Mississippi Administrative Code › Title 24 - Mental Health › Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers › Chapter 16 - Service Organization › Rule 24-2-16.5 - Service and Service Location Design

Current through June 25, 2024
A. Activities must
				be designed to address objectives/outcomes in the individual plan directing
				treatment/support for the person. At a minimum, individual plan
				objectives/outcomes must reflect individual strengths, needs, preferences and
				behavioral issues of people and/or family member(s)/legal representative(s) (as
				appropriate) served by the service location or through the service as reflected
				by intake/assessments and/or progress notes.
B. Services and service locations must be
				designed to provide a Person-Centered and/or Recovery Oriented system of
				services with a framework of supports that are self-directed, individualized,
				culturally responsive, trauma informed, holistic, strength-based, and that
				provide for community participation opportunities. Services should be
				measurable and individualized for each person receiving services.
C. IDD Services must be designed to provide
				Person-Centered Practices that support individual rights and provide
				opportunity for inclusion in the greater community. Agency providers must
				comply with the Home and Community-Based Services (HCBS) Final Rule and develop
				quality measures to ensure ongoing compliance. Any restriction or limitation to
				any requirement of the HCBS Final Rule must be applied to a person and must be
				based on the person's specific assessed needs and documented in the person's
				Plan of Services and Supports.
D.
				Services and service locations must be designed to promote and allow
				independent decision making by the person and encourage independent living,
				without compromising the health and safety of the people being served (Dignity
				of Risk).
E. Agency providers must
				present information in a manner understandable to the person so that he/she can
				make informed choices regarding service delivery and design, available agency
				providers and activities which comprise a meaningful day for him/her.
F. Services and service locations must
				provide persons with activities and experiences to develop the skills they need
				to support a successful transition to a more integrated setting, level of
				service, or level of care (Dignity of Risk).
G. The services provided as specified in the
				individual plan must be based on the requirements of what is important to and
				important for the person rather than on the availability of services and/or
				employees.
H. All efforts must be
				implemented to design a service environment that is safe and conducive to
				positive learning and life experiences. People served in the service or service
				location whose behaviors are significantly disruptive to others in the same
				environment must be afforded the opportunity and assistance to change those
				behaviors through a systematic support plan. People receiving services may not
				be discharged from a service or service location due to disruptive behaviors
				unless they pose a risk for harm to other people receiving the service. The
				disruptive behaviors and interventions implemented to keep a person enrolled in
				the service or service location must be included in the plan and documented in
				the person's record.
I. For people
				enrolled in ID/DD Waiver, service providers must collaborate with the Support
				Coordinator and any other agency providers to determine a need for Behavior
				Support/ Crisis Support/ Crisis Intervention Services before a decision is
				finalized to discharge a person from the service.
J. The agency provider must initiate and
				maintain the standardized Memoranda of Understanding (MOU) (including a
				confidentiality statement), signed by the Executive Officer of the mental
				health agency provider and the superintendent of each school district in the
				region served by the agency provider.
K. Within twenty-four (24) hours prior to the
				release or discharge of any civilly committed person from community service
				providers, other than a temporary pass or because of absence due to sickness or
				death in the person's family, the Service Director or Executive Director must
				give or cause to be given notice of such release or discharge to one (1) member
				of the person's immediate family, provided the person is eighteen (18) years or
				older, has signed an appropriate consent to release such discharge information
				and has provided in writing a current address and telephone number, if
				applicable, to the director for such purpose.
L. For IDD Services, required employees must
				participate in the development of each person's Plan of Services and Supports
				and the Activity Support Plan.
M.
				DMH will not approve any new IDD Home and Community-Based Settings that are:
1. Located in or near nursing homes,
				hospitals, institutions for mental illness, or Intermediate Care Facility for
				People with Intellectual Disabilities (ICF/IID);
2. Publicly or privately-owned facilities
				providing inpatient treatment; and,
3. Isolating or have the effect of isolating
				people from the broader community of people not receiving Medicaid Home and
				Community-Based Services.