Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.195 - Access Crisis Intervention (ACI) Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  requirements for the ACI Program.
PURPOSE: This rule sets forth standards and
				  regulations for AC I Programs.
(1) The ACI program is provided or arranged
				by administrative agents.
(2) The
				terms defined in section
				630.005, RSMo are
				used in this rule.
(3) Unless the
				context clearly requires otherwise, the following terms as used in this rule
				shall mean-
(A) Access Crisis Intervention
				(ACI)-crisis intervention/referral services provided twenty-four (24) hours per
				day, seven (7) days per week by telephone hotline or face-to-face mobile
				response at the location of the crisis or at another location in the
				community;
(B) Administrative
				agent-an agency and its approved designee(s) authorized by the Division of
				Behavioral Health (DBH) as an entry and exit point into the state mental health
				service delivery system for a geographic service area defined by the
				department;
(C) Advocate-individual
				who assists those receiving department-funded services with treatment planning,
				care issues, and the complaint/grievance and resolution process;
(D) Community outreach/education plan-a plan
				outlining how individuals receiving services and their family members/natural
				supports, advocates, state agencies, law enforcement and others in the
				community will become familiar with the local Access Crisis Intervention
				System;
(E) Community Psychiatric
				Rehabilitation Program-a specialized program that provides or arranges for, at
				a minimum, the following core services: eligibility determination, initial
				comprehensive assessment, annual assessment, treatment planning, crisis
				intervention and resolution, medication services, physician/professional
				consultation services, medication administration, community support, metabolic
				syndrome screening (for individuals receiving antipsychotic medication), and
				psychosocial rehabilitation in a nonresidential setting for individuals with
				serious mental illness or serious emotional disturbances;
(F) Community support-as defined in
				9 CSR
				30-4.047;
(G) Crisis Intervention Team (CIT)-law
				enforcement officers with specialized training for response to behavioral
				health crises;
(H) Individual
				served-anyone receiving department-funded services directly from an
				organization/agency;
(I) Internal
				agency protocol-a specific method indicating how the agency plans to respond to
				guidelines set forth by the department;
(J) Mobile crisis response-specialized staff
				available twenty-four (24) hours per day, seven (7) days per week to assess and
				intervene face-to-face with individuals where the crisis is occurring or
				another secure location in the community;
(K) Qualified Mental Health Professional
				(QMHP)-as defined in 9 CSR 10-7.140;
(L) Risk assessment-the process of assessing
				dangerousness to self or others;
(M) Residential crisis services-a service
				used for persons who are at high risk for hospitalization or who are being
				diverted from hospitalization and can include specific crisis stabilization
				units, group homes, residential, apartments, motels/hotels, and foster home
				type settings;
(N) Specialized
				program-programs operated by an agency that provide specific services to
				designated eligible individuals enrolled in that program;
(O) Telephone hotline services -a published,
				centralized, twenty-four (24) hours per day, seven (7) days per week staffed
				toll-free telephone number to provide direct means of crisis assessment and
				triage for individuals in crisis, their families/natural supports, and agencies
				needing assistance; and
(P)
				Withdrawal management/detoxification-support provided to persons served during
				withdrawal from alcohol and/or other drugs.