reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.1 - Service Components of Programs of Assertive Community Treatment

Current through June 25, 2024
A. A Program of Assertive Community Treatment
				(PACT) is an individual-centered, recovery-oriented mental health service
				delivery model for facilitating community living, psychological rehabilitation
				and recovery for people who have the most severe and persistent mental
				illnesses, have severe symptoms and impairments, and have not benefited from
				traditional outpatient services.
B.
				The important characteristics of Program of Assertive Community Treatment are:
1. Programs of Assertive Community Treatment
				serve people who may have gone without appropriate services. Consequently, the
				individual group is often over represented among the homeless and in jails and
				prisons, and has been unfairly thought to resist or avoid involvement in
				treatment.
2. Programs of Assertive
				Community Treatment Services are delivered by a group of multidisciplinary
				mental health personnel who work as a team and provide the majority of the
				treatment, rehabilitation, and support services people need to achieve their
				goals. Many, if not all, employees share responsibility for addressing the
				needs of all people requiring frequent contact.
3. Programs of Assertive Community Treatment
				Services are individually tailored to each person and address the preferences
				and identified goals of each person. The approach with each person emphasizes
				relationship building and active involvement in assisting people with severe
				and persistent mental illness to make improvements in functioning, to manage
				symptoms better, to achieve individual goals, and to maintain
				optimism.
4. The Program of
				Assertive Community Treatment Team is mobile and delivers services in community
				locations to enable each person to find and live in his/her own residence and
				find and maintain work in community jobs rather than expecting the person to
				come to the service.
5. Program of
				Assertive Community Treatment Services are delivered in an ongoing rather than
				time-limited framework to aid the process of recovery and ensure continuity of
				care. Severe and persistent mental illnesses are episodic disorders, and many
				people benefit from the availability of a longer-term treatment approach and
				continuity of care. This allows people the opportunity to decompensate,
				consolidate gains, sometimes slip back, and then take the next steps forward
				until they achieve recovery.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.3 - Program of Assertive Community Treatment Admissions and Discharge

Current through June 25, 2024
A. In order to be admitted into Program of
				Assertive Community Treatment Services, people must meet the criteria outlined
				in this rule.
B. Program of
				Assertive Community Treatment Teams serve people with severe and persistent
				mental illness as listed in the most current edition of the Diagnostic and
				Statistical Manual of the American Psychiatric Association that seriously
				impair their functioning in community living. Priority is given to people with
				schizophrenia, other psychotic disorders (e.g., schizoaffective disorder), and
				bipolar disorder because these illnesses more often cause long-term psychiatric
				disability. People with other psychiatric illnesses are eligible dependent on
				the level of the long-term disability. (People with a primary diagnosis of a
				substance use disorder, intellectual disability or other Axis II disorders are
				not the intended group. Additionally, people with a chronically violent history
				may not be appropriate for this service.)
C. People with significant functional
				impairments as demonstrated by at least one (1) of the following conditions:
1. Significant difficulty consistently
				performing the range of practical daily living tasks required for basic adult
				functioning in the community (e.g., caring for personal business affairs;
				obtaining medical, legal, and housing services; recognizing and avoiding common
				dangers or hazards to self and possessions; meeting nutritional needs;
				maintaining personal hygiene) or persistent or recurrent difficulty performing
				daily living tasks except with significant support or assistance from others
				such as friends, family, or relatives.
2. Significant difficulty maintaining
				consistent employment at a self-sustaining level or significant difficulty
				consistently carrying out the homemaker role (e.g., household meal preparation,
				washing clothes, budgeting, or child-care tasks and responsibilities).
3. Significant difficulty
				maintaining a safe living situation (e.g., repeated evictions or loss of
				housing).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.5 - Program of Assertive Community Treatment Employee Communication and Planning

Current through June 25, 2024
A. The Program of
				Assertive Community Treatment Team must conduct daily organizational meetings
				at regularly scheduled times per a schedule established by the team leader.
				These meetings will be conducted in accordance with the following procedures:
1. The Program of Assertive Community
				Treatment Team must maintain a written daily log. The daily log provides:
(a) A roster of the people served in the
				program; and,
(b) For each person,
				a brief documentation of any treatment or service contacts that have occurred
				during the last twenty-four (24) hours and a concise, behavioral description of
				the person's status that day.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.6 - Program of Assertive Community Treatment Employee Supervision

Current through June 25, 2024
A. Each Program of Assertive Community
				Treatment Team must develop a written policy for clinical supervision of all
				employees providing treatment, rehabilitation, and support services. The team
				leader and psychiatrist must assume responsibility for supervising and
				directing all employee activities. This supervision and direction must consist
				of:
1. Individual, side-by-side sessions in
				which the supervisor accompanies an individual employee to meet with people in
				regularly scheduled or crisis meetings to assess employee performance, give
				feedback, and model alternative treatment approaches;
2. Participation with team members in daily
				organizational employee meetings and regularly scheduled Individual Service
				Planning meetings to review and assess employee performance and provide
				employees direction regarding individual cases;
3. Regular meetings with individual employees
				to review their work with people, assess clinical performance, and give
				feedback;
4. Regular reviews,
				critiques, and feedback of employee documentation (i.e., progress notes,
				assessments, Individual Service Plans, Individual Service Plan reviews);
				and,
5. Written documentation of
				all clinical supervision provided to Program of Assertive Community Treatment
				Team personnel.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.8 - Program of Assertive Community Treatment Stakeholder Advisory

Current through June 25, 2024
A. The Program of Assertive Community
				Treatment Team must have a stakeholder advisory group to support and guide
				Program of Assertive Community Treatment Team implementation and operation. The
				stakeholder advisory group must be made up of at least 51 percent (51%) of
				people receiving mental health services and family members and include other
				community stakeholders such as representatives from services for the homeless,
				support organizations, food-shelf agencies, faith-based groups, the criminal
				justice system, housing authorities, landlords, employers, and/or community
				colleges. Group membership must also represent the cultural diversity of the
				local population.
B. The
				stakeholder advisory group must:
1. Promote
				quality Program of Assertive Community Treatment model services;
2. Monitor fidelity to the Program of
				Assertive Community Treatment service standards;
3. Guide and assist with the administering
				agency oversight of the Program of Assertive Community Treatment
				Service;
4. Problem-solve and
				advocate to reduce system barriers to Program of Assertive Community Treatment
				implementation;
5. Review and
				monitor individual and family grievances and complaints; and,
6. Promote and ensure people's empowerment
				and recovery values in assertive community treatment service.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.9 - Intensive Community Outreach and Recovery Team

Current through June 25, 2024
A. The
				Intensive Community Outreach and Recovery Team is a recovery and resiliency
				oriented, intensive, community-based rehabilitation and outreach service for
				adults with a severe and persistent mental illness. It is a team oriented
				approach to mental health rehabilitation intervention and supports necessary to
				assist people in achieving and maintaining rehabilitative, resiliency and
				recovery goals.
B. Intensive
				Community Outreach and Recovery services are provided primarily in natural
				settings and are delivered face-to-face with the person and their
				family/significant other as appropriate, to the primary well-being and benefit
				of the recipient. Intensive Community Outreach and Recovery assists in the
				setting and attaining of individually defined recovery/resiliency goals. The
				Intensive Community Outreach and Recovery primary treatment objective is to
				assist in keeping the people receiving the service in the community in which
				they live, avoiding placement in state-operated behavioral health service
				locations.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.10 - Service Components of Intensive Community Outreach and Recovery Team

Current through June 25, 2024
A. Agency providers of Intensive Community
				Outreach and Recovery Teams must also meet the requirements in Rules
				32.5,
				32.6,
				32.7, and
				32.8.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.11 - Intensive Community Outreach and Recovery Team Staffing

Current through June 25, 2024
A. Each Intensive Community Outreach and
				Recovery Team of three (3) will serve a maximum of forty-five (45) people with
				a ratio of one to fifteen (1:15).
B. Each Intensive Community Outreach and
				Recovery Team must have sufficient number of employees (three [3]) to provide
				treatment rehabilitation, and support services twenty-four (24) hours per day,
				seven (7) days per week (after normal work hours on-call services can be
				rotated among the Intensive Community Outreach and Recovery personnel).
				Intensive Community Outreach and Recovery can also utilize the Mobile Crisis
				Emergency Response Team (MCERT) for assistance with on-call, but the response
				to a crisis by a person enrolled in Intensive Community Outreach and Recovery
				must be a member from the Intensive Community Outreach and Recovery
				Team.
C. The following positions
				are required for Intensive Community Outreach and Recovery Teams:
1. Team Leader: One (1) full-time Master's
				Level Mental Health Therapist.
2. A
				full-time registered nurse.
3. A
				full-time equivalent Certified Peer Support Specialist Professional.
4. A part-time clerical personnel.
5. A part-time Community Support Specialist
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.12 - Intensive Community Outreach and Recovery Admissions and Discharges

Current through June 25, 2024
A. In order to be admitted into Intensive
				Community Outreach and Recovery Services, people must meet the criteria
				outlined in this rule.
B. Intensive
				Community Outreach and Recovery only serves people with severe and persistent
				mental illness as listed in the most current edition of the Diagnostic and
				Statistical Manual of the American Psychiatric Association which seriously
				impairs their functioning in community living. Priority is given to people with
				schizophrenia, other psychotic disorders (e.g., schizoaffective disorder), and
				bipolar disorder because these illnesses more often cause long-term psychiatric
				disability. People with other psychiatric illnesses are eligible dependent on
				the level of the long-term disability. (People with a primary diagnosis of a
				substance use disorder, mental retardation or other Axis II disorders are not
				the intended group. Additionally, people with a chronically violent history may
				not be appropriate for this service.)
C. People with significant functional
				impairments as demonstrated by at least one (1) of the following conditions:
1. Significant difficulty consistently
				performing the range of practical daily living tasks required for basic adult
				functioning in the community (e.g., caring for personal business affairs;
				obtaining medical, legal, and housing services; recognizing and avoiding common
				dangers or hazards to self and possessions; meeting nutritional needs;
				maintaining personal hygiene) or persistent or recurrent difficulty performing
				daily living tasks except with significant support or assistance from others
				such as friends, family, or relatives.
2. Significant difficulty maintaining
				consistent employment at a self-sustaining level or significant difficulty
				consistently carrying out the homemaker role (e.g., household meal preparation,
				washing clothes, budgeting, or child-care tasks and
				responsibilities).
3. Significant
				difficulty maintaining a safe living situation (e.g., repeated evictions or
				loss of housing).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.13 - Intensive Community Outreach and Recovery Team's Contacts

Current through June 25, 2024
A. The Intensive Community Outreach and
				Recovery Team must have seventy-five to eighty-five percent (75-85%) of
				Intensive Community Outreach and Recovery work and contact time in a community
				setting. Intensive Community Outreach and Recovery is for people with intensive
				needs that traditional outpatient clinic services have not been successful in
				treating.
B. People served in
				Intensive Community Outreach and Recovery must be in the community (non-office
				based or non-facility-based settings). People that can make and maintain
				appointments at a clinic should not qualify for Intensive Community Outreach
				and Recovery Services.
C. The
				Intensive Community Outreach and Recovery Team must have the capacity to
				rapidly increase service intensity to a person when his or her status requires
				it or a person requests it.
D. Each
				person can receive services as often as necessary but at a minimum they must be
				seen two (2) times a week at a minimum of two (2) hours (total).
E. Each employee must provide services to
				each person as often as therapeutically necessary but at a minimum, each
				individual must be seen by Intensive Community Outreach and Recovery Team
				personnel one (1) time a week.
F.
				Each person must receive services from a psychiatrist or psychiatric nurse
				practitioner as often as necessary but at a minimum of one (1) time per every
				thirty (30) days. These services can be provided in an office or community
				setting. Intensive Community Outreach and Recovery personnel must facilitate
				and provide transportation (if necessary) to the appointment.
G. Intensive Community Outreach and Recovery
				will provide Peer Support Services, individual mental health therapy,
				medication administration/monitoring, general healthcare monitoring/treatment,
				supportive counseling, social/hygiene skills training, recovery/resiliency
				support, symptom management, budgeting skills, and leisure time activities.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.14 - Intensive Community Outreach and Recovery Team for Children/Youth with Serious Emotional Disturbance

Current through June 25, 2024
A. The Intensive
				Community Outreach and Recovery Team is a resiliency oriented, intensive,
				community-based rehabilitation service for children and youth with serious
				emotional/behavioral disturbance. Intensive Community Outreach and Recovery
				Services support the entire family lacking access to office-based services
				and/or when needs cannot be met by traditional outpatient services and failure
				to intervene through community-based intervention could result in the child or
				youth becoming at risk for out-of-home therapeutic resources.
B. Intensive Community Outreach and Recovery
				services are provided primarily in natural settings and are delivered
				face-to-face with the child or youth and/or his/her family/guardian/caregiver.
				Intensive Community Outreach and Recovery assists in the setting and attaining
				of youth-guided and family-driven resiliency goals. The ultimate goal is to
				stabilize the living arrangement, promote reunification or prevent the
				utilization of out-of-home therapeutic resources (i.e., psychiatric hospital,
				therapeutic foster care, and residential treatment facility).
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.15 - Intensive Community Outreach and Recovery Team for Children/Youth Staffing

Current through June 25, 2024
A. Each Intensive
				Community Outreach and Recovery Team of three (3) will serve a maximum of
				forty-five (45) children and/or youth with a ratio of one to fifteen
				(1:15).
B. Each Intensive Community
				Outreach and Recovery Team must have sufficient number of employees (three [3])
				to provide treatment rehabilitation, and support services twenty-four (24)
				hours per day, and seven (7) days per week (after normal work hours on-call
				services can be rotated among the Intensive Community Outreach and Recovery
				personnel). Intensive Community Outreach and Recovery can also utilize the
				Mobile Crisis Emergency Response Team (MCERT) for assistance with on-call, but
				the response to a crisis by a child or youth enrolled in Intensive Community
				Outreach and Recovery must be a member from the Intensive Community Outreach
				and Recovery Team.
C. The
				following positions are required for Intensive Community Outreach and Recovery
				Teams:
1. Team Leader: One (1) full-time
				Master's Level Mental Health Therapist.
2. A full-time registered nurse.
3. A part-time equivalent Certified Peer
				Support Specialist Professional.
4.
				A part-time clerical personnel.
5.
				A full-time Community Support Specialist.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.16 - Intensive Community Outreach and Recovery Team for Children/Youth Admissions and Discharges

Current through June 25, 2024
A. In order to be
				admitted into Intensive Community Outreach and Recovery Services, children and
				youth must meet the criteria outlined in this rule.
B. Intensive Community Outreach and Recovery
				serves children and youth with a serious emotional/behavioral disturbance as
				listed in the most current edition of the Diagnostic and Statistical Manual of
				the American Psychiatric Association which seriously impairs their functioning
				in community living. Priority is given to children, youth and their families
				who lack access to office-based services and/or who have experienced multiple
				acute hospital and/or residential care stays, who are at risk of out-of-home
				placement or have been recommended for residential care, and for those children
				and youth for whom traditional outpatient care has not been
				successful.
C. Children and youth
				with functional impairments as demonstrated by at least one (1) of the
				following conditions:
1. Child or youth has a
				serious emotional/behavioral disturbance as listed in the most current edition
				of the Diagnostic and Statistical Manual of the American Psychiatric
				Association which impairs his/her functioning in community living.
2. Child or youth is at-risk for out-of-home
				placement or use of out-of-home therapeutic resources without community-based
				intervention.
3. Child or youth
				has difficulty demonstrating success in the home and educational environment
				due to emotional, social, and/or behavioral challenges.
4. Child or youth has had difficulty
				effectively utilizing traditional office-based or school-based outpatient
				services (office-based individual and/or group therapy, day treatment services,
				school-based therapies).
5. Family
				members of the child or youth have needs to be met and/or the family is
				experiencing multiple system involvement.
6. Youth has high risk or recent history of
				juvenile justice involvement (e.g., arrest, incarceration) due to behavioral
				problems attributed to the youth's emotional and/or behavioral
				problems.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.17 - Intensive Community Outreach and Recovery Team for Children/Youth Contacts

Current through June 25, 2024
A. The Intensive
				Community Outreach and Recovery Team must have seventy-five to eighty-five
				percent (75-85%) of Intensive Community Outreach and Recovery work and contact
				time in a community setting. Intensive Community Outreach and Recovery is for
				children and youth with intensive needs that traditional outpatient services
				have not been successful in treating.
B. Children, youth and their families that
				can make and maintain appointments at a clinic should not qualify for Intensive
				Community Outreach and Recovery Services.
C. The Intensive Community Outreach and
				Recovery Team must have the capacity to rapidly increase service intensity to a
				child or youth when his or her status requires it or when his or her family
				requests it.
D. The family being
				served by the Intensive Community Outreach and Recovery Team and team members
				determine the frequency that services are provided. Services must be provided
				as often as therapeutically necessary, but at a minimum, or youth must be seen
				by Intensive Community Outreach and Recovery Team personnel two (2) times a
				week. Frequency of services provided must be documented in the child's or
				youth's ISP.
E. Each child or youth
				must receive services from a psychiatrist or psychiatric nurse practitioner as
				often as necessary but at a minimum of one (1) time per every thirty (30) days.
				These services can be provided in an office or community setting. Intensive
				Community Outreach and Recovery team members must facilitate and provide
				transportation (if necessary) to the appointment.
F. Intensive Community Outreach and Recovery
				will provide Peer Support Services, individual mental health therapy,
				medication monitoring, linkage to medical and educational services, supportive
				counseling, social skills training, recovery/resiliency support, and symptom
				management.
G. Wraparound
				Facilitation Services can be provided in conjunction with Intensive Community
				Outreach and Recovery Services.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.18 - Intensive Community Support Services - General

Current through June 25, 2024
A.
				Intensive Community Support Services is designed to be a key part of the
				continuum of mental health services and supports for people (adults and
				children/youth) with serious mental illness or emotional disturbance.
B. Intensive Community Support Services must
				promote independence and quality of life through the coordination of
				appropriate services and the provision of constant and ongoing support as
				needed by the person.
C. The
				Intensive Community Support Specialist (ICSS) must have direct involvement with
				the person and must attempt to develop a caring, supportive relationship with
				the person.
D. Intensive Community
				Support Services must be responsive to a person's multiple and changing needs
				and must play a pivotal role in coordinating required services from across the
				mental health system as well as other service systems (i.e., criminal justice,
				Chancery Court, Youth Court, Crisis Response and Substance Use
				Services).
E. Intensive Community
				Support Services must help the person function in the least restrictive, most
				natural community environment and achieve an improved quality of life by
				helping the person to achieve his/her recovery goals.
F. Intensive Community Support Services
				differs from typical Community Support Services and Targeted Case Management
				by:
1. Engaging with community settings of
				people with severe functional impairments;
2. Serving people in the community who have
				traditionally been managed in psychiatric hospitals;
3. Maintaining an unusually low client to
				staff ratio;
4. Providing services
				multiple times per week as needed; and,
5. Providing interventions primarily in the
				community rather than in office settings.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 32 - Intensive Community Supports for Serious Emotional Disturbance and Serious Mental Illness › Rule 24-2-32.19 - Mississippi Youth Programs Around the Clock (MYPAC)

Current through June 25, 2024
A. Service Components
1. MYPAC services are defined as treatment
				provided in the home and/or community to children and youth with Serious
				Emotional Disturbance (SED) from birth up to the age of twenty-one (21) years.
				The ultimate goal is to stabilize the living arrangement, promote
				reunification, and/or prevent the over-utilization of out-of-home therapeutic
				resources (i.e., psychiatric hospital, therapeutic foster care, therapeutic
				group home, and/or residential treatment facility). MYPAC services are provided
				until stabilization has occurred by evaluating the nature and course of acute
				psychiatric needs and providing intensive interventions intended to diffuse
				acute psychiatric needs and reduce the likelihood of a recurrence.
2. MYPAC services are individualized for
				children/youth who experience severe and impairing psychiatric symptoms and
				behavioral disturbances.
3. MYPAC
				services are most appropriate for children/youth who have not benefitted from
				traditional outpatient services, have experienced frequent acute psychiatric
				hospitalizations and/or psychiatric emergency stabilization services in the
				past ninety (90) days.
4. MYPAC
				services are person-centered, individually tailored to each child/youth and
				family, part of coordinated care efforts, and address the preferences and
				identified goals of each child/youth and family.
5. MYPAC is mobile and delivers services in
				the community and in the child/youth's home.
6. Staff assigned to each child/youth's case
				work as a team and provide the treatment and support services children/youth
				need to achieve their goals. Staff share responsibility for addressing the
				needs of the children/youth and their families receiving this
				service.
7. Each MYPAC therapist
				will serve only children/youth receiving MYPAC services (children/youth and
				their families have the option to request Wraparound Facilitation as an
				additional service) and will have a maximum caseload of twenty (20)
				children/youth. The provider agency must maintain a roster for each MYPAC
				therapist of children/youth served for review.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 33 - Adult Making A Plan (AMAP) Teams › Rule 24-2-33.1 - Adult Making A Plan Teams - General Requirements

Current through June 25, 2024
A. Adult
				Making A Plan Teams address the needs of adults, eighteen (18) years and above,
				with serious mental illness or dually diagnosed (SMI/DD or SMI/SUD) who have
				frequent/multiple placements in inpatient psychiatric services which could
				possibly be prevented with the coordinated efforts of multiple agency providers
				and services.
B. Each Adult Making
				A Plan Team must have an employee identified as the Coordinator employed by the
				agency provider who has a Bachelor's degree. In addition, the following team
				members are recommended and should be present and documented at each Adult
				Making A Plan Team meeting (if applicable):
1.
				The person being referred to the Adult Making A Plan Team, family member,
				and/or advocate representing the person.
2. The person's therapist, Community Support
				Specialist, or other employee from the agency provider who has detailed
				knowledge of the person.
3. A
				representative of the Chancery Clerk's office or Chancery Court.
4. A representative of the sheriff's
				department of the county in which the person resides; and/or a representative
				of the police department of the city of residence.
5. Employees from the regional behavioral
				health program or Crisis Residential Unit that has had frequent contact with
				the person.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 33 - Adult Making A Plan (AMAP) Teams › Rule 24-2-33.2 - Access to Adult Making A Plan Teams

Current through June 25, 2024
A. All agency
				providers certified as Community Mental Health Centers (DHM/C) must have a
				minimum of one (1) Adult Making A Plan Team Coordinator.
B. The Adult Making A Plan Team Coordinator
				must provide information about the Adult Making A Plan Team to all Chancery
				Clerks and sheriff's departments of every county in the Community Mental Health
				Center's catchment area.
C. Adult
				Making A Plan Team Coordinators must provide information about their Adult
				Making A Plan Team (i.e., contact person, meeting schedule, etc.) to each
				state-operated behavioral health facility, DMH Certified Crisis Residential
				Unit that has a catchment area that their Community Mental Health Center falls
				in, and the DMH Office of Consumer Support.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 34 - Access to Inpatient Care › Rule 24-2-34.1 - Referral

Current through June 25, 2024
A. All agency providers certified as DMH/C or
				DMH/P must provide access to inpatient services in the person's locale when
				appropriate.
B. The agency provider
				must have written policies and procedures for referral to inpatient services in
				the community, should a person require such services.
C. The agency provider must maintain a
				current written agreement with a licensed hospital(s) to provide/make available
				inpatient services, which, at a minimum, addresses:
1. Identification of the agency provider's
				responsibility for the person's care while the person is in inpatient
				status;
2. Description of services
				that the hospitals will make available to people who are referred;
				and,
3. How hospital referral,
				admission and discharge processes are coordinated with crisis, Pre-Evaluation
				Screening, Civil Commitment Examination Services, and aftercare services.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 34 - Access to Inpatient Care › Rule 24-2-34.2 - Pre-Evaluation Screening and Civil Commitment

Current through June 25, 2024
A.
				Pre-Evaluation Screening and a Civil Commitment Examination are two (2)
				separate events which include screening and examinations, inclusive of other
				services, to determine the need for civil commitment and/or other mental health
				services, including outpatient or inpatient commitment. These services also
				include assessment and plans to link people with appropriate services and can
				only be provided by a DMH/C provider.
B. The DMH/C must have a written plan that
				has been implemented which describes how the service meets the requirements of
				the Mississippi civil commitment statutes. This plan must describe by county:
1. The system for conducting Pre-Evaluation
				Screenings;
2. The system for
				conducting Civil Commitment Examinations;
3. The system for handling court
				appearances;
4. The services that
				are offered for the family and/or significant others; and,
5. The system for assuring that people being
				screened and/or evaluated for civil commitment and their family or significant
				others have access to an employee knowledgeable in the civil commitment
				process.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 35 - Designated Mental Health Holding Facilities › Rule 24-2-35.1 - Designation

Current through June 25, 2024
Designated Mental Health Holding Facilities (hereafter
				  referred to as "holding facility") hold people who have been involuntarily
				  civilly committed and are awaiting transportation to a treatment facility. The
				  holding facility can be a county facility or a facility with which the county
				  contracts. DMH will conduct annual on-site visits to each holding facility to
				  ensure with the standards in this Chapter.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 35 - Designated Mental Health Holding Facilities › Rule 24-2-35.2 - Policies and Procedures

Current through June 25, 2024
A. Each holding
				facility must have a manual that includes the written policies and procedures
				for operating and maintaining the facility holding people involved in the civil
				commitment process or those awaiting transportation to a certified/licensed
				mental health facility. Written policies and procedures must give sufficient
				details for implementation and documentation of duties and functions so that a
				new employee or someone unfamiliar with the operation of the holding facility
				and services would be able to carry out necessary operations of the holding
				facility.
B. The policies and
				procedures must:
1. Be reviewed annually by
				the governing authority of the county, with advice and input from the regional
				Community Mental Health Center, as documented in the governing authority
				meeting minutes;
2. Be updated as
				needed, with changes approved by the governing authority before they are
				instituted, as documented in the governing authority meeting minutes. Changed
				sections, pages, etc., must show the date of approval of the revision on each
				page;
3. Be readily accessible to
				all employees on all shifts providing services to people in the holding
				facility, with a copy at each service delivery location;
4. Describe how the policies and procedures
				are made available to the public; and,
5. Have a copy of the Memoranda of
				Understanding or contract between the holding facility and the Community Mental
				Health Center to describe how mental health services will be provided while
				people are being held in the holding facility.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 35 - Designated Mental Health Holding Facilities › Rule 24-2-35.3 - Employee Training

Current through June 25, 2024
A. Supervisory and
				direct service employees who work with people being held in the holding
				facility as part of the civil commitment process must participate in training
				opportunities and other meetings, as specified and required by DMH.
B. Documentation of training of individual
				employees must be included in individual training/personnel records and must
				include:
1. Date of training;
2. Topic(s) addressed;
3. Name(s) of presenter(s) and
				qualifications; and,
4. Contact
				hours (actual time spent in training).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 35 - Designated Mental Health Holding Facilities › Rule 24-2-35.4 - Environment and Safety

Current through June 25, 2024
A. If the holding
				facility is being used for civil commitment purposes and is part of a
				correctional facility or jail, the people awaiting transfer related to civil
				commitment proceedings (or just people detained as part of the civil commitment
				process) must be held separately from pre-trial criminal offense detainees or
				inmates serving sentences.
B. Rooms
				used for holding people must be free from structures and/or fixtures that could
				be used to harm themselves.
C.
				Holding facilities must be inspected and approved by appropriate local and/or
				state fire, health/sanitation, and safety agencies at least annually (within
				the anniversary month of the prior inspection), with written records of fire
				and health inspections on file.
D.
				The following must be conducted immediately upon arrival:
1. Suicide assessment (using a DMH approved
				screening instrument); and,
2.
				Violence risk assessment (using a DMH approved screening instrument).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 35 - Designated Mental Health Holding Facilities › Rule 24-2-35.5 - Clinical Management

Current through June 25, 2024
A. Each holding
				facility must have written procedures and documentation for clinical management
				of people who are involved in or have been involuntarily civilly committed and
				awaiting transportation. These procedures shall include, but not be limited to,
				the following:
1. Immediately upon arrival of
				the person to the holding facility, all mental health screening information
				(pursuant to civil commitment procedures) must be made available to the holding
				facility personnel;
2. Immediately
				upon arrival or within twenty-four (24) hours, a medical screening should be
				conducted and documented by a registered nurse or nurse practitioner that
				includes, at a minimum, the following components:
(a) Vital signs (at a minimum: body
				temperature, pulse/heart rate, respiratory rate, and blood pressure);
(b) Accu-Chek monitoring for people with
				diabetes;
(c) Medical/drug
				history;
(d) Allergy history;
				and,
(e) Psychiatric history (refer
				to pre-evaluation form).
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 35 - Designated Mental Health Holding Facilities › Rule 24-2-35.6 - Dignity of People

Current through June 25, 2024
A. In order to
				ensure the dignity and rights of people being held in a holding facility for
				reasons of psychiatric crisis or civil commitment, reasonable access to the
				following must be allowed:
1. Protection and
				advocacy services/information;
(a) Disability
				Rights MS 800-772-4057;
(b) Dept.
				of Mental Health 877-210-8513;
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 36 - Consultation and Education Services › Rule 24-2-36.1 - Written Plan

Current through June 25, 2024
A. The agency
				provider of the Consultation and Education Services must develop and implement
				a written plan to provide these services. The plan must include a range of
				activities for:
1. Developing and coordinating
				effective mental health education, consultation, and public information
				services; and,
2. Increasing the
				community awareness of mental health related issues.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 36 - Consultation and Education Services › Rule 24-2-36.2 - Target Populations

Current through June 25, 2024
A. The Consultation
				and Education Services must be designed to specifically meet the needs of the
				target populations of:
1.
				Children/youth;
2. Elderly people;
1. People with serious mental
				illness;
2. People with
				intellectual/developmental disabilities;
3. People with a co-occurring diagnosis
				(MH/SUD/IDD);
4. People with a
				mental illness who are homeless;
5.
				Military families and the military community; and,
6. Other populations defined by the agency
				provider.
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 37 - Prevention/Early Intervention for Serious Emotional Disturbance › Rule 24-2-37.1 - Service Design

Current through June 25, 2024
A. Prevention/Early
				Intervention Services include preventive mental health services targeting
				vulnerable at-risk groups with the intent to prevent the occurrence of mental
				and/or emotional problems and services designed to intervene as early as
				possible following the identification of a problem. Prevention and/or Early
				Intervention Services should be designed to target a specific group of
				children/youth and/or their families, such as children/youth who have been
				abused or neglected, teenage parents and their children, and young children and
				their parents. Children/youth identified as having a serious emotional
				disturbance and/or their families may also be targeted to receive specialized
				intervention early in the course of identification of the emotional
				disturbance.
B. An employee must be
				designated to plan, coordinate and evaluate Prevention/Early Intervention
				Services.
Section
				  41-4-7
				  of the Mississippi Code, 1972, as Amended
Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 37 - Prevention/Early Intervention for Serious Emotional Disturbance › Rule 24-2-37.2 - Strategies

Current through June 25, 2024
A. All Prevention/Early Intervention Services
				must maintain documentation that services include, but are not limited to, the
				following:
1. Informational activities
				designed to provide accurate and current information about emotional
				disturbance and mental illness in children/youth; or
2. Effective education activities, such as
				parent education, designed to assist people in developing or improving critical
				life skills and to enhance social competency thereby changing the conditions
				that reinforce inappropriate behavior; or
3. Consultation/education activities that are
				designed to include, but not be limited to, education and awareness activities
				to assist in the maintenance and/or improvement of services; or,
4. Early Intervention Services, including
				screening, assessment, referral, counseling, and/or Crisis Intervention
				Services, designed to serve people identified as "high risk" and who are
				exhibiting signs of dysfunctional behaviors.