Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 7 - Core Rules for Psychiatric and Substance Use Disorder Treatment Programs › Section 9 CSR 10-7.020 - Rights, Responsibilities, and Grievances

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the chapter title and
				  purpose, updates terminology, and expands the orientation requirements for
				  individuals being served.
PURPOSE: This rule describes individual rights, the
				  orientation process, and grievance procedures applicable to Comprehensive
				  Substance Treatment and Rehabilitation Programs (CSTAR), Gambling Disorder
				  Treatment Programs, Institutional Treatment Centers, Opioid Treatment Programs,
				  Recovery Support Programs, Substance Awareness Traffic Offender Programs
				  (SATOP), Required Education Assessment and Community Treatment Programs
				  (REACT), Substance Use Disorder Treatment Programs, Community Psychiatric
				  Rehabilitation Programs (CPR), and Outpatient Mental Health Treatment
				  Programs.
(1) General Policy
				and Practice. The organization demonstrates through its policies, procedures,
				and practices an ongoing commitment to the rights, dignity, and respect of the
				individuals it serves. In addition to the requirements of this rule, the
				organization must also comply with
				9 CSR
				10-5.200, Procedures for Reporting Complaints of
				Abuse, Neglect, and Misuse of Funds/Property.
(2) Information and Orientation. Each
				individual served shall receive an orientation about what to expect while
				receiving services and his or her role in treatment. The orientation is
				provided in a timely manner based on the individual's presenting condition and
				type of services he or she will receive. The orientation must be understandable
				to the person served and available in written form. Written acknowledgement of
				receipt of the orientation must be documented.
(A) An individual who is admitted to a
				program on a voluntary basis is expected to give written, informed consent to
				care and treatment.
(B) As
				applicable to the individual, the orientation shall include, but is not limited
				to, an explanation of-
1. Program rules and
				participation requirements, rights, responsibilities, and behavioral
				expectations;
2. Available services
				and supports, including crisis assistance;
3. Complaint and appeal procedures;
4. Ways in which input can be
				given;
5. The organization's
				confidentiality policies;
6.
				Continuing recovery planning;
7.
				Discharge criteria and procedures;
8. Access to after-hour services;
9. Reporting requirements for individuals
				mandated to participate in services;
10. Financial obligations, fees, and
				financial arrangements for services provided by the organization;
11. Health and safety policies including, but
				not limited to, the use of emergency safety interventions, use of tobacco
				products, illegal or legal substances brought into the program, prescription
				medication brought into the program, and weapons brought into the
				program;
12. Layout of the premises
				including emergency exits and/or shelters;
13. Education regarding advance directives
				when indicated;
14. The assessment
				process and the individual's role in developing his/her treatment plan and
				personal goals for recovery/resiliency, the course of services, expectations
				for legally required appointments, sanctions, or court notifications;
				and
15. Composition of the
				treatment team.
(C) Each
				individual shall be informed of the process to make an inquiry, file a
				complaint, or report a violation of his/her rights to the department. Written
				information regarding these processes is readily accessible to individuals at
				all times and reasonable assistance from staff is available, if
				necessary.
(D) When appropriate,
				family members and other natural supports, parents/guardians, or other
				caregivers are provided with information to promote their participation in
				relevant services or decisions about the care and treatment of the individual
				being served.