				  psychiatric nursing experience;
(ii) A bachelor of science degree and 1 year
				  of psychiatric experience; or
(iii)
				  A master's degree and 1 year of psychiatric nursing experience;
(c) A social worker, licensed in
				  the State, with a master's degree in social work from an accredited school of
				  social work and 2 years experience, 1 of which shall have been in a mental
				  health setting; or
(d) An
				  occupational therapist, licensed in the State, with a bachelor of science
				  degree in occupational therapy from an accredited school of occupational
				  therapy and 2 years experience, 1 of which shall have been in a mental health
				  setting.
(3) Other
				  members of the hospital staff who work directly with the patient, including
				  other professionals and paraprofessionals and professionals in service and in
				  training.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.03 - Requirements for Individual Treatment Plans › Section 10.21.03.04 - Severability

Current through Register Vol. 51, No. 14, July 12, 2024
If any section or provision of these regulations is
					 declared unconstitutional or void by any court of competent jurisdiction, or
					 its applicability to any person or circumstances is held invalid, the
					 constitutionality or validity of the remainder of these regulations and their
					 applicability to other persons and circumstances may not be affected, and, to
					 this end, the sections and provisions of these regulations are declared to be
					 severable.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes the licensing procedure for group
					 homes for adults with mental disorders.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  terms have the meanings stated in COMAR 10.21.17.
B. Definition of Group Home.
(1) "Group home" means a community-based
				  residential program that provides services:
(a) For individuals who have been or are
				  under treatment for a mental disorder;
(b) When possible, in the individual's
				  community of origin; and
(c) In a
				  home-like environment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.03 - Admission Standards

Current through Register Vol. 51, No. 14, July 12, 2024
A. A group
				  home may admit an individual if the individual:
(1) Has a mental disorder;
(2) Because of the mental disorder, requires
				  residential services for assistance and support in community living;
(3) Has the ability to understand and states,
				  in writing, willingness to comply with the rules and regulations of the group
				  home; and
(4) Is able to take
				  appropriate action, under emergency conditions, for
				  self-preservation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.04 - License Required

Current through Register Vol. 51, No. 14, July 12, 2024
A. A person
				  shall obtain a license from the Department before operating a group
				  home.
B. The Secretary shall grant
				  a license to an applicant to operate a group home, as described in Regulation
				  .02 of this chapter, if the applicant fulfills the requirements for:
(1) Licensure under this chapter;
(2) Administrative requirements under COMAR
				  10.21.17;
(3) Psychiatric
				  rehabilitation programs under COMAR 10.21.21; and
(4) Residential rehabilitation programs under
				  COMAR 10.21.22.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.06 - Licensure

Current through Register Vol. 51, No. 14, July 12, 2024
A. Initial License.
(1) Within 90 days of receipt of an
				  application completed according to Regulation .05B of this chapter, the
				  Department's designated licensure unit:
(a)
				  Shall:
(i) Evaluate the
				  application,
(ii) Meet with the
				  applicant, and
(iii) Conduct an
				  on-site review to inspect the physical plant and evaluate the proposed group
				  home; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.07 - Deemed Status

Current through Register Vol. 51, No. 14, July 12, 2024
A. Request for
				  Deemed Status. If a group home is licensed by the Department and is accredited
				  by the Joint Commission on the Accreditation of Health Care Organizations
				  (JCAHO) or the Rehabilitation Accreditation Commission (CARF), the governing
				  body of the group home may request that the Secretary grant the group home
				  deemed status by submitting a written request:
(1) At least 90 days before the expiration of
				  the group home's license;
(2) To
				  the:
(a) Administration,
(b) CSA, if the jurisdiction in which the
				  program is to be located is served by a CSA, and
(c) Health officer, if the jurisdiction in
				  which the program is to be located is not served by a CSA; and
(3) That includes the:
(a) Application required under Regulation
				  .05B of this chapter, and
(b)
				  Accreditation body's full report including the group home's status and any
				  conditions placed on the group home.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.08 - Program Inspection and Investigation by the Department

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Department
				  may make announced and unannounced visits to a group home.
B. If the Department receives information
				  that the safety or welfare of an individual served is in jeopardy, the
				  Department shall promptly:
(1) Conduct and
				  document an investigation; and
(2)
				  Based on the investigation under §B(1) of this regulation, take
				  appropriate action, including:
(a) Outlining
				  the requirements for the group home to correct the problems identified;
				  or
(b) Initiating any of the
				  following:
(i) Emergency suspension, under
				  the provisions of Regulation .09B of this chapter,
(ii) Disciplinary action, including
				  suspension, revocation, probation, or banning new admissions under the
				  provisions of Regulation .09C of this chapter, or
(iii) Receivership, under the provisions of
				  Regulation .11 of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.09 - Denial and Emergency Suspension of Licensure and Disciplinary Action

Current through Register Vol. 51, No. 14, July 12, 2024
A. Denial of
				  License.
(1) If the Secretary proposes to
				  deny a license to an applicant under the provisions of this chapter, the
				  Secretary shall give written notice of the proposed denial to the:
(a) Chairman of the governing body;
(b) Program director;
(c) Administration; and
(d) As applicable, either the CSA director or
				  the health officer.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.10 - Group Home Request

Current through Register Vol. 51, No. 14, July 12, 2024
If a group home requests that licensure be
					 discontinued:
A. The Secretary shall
				  discontinue licensure; and
B. The
				  governing body shall assure that, within 10 working days, the program director
				  takes the action described under Regulation .09A(3) of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.11 - Initiation of Receivership

Current through Register Vol. 51, No. 14, July 12, 2024
The Secretary may take action to initiate receivership
					 under the provisions of Health-General Article, 19-333-----19-339, Annotated
					 Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.04 - Community Mental Health Programs-Group Homes for Adults with Mental Illness › Section 10.21.04.12 - Procedures for Hearings

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Within 10 working days of receipt of notification that the Secretary proposes
				  to deny approval or initiate disciplinary action, the chairman of the governing
				  body may file a written request for a hearing with the Office of Administrative
				  Hearings, with copies to the:
(1)
				  Administration;
(2) CSA director;
				  and
(3) Director of the
				  Department's designated licensure unit.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.05 - Aftercare Plans › Section 10.21.05.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to aftercare plans, which are:
A. Provided to an individual who has been
				  accepted under the provisions of Health-General Article, Title 10, Subtitle 6,
				  Health-General Article, Title 12, Subtitle 1, or Courts and Judicial
				  Proceedings Article, Title 3, Subtitle 8, Annotated Code of Maryland, in one of
				  the following:
(1) Mental Hygiene
				  Administration facility under Health-General Article, §10-406, Annotated
				  Code of Maryland,
(2) Private
				  psychiatric inpatient facility,
(3)
				  Residential treatment center for children and adolescents, or
(4) Psychiatric unit in an acute care general
				  hospital; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.05 - Aftercare Plans › Section 10.21.05.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Accepted" means:
(a) Taken into confinement on the basis of an
				  application and certificate for involuntary admission, according to the
				  provisions of Health-General Article, 10-614-----10-616, Annotated Code of
				  Maryland; or
(b) Admitted, as
				  defined in §B(4) of this regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.05 - Aftercare Plans › Section 10.21.05.03 - Content and Nature of Aftercare Plans

Current through Register Vol. 51, No. 14, July 12, 2024
A. Staff designated by the CEO to assist
				  individuals in aftercare planning shall, as soon as possible after acceptance,
				  in collaboration with the individual:
(1)
				  Initiate the aftercare planning process;
(2) With proper consent, involve in the
				  aftercare planning process:
(a)
				  Community-based service providers,
(b) Family members,
(c) Others who have a personal interest in
				  the individual, and
(d) Third-party
				  payors, including Medical Assistance, the Administration's ASO, or private
				  insurance carriers, if involved, for authorization of outpatient
				  services;
(3) Assist in
				  applying for benefits to which the individual may be entitled and document the
				  outcome of the benefits application process in the individual's
				  record.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.05 - Aftercare Plans › Section 10.21.05.04 - Distribution of Aftercare Plan

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Designated staff shall provide the individual with the opportunity to consent
				  or withhold consent for release of all or any portion of the plan to any
				  provider.
B. Within 48 hours or by
				  the first appointment, whichever is sooner, designated staff shall provide the
				  aftercare plan, in accordance with the provisions of §A of this
				  regulation, to the:
(1) Community treatment
				  and support programs designated in the aftercare plan;
(2) Family members or others with a personal
				  interest in the individual, if any, who are identified in the aftercare plan to
				  provide housing; and
(3)
				  Third-party payors, if involved, for authorization of outpatient
				  services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.06 - Admission to Regional Institutes for Children and Adolescents › Section 10.21.06.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes procedures and standards for
					 residential admission to the Regional Institutes for Children and Adolescents
					 (RICAs). The RICAs are mental health facilities licensed and operated by the
					 Department of Health and Mental Hygiene for the residential treatment of
					 severely emotionally disturbed children and adolescents.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.06 - Admission to Regional Institutes for Children and Adolescents › Section 10.21.06.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "Administration" means the Mental Hygiene
				  Administration.
(2) "Applicant"
				  means a child or adolescent who is the subject of an application for admission
				  to a RICA.
(3) "Director" means the
				  Director of the Mental Hygiene Administration.
(4) "Mental disorder" means a behavioral or
				  emotional illness that results from a psychiatric or neurological disorder and
				  is referenced in Health-General Article, §10-620(e)(1), Annotated Code of
				  Maryland.
(5) "Resident" means a
				  child or adolescent who is admitted to a RICA for residential
				  treatment.
(6) "Residential
				  treatment" means a program of active psychiatric treatment that is provided on
				  a residential basis, under the direction of a psychiatrist, and in conformity
				  with an individualized treatment plan.
(7) "RICA" means a Regional Institute for
				  Children and Adolescents.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.06 - Admission to Regional Institutes for Children and Adolescents › Section 10.21.06.03 - Application for Admission

Current through Register Vol. 51, No. 14, July 12, 2024
A. On
				  referral by a public or private agency or mental health professional,
				  application for admission to a RICA may be made by:
(1) The parent or guardian of a child or
				  adolescent under 18 years old;
(2)
				  An adolescent, if the adolescent is 16 years old or older; or
(3) A State or county agency that has custody
				  of a child or adolescent, with the signed consent of the parent or guardian or
				  in accordance with a court order.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.06 - Admission to Regional Institutes for Children and Adolescents › Section 10.21.06.04 - Admission Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each
				  RICA shall maintain an admission team which consists of a physician, mental
				  health and educational professionals and other persons, as appropriate. The
				  RICA admission team shall determine whether the applicant meets the admission
				  standards set forth in Regulation .05 of this chapter, within 10 working days
				  of receipt of the completed application.
B. The applicant and referring agency or
				  mental health professional shall be notified by the RICA admission team as to
				  whether the applicant meets the admission criteria.
C. If the admission team determines that the
				  admission criteria are met, a pre-admission interview shall be scheduled by the
				  RICA at the earliest convenient date for all parties involved.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.06 - Admission to Regional Institutes for Children and Adolescents › Section 10.21.06.05 - Admission Criteria

Current through Register Vol. 51, No. 14, July 12, 2024
A. A child
				  or adolescent may be admitted to a RICA if the:
(1) Individual has a long-term and severe
				  mental disorder;
(2) Individual has
				  treatment needs that cannot be met through available community-based
				  programs;
(3) Residential treatment
				  provided by the RICA can reasonably be expected to improve the individual's
				  condition or prevent further regression so that the individual can return to
				  the community.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.06 - Admission to Regional Institutes for Children and Adolescents › Section 10.21.06.06 - Resident Rights

Current through Register Vol. 51, No. 14, July 12, 2024
A. Residents
				  shall be accorded the rights enumerated in the Health-General Article,
				  §§10-701 through 10-709, Annotated Code of Maryland, and shall be
				  informed of these rights upon admission.
B. An individualized treatment plan shall be
				  developed and implemented for each resident in accordance with Health-General
				  Article, §10-706, Annotated Code of Maryland, and COMAR
				  10.21.03.
C. An educational program
				  shall be provided for each resident based on educational needs and shall
				  include, when appropriate, an individualized educational program in accordance
				  with COMAR 13A.05.01.
D. An
				  aftercare plan shall be developed for each resident before release from a RICA
				  in cooperation with the referring agency or professional, parent, or guardian
				  or other appropriate agencies in accordance with the Health-General Article,
				  §§10-709 and 10-809, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.06 - Admission to Regional Institutes for Children and Adolescents › Section 10.21.06.07 - Court Evaluation Unit

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  RICA may establish a separate unit for short term evaluation of children and
				  adolescents referred by a Juvenile Court.
B. Admission from the court evaluation unit
				  to the regular residential treatment program shall be in accordance with the
				  procedures and standards set forth in Regulations .04 and .05 of this
				  chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter establishes the procedures and standards for
					 operating, programming, and staffing a therapeutic group home (TGH) for
					 children.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.03 - Proposal and Designation of Lead Agency

Current through Register Vol. 51, No. 14, July 12, 2024
A. Proposal.
(1) An individual or organization that
				  proposes to provide therapeutic living services for children in a TGH shall:
(a) Direct an initial inquiry for obtaining a
				  license to the OCYF, in accordance with COMAR 01.04.02; and
(b) Submit to OCYF, in accordance with COMAR
				  01.04.04.05B, a
				  proposal describing the:
(i) Physical plant in
				  which the children will reside, and
(ii) Program service plan, as described in
				  Regulation .05C of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.04 - License Required

Current through Register Vol. 51, No. 14, July 12, 2024
A. Before
				  operating a TGH, a person shall obtain a license from the Department under the
				  provisions of this chapter and COMAR 01.04.04 for each TGH site in which
				  children reside.
B. The Secretary
				  shall grant a license to an applicant to operate a TGH if the applicant
				  fulfills the requirements for:
(1) Licensure
				  under COMAR 01.04.04; and
(2)
				  Service and staffing under this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.05 - Application Process

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Consultation. If the Administration is the designated lead agency, an applicant
				  for licensure for a TGH, before submitting an application, may request
				  assistance from the designated licensure unit of the Department, the
				  appropriate CSA director, or the Administration regarding the proper
				  compilation of application materials and completion of the
				  application.
B. Application. An
				  applicant for licensure of a TGH shall:
(1)
				  Submit, to the Department's designated licensure unit, a signed, notarized
				  application on the form approved by the Department with the requirement that
				  all questions be answered and all required documents be attached;
(2) Include in the application:
(a) The applicant's:
(i) Name,
(ii) Agency affiliation, if any,
				  and
(iii) Address;
(b) Documentation:
(i) Of the applicant's not-for-profit status,
				  and
(ii) That the applicant has
				  sufficient financial resources or that sufficient resources are available to
				  the applicant for the establishment and operation of the residence;
(c) The following information
				  about the property:
(i) The street address of
				  the location of the TGH or, if it has no street address, a description that
				  adequately identifies the location of the property, and
(ii) If the applicant does not own the
				  property, the name and address of the owner;
(d) The satisfactory fire, safety, and health
				  inspection reports, not more than 1 year old, of the TGH that are required by
				  the local jurisdiction;
(e) Written
				  material that describes how the applicant intends to comply with the
				  requirements outlined in:
(i) COMAR 01.04.04,
				  and
(ii) This chapter;
(f) An explanation of the need for
				  the TGH, including, if the jurisdiction in which the TGH is to be located is
				  served by a CSA, a letter of intent that explains how the TGH meets a need
				  identified in the Administration-approved CSA plan;
(g) When applicable, documentation that the
				  TGH will collaborate with the CSA, as required under Regulation .07 of this
				  chapter;
(h) Documentation that the
				  TGH:
(i) Is near transportation facilities,
				  or has a plan for the provision of transportation services based on the
				  individual's need, and
(ii) Meets,
				  or on completion will meet, general zoning requirements regarding size,
				  density, land use, and architectural guidelines that apply to the site;
				  and
(i) The applicant's
				  program service plan, as outlined in §C of this regulation; and
(3) Forward a copy of the:
(a) Application cover letter to the
				  Administration; and
(b) Application
				  to the:
(i) CSA, if the jurisdiction in which
				  the TGH is to be located is served by a CSA, or
(ii) Administration, if the jurisdiction in
				  which the TGH is to be located is not served by a CSA.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.06 - Governance

Current through Register Vol. 51, No. 14, July 12, 2024
A. Governing Body.
(1) A provider that is licensed by the
				  Department under this chapter to operate a TGH shall be governed by a body that
				  shall:
(a) Carry out the responsibilities
				  under COMAR
				  01.04.04.04B;
				  and
(b) Either:
(i) Be composed of the membership described
				  under §B(1) of this regulation, or
(ii) Appoint an advisory committee for the
				  TGH.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.07 - Collaboration with Core Service Agency (CSA)

Current through Register Vol. 51, No. 14, July 12, 2024
A. If the jurisdiction in which a TGH is
				  located is served by a CSA, the governing body shall document that the program
				  shall:
(1) Submit the following information
				  to the CSA:
(a) Documentation that the
				  program budget is adequate to support the program's ability to provide
				  authorized services;
(b) The
				  program service plan;
(c) Data that
				  incorporate outcome measures; and
(d) A yearly summary that, at a minimum,
				  includes:
(i) Relevant financial statements or
				  documentation of an audit that certifies that the TGH is fiscally
				  sound,
(ii) Program planning and
				  evaluation, as identified in COMAR 01.04.04.15B, and
(iii) Service utilization data;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.08 - TGH Program Model

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  TGH provides therapeutic living services:
(1)
				  For at least four but not more than eight children;
(2) By providing access to a combination of
				  developmental, diagnostic, and therapeutic mental health services;
(3) When possible, in the child's community
				  of origin; and
(4) In a home-like
				  environment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.09 - Eligibility, Application, and Admission

Current through Register Vol. 51, No. 14, July 12, 2024
A. Eligibility.
(1) A child is eligible for admission to a
				  TGH if:
(a) The child:
(i) Has a mental disorder,
(ii) Is or should be receiving treatment for
				  the mental disorder,
(iii) Because
				  of the mental disorder, requires residential services not available in the
				  home,
(iv) Needs 24-hour
				  supervision in a structured private group home,
(v) Has the ability to understand and states,
				  in writing, a willingness to comply with the rules and regulations of the TGH,
				  and
(vi) Has the ability to act
				  appropriately under emergency conditions; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.10 - Required Services

Current through Register Vol. 51, No. 14, July 12, 2024
The chief executive officer of a TGH shall assure that
					 children in the TGH receive:
A.
				  Physical and dental examinations, care, and treatment for children who are:
(1) Eligible for Medical Assistance, services
				  through the managed care organization, as required by COMAR 10.09.67,
				  or
(2) Not eligible for Medical
				  Assistance, through written agreements with appropriate providers, as indicated
				  under COMAR 01.04.04.19B;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.11 - Evaluative Services Provided by the TGH

Current through Register Vol. 51, No. 14, July 12, 2024
A. Therapeutic Milieu. The clinical
				  coordinator, as defined in Regulation .14C of this chapter, shall assure
				  maintenance of the therapeutic milieu in order to foster achievement of a
				  child's treatment goals.
B.
				  Diagnosis. Within 1 week of a child's admission to the TGH, the clinical
				  coordinator shall ensure that a staff member authorized under the Health
				  Occupations Article, Annotated Code of Maryland, and credentialed and
				  privileged by the program to formulate a psychiatric diagnosis, shall:
(1) Formulate and document in the child's
				  medical record a diagnosis based on a face-to-face assessment of the child,
				  that includes:
(a) A description of the
				  presenting problem,
(b) Relevant
				  history,
(c) Mental status
				  examination, and
(d) The rationale
				  for the diagnosis; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.12 - Treatment and Support Services Provided by the TGH

Current through Register Vol. 51, No. 14, July 12, 2024
A. Case Coordination. The TGH clinical
				  director shall assure that a child's case coordinator:
(1) Integrates appropriate therapeutic and
				  educational services into the child's ITP by coordinating with the child's
				  previous placement provider, school, clinic or other mental health providers,
				  and, if any, employer;
(2) Makes
				  home visits and meets with the primary caretaker to ameliorate problems in the
				  home and facilitate reunification; and
(3) Participates in treatment team meetings
				  for the purposes of collaborating in service delivery and advocating for the
				  child.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.13 - Residential Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. General.
				  The chief executive officer shall assure that:
(1) Basic life needs are met, according to
				  the requirements of COMAR 01.04.04.17D; and
(2) Communication and visiting policies and
				  daily routines are implemented according to the requirements of:
(a) Health-General Article,
				  §§10-702 -10-703, Annotated Code of Maryland,
(b) COMAR 10.21.09, and
(c) COMAR 01.04.04.16D.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.14 - Staff

Current through Register Vol. 51, No. 14, July 12, 2024
A. Required Staff.
				  The governing body of a TGH shall assure that TGH staff is sufficient in
				  numbers and qualifications to:
(1) Carry out
				  the TGH program service plan described in Regulation .05C of this chapter and
				  program model described in Regulation .08 of this chapter;
(2) Provide the services, including
				  supervision and staff-to-child ratio, required under Regulations .12 and .13 of
				  this chapter; and
(3) Carry out the
				  requirements of the ITPs of the TGH residents.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.15 - Data Submission

Current through Register Vol. 51, No. 14, July 12, 2024
A TGH shall report the required data in the form and at the
					 times specified by the Administration.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.16 - Rights

Current through Register Vol. 51, No. 14, July 12, 2024
TGH staff shall explain to a child enrolled in a program
					 and to the child's parent, guardian, and, if other than the parent, the primary
					 caretaker, of the child's rights as set forth in Health-General Article, Title
					 10, Subtitle 7, and Title 4, Subtitle 3, Annotated Code of
					 Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.07 - Therapeutic Group Homes › Section 10.21.07.17 - Grievances

Current through Register Vol. 51, No. 14, July 12, 2024
A. A TGH shall
				  develop and implement a process for the prompt and objective resolution of
				  grievances that may be presented by a child or by a child's parent, guardian,
				  or primary caretaker.
B. The TGH
				  shall prominently display, in accessible centralized locations, the written
				  description of the grievance procedure.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
The following regulations govern the provision of services
					 for hearing impaired mentally ill patients within the Administration's
					 facilities and the designated inpatient hearing impaired
					 unit.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.03 - Identification of Hearing Impaired Patients

Current through Register Vol. 51, No. 14, July 12, 2024
A. Patients admitted to facilities shall be
				  screened for hearing impairment.
B.
				  Gross Testing of Hearing Sensitivity.
(1) At
				  each facility, an examination shall be performed for gross testing of hearing
				  sensitivity on all newly admitted patients within 24 hours of admission. This
				  examination shall be performed:
(a) By a
				  physician or a qualified allied health professional; and
(b) According to the following protocol:
(i) Testing shall occur consistently at a
				  fixed distance from the speaker at all times;
(ii) In order to prevent speech reading which
				  could be interpreted as a false positive, the speaker's face may not be in view
				  by the patient while testing is in process; and
(iii) Non-English speaking patients shall be
				  tested in the language the patient is known to speak or is believed to
				  comprehend.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.04 - Standards for Identification Audiometry

Current through Register Vol. 51, No. 14, July 12, 2024
A. Staff, as defined in Regulation
				  .03C(4)(b), of this chapter, shall conduct manually administered, individual
				  pure tone air conduction screening procedures for identification audiometry on
				  each patient with a developmental age of 3 years or older. The following apply:
(1) Patients with a developmental age of less
				  than 3 years shall be referred to an audiologist for an evaluation.
(2) Group screening may not be conducted on
				  any patient.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.05 - Requirements for the Acoustical Environment

Current through Register Vol. 51, No. 14, July 12, 2024
The test tones listed in this regulation shall meet the
					 allowable octave-band ambient noise levels which are noted in the following
					 table taken from page 5 of the May 1985 ASHA journal:
------
Test frequency
500
1000
2000
4000
Octave-band cutoff
300
600
1200
2400
Frequencies
600
1200
2400
4800
------
Octave-band level: Ear covered with earphone mounted in
							 MX-41/AR cushion
21.5
29.5
34.5
42
Plus ASHA screening level
20
20
20
20
Resultant maximum ambient noise level allowable for
							 ASHA screening
41.5
49.5
54.5
62
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.06 - Springfield Hospital Unit for Hearing Impaired Patients

Current through Register Vol. 51, No. 14, July 12, 2024
A. Transfer Criteria. To be transferred to
				  the unit, each patient shall:
(1) Meet the
				  statutory criteria for admission as set forth in Health-General Article,
				  §10-609 -10-619, Annotated Code of Maryland, and other applicable
				  regulations related to the involuntary and voluntary admissions to
				  facilities.
(2) Have documentation
				  of deafness or a hearing impairment.
(3) Currently be using visual, manual, or
				  tactile modes of communication which include but are not limited to American
				  sign language, finger spelling, or speech reading, or be capable of being
				  trained in the use of those methods.
(4) Be 14 years old or older. Patients 14 to
				  18 years old shall reside in:
(a) A separate
				  inpatient residence designated for minors and attend the day program of the
				  hearing-impaired unit if the:
(i) Treatment
				  teams of the unit and of the minor's inpatient residence approve;
(ii) Approval is documented in the progress
				  notes and the Individual Treatment Plan; and
(iii) Individual Treatment Plan is not in
				  conflict with the Individual Educational Plan;
(b) The unit if the:
(i) Unit treatment team approves;
				  and
(ii) Individual plan for
				  treatment indicates the need for placement on the unit.
(5) Be capable, with auxiliary
				  aids, if necessary, of participating in professionally developed and supervised
				  therapies, experiences, and activities provided by the unit.
(6) Have documentation in that patient's
				  record that the patient does not object to participation on the unit, based on
				  information necessary to make an informed judgment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.07 - Determination of Placement

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each
				  hearing impaired patient in a facility, regardless of other handicapping
				  conditions, shall be referred for evaluation for transfer to the unit pursuant
				  to this regulation and Regulations .06 and .08A of this chapter. The following
				  apply:
(1) The referring facility's treating
				  physician shall refer any:
(a) Previously
				  diagnosed hearing impaired patient to the unit within 72 hours of admission;
				  or
(b) Patient newly identified as
				  hearing impaired pursuant to this chapter, within 72 hours of
				  identification.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.08 - Services for Hearing Impaired Patients Not in the Unit

Current through Register Vol. 51, No. 14, July 12, 2024
A. Unless the age of a minor hearing impaired
				  patient precludes transfer to the unit, the referring facility's treating
				  physician shall refer the patient for evaluation to the unit at least every 60
				  days in order to:
(1) Reevaluate the
				  appropriateness for the transfer to the unit; and
(2) Obtain consultation for any appropriate
				  treatment options.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.08 - Services for Mentally Ill Hearing Impaired Patients in Facilities › Section 10.21.08.09 - Procedure Pertaining to Complaints

Current through Register Vol. 51, No. 14, July 12, 2024
Complaints about the individual application of this chapter
					 may be addressed through any patient grievance mechanism.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.09 - Patients' Rights to Visitors › Section 10.21.09.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
These regulations govern the rights of patients in all
					 facilities as defined in Health-General Article, §§10-101(e) and
					 10-703, Annotated Code of Maryland. Pursuant to Health-General Article,
					 §10-703, Annotated Code of Maryland, and for the safety and well-being of
					 patients, their visitors and staff members, all of these facilities shall
					 provide public notice to patients, family members, and friends of the hours
					 allowed for visiting on facility grounds and the conditions under which
					 visiting is permitted.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.09 - Patients' Rights to Visitors › Section 10.21.09.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "Administration" means the Mental Hygiene
				  Administration.
(2) "Attorney"
				  means a person licensed to practice law or the attorney's agent.
(3) "Clergy" means an official of a
				  recognized church, religious society, or congregation of any sect, order, or
				  denomination.
(4) "Disorderly
				  manner" means conduct as defined by Criminal Law Article, §
											10-202, Annotated Code
				  of Maryland.
(5) "Drugs" means any
				  medically unauthorized substance as defined by Criminal Law Article, §
											5-101(f),
				  Annotated Code of Maryland.
(6)
				  "Facility" means any public or private hospital, clinic, or other institution
				  that provides or purports to provide treatment or other services for a mental
				  disorder, except an acute care general hospital that does not have a separately
				  identified inpatient psychiatric service.
(7) "Patient" means any individual receiving
				  care and treatment in a facility.
(8) "Physician" means an individual who is
				  authorized to practice medicine under Health Occupations Article, Title 14,
				  Annotated Code of Maryland.
(9)
				  "Professional staff" means any clinical staff who is either licensed or
				  certified in a health care field or clinical staff in charge of a residential
				  area.
(10) "Visitor" means a person
				  who is coming to see a patient and is not acting as an agent of the facility or
				  the Department of Health and Mental Hygiene.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.09 - Patients' Rights to Visitors › Section 10.21.09.03 - Facility Visitation and Visiting Hours

Current through Register Vol. 51, No. 14, July 12, 2024
A. All facilities shall provide a
				  conspicuously posted notice to patients, family members, and friends of the
				  hours allowed for visiting on facility grounds and the conditions under which
				  visiting is permitted.
B.
				  Visitation procedures and visiting hours shall be reasonable and each facility
				  shall allow for visiting hours for at least 1 hour per day for each day of the
				  week.
C. Each facility
				  administrator shall be responsible for ensuring that these regulations are
				  available for review and shall post notice of the facility's visiting hours in
				  a prominent location.
D. Visiting
				  hours do not apply to the patient's clergy or attorney who may visit the
				  patient at any reasonable hour.
E.
				  Visiting hours do not apply during those times a person visits the patient at
				  the request of the treatment team.
F. Patients who wish to visit with children
				  under the age of 12 may request a suitable location from the staff for the
				  visit.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.09 - Patients' Rights to Visitors › Section 10.21.09.04 - Visitation Areas

Current through Register Vol. 51, No. 14, July 12, 2024
A. Specific
				  areas shall be designated as visitor areas and may be subject to supervision by
				  facility staff.
B. Patients shall
				  have the right to converse in private subject to the restrictions of
				  Health-General Article, §10-703(c), Annotated Code of Maryland.
C. Visitors may not be allowed on the patient
				  units without staff permission or supervision, or both.
D. Visiting may not be allowed in seclusion
				  rooms.