reglab/statecodes huggingface dataset:
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1825 - SPECIALTY MENTAL HEALTH FACILITY: PHYSICAL PLANT

Current through Register Vol. 13, July 5, 2024
(1) Each patient room in a specialty mental
				health facility must meet the following standards:
(a) No more than four patients may be housed
				in a room.
(b) Patient room areas,
				exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules,
				must be at least 100 square feet (9.29 square meters) in single-bed rooms and
				80 square feet (7.43 square meters) per bed in multiple-bed rooms; minor
				encroachments, including columns and lavatories, that do not interfere with
				functions, may be ignored when determining space requirements for patient
				rooms.
(c) Multiple-bed rooms must
				allow a minimum clearance of 3 feet 8 inches (1.12 meters) at the foot of each
				bed to permit the passage of equipment and beds.
(d) Each room must have a window in
				accordance with section 7.28A(11) of the Guidelines for Construction and
				Equipment of Hospital and Medical Facilities (1992-1993 edition) published by
				the American institute of architects.
(e) In new construction, handwashing
				facilities must be provided.
(f) If
				a room is renovated and/or modernized, the lavatory must be added if it does
				not already exist, unless, in the case of a single bed room or a two-bed room,
				a water closet and lavatory are provided in a toilet room designed to serve
				that room.
(g) Each patient must
				have within his/her room a separate wardrobe, locker, or closet suitable for
				hanging full-length garments and for storing personal effects.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1826 - SPECIALTY MENTAL HEALTH FACILITY: LIFE SAFETY AND BUILDING CODE

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must
				be in compliance with the provisions of the 1994 National Fire Protection
				Association (NFPA) 101 Life Safety Code, chapters 22 and 23, residential
				occupancy.
(2) The department
				hereby adopts and incorporates by reference the 1994 NFPA 101 Life Safety Code,
				chapters 22 and 23, residential occupancy. Copies of the codes may be obtained
				from the Department of Public Health and Human Services, Quality Assurance
				Division, 2401 Colonial Drive, P.O. Box 202953, Helena, MT
				59620-2953.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1827 - SPECIALTY MENTAL HEALTH FACILITY: PHYSICAL ENVIRONMENT

Current through Register Vol. 13, July 5, 2024
(1) The facility must maintain adequate
				facilities for its services, the extent and complexity of facilities being
				determined by the services offered.
(2) The facility must be constructed,
				equipped, and maintained to protect the health and safety of patients,
				personnel, and the public.
(3) The
				facility must be constructed to prevent vermin problems.
(4) The facility must be kept clean and free
				of odors.
(5) Daily housekeeping
				services must be provided.
(6)
				Walls, ceilings, floors, and furniture must be kept clean and in good
				repair.
(7) Electrical, mechanical,
				plumbing, and heating systems must be in good, safe condition.
(8) Facilities, supplies, and equipment must
				be maintained to ensure an acceptable level of safety and quality.
(9) The facility must establish a written
				preventive maintenance program to ensure that all equipment is
				operative.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1828 - SPECIALTY MENTAL HEALTH FACILITY: ENVIRONMENTAL CONTROL

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must
				be constructed and maintained so as to prevent entrance and harborage of rats,
				mice, insects, flies or other vermin.
(2) Hand cleansing soap or detergent and
				individual towels must be available at each lavatory in the facility. A waste
				receptacle must be located near each lavatory.
(3) The facility must develop and follow a
				written infection surveillance program describing the procedures that must be
				utilized by the entire facility staff in the identification, investigation, and
				mitigation of infections acquired in the facility.
(4) Cleaning devices used for lavatories,
				toilet bowls, urinals, showers, or bathtubs may not be used for other purposes,
				and those utensils used to clean toilets or urinals must not be allowed to
				contact other cleaning devices.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1829 - SPECIALTY MENTAL HEALTH FACILITY: INFECTION CONTROL

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must
				ensure that:
(a) the facility has an
				effective facility wide infection control surveillance program developed for
				the identification, investigation, prevention and control of nosocomial
				infections.
(b) the facility has
				written policies and procedures that describe the types of surveillance carried
				out to monitor the rates of nosocomial infections, the systems used to collect
				and analyze data, and the activities carried out to prevent and control
				infection.
(c) A staff member is
				designated as a manager of the infection control program who has education,
				training or experience related to infection control, that facility records
				contain documented evidence of the manager's qualifications, and that the
				manager participates in continuing education in the area of infection
				control.
(d) A multidisciplinary
				committee oversees the program for surveillance, prevention, and control of
				infection, a committee that includes the designated infection control manager
				and representatives from the professional staff; administration; and
				housekeeping, laundry, dietary, maintenance and pharmacy services; and meets
				whenever the committee members determine the facility needs such a
				meeting.
(e) Each department,
				including housekeeping, laundry, dietary, maintenance, pharmacy, and
				nursing/medical, develops and implements policies and procedures which reflect
				current and accepted infection control standards of practice, and that these
				policies are updated and reviewed annually by the infection control
				committee.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1831 - SPECIALTY MENTAL HEALTH FACILITY: EMERGENCY SERVICES

Current through Register Vol. 13, July 5, 2024
(1) The facility must ensure that patients
				have access to emergency services and to more intensive levels of care,
				including acute or inpatient psychiatric care.
(2) The facility must have an agreement with
				an outside source for emergency medical and inpatient psychiatric services to
				ensure that they are immediately available to patients who may need such
				services.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1832 - SPECIALTY MENTAL HEALTH FACILITY: DISASTER PLAN

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must
				develop a disaster plan in conjunction with other emergency services in the
				community which includes a procedure that will be followed in the event of a
				natural or man-caused disaster.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1833 - SPECIALTY MENTAL HEALTH FACILITY: LAUNDRY AND BEDDING

Current through Register Vol. 13, July 5, 2024
(1) If a specialty mental health facility
				processes its own laundry on the facility site, it must:
(a) Set aside a room for laundry and utilize
				it solely for that purpose.
(b)
				Equip the laundry with a mechanical washer and dryer (or additional machines if
				necessary to handle the laundry load), handwashing facilities, mechanical
				ventilation to the outside, a fresh air supply, and a hot water supply system
				which supplies the washer with water of at least 160 ° F (71 ° C)
				during each use for 25 minutes, or, if lower temperatures are used, with
				chemicals suitable for low temperature washing.
(c) Sort and store soiled laundry in an area
				separate from that used to sort and store clean laundry.
(d) Provide well maintained carts or other
				containers impervious to moisture to transport laundry, keeping those used for
				soiled laundry separate from those used for clean laundry.
(e) Dry all bed linen, towels, and washcloths
				in a mechanical dryer.
(f) Protect
				clean laundry from contamination.
(g) Ensure that facility staff use hygienic
				techniques while handling soiled and clean laundry, including:
(i) covering their clothing while working
				with soiled laundry;
(ii) using
				separate clean covering for their clothes while handling clean laundry;
				and
(iii) washing their hands both
				after working with soiled laundry and before they handle clean
				laundry.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1841 - SPECIALTY MENTAL HEALTH FACILITY: REQUIRED TREATMENT SERVICES

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must:
(a) Provide an individually planned regimen
				of 24-hour evaluation, care, and treatment for each patient with mental health
				conditions associated with the addiction that the regimen is designed to treat,
				prepared and delivered by mental health professionals, pursuant to a defined
				set of written policies and procedures;
(b) Have permanent facilities that include,
				at least, inpatient beds;
(c)
				Utilize a multi-disciplinary mental health staff appropriate and sufficient to
				care for patients whose emotional/behavioral problems are severe enough to
				require specialty mental health treatment services as determined through
				individual psychiatric evaluations and detailed admission criteria;
				and
(d) Provide 24-hour staff
				observation to patients, and have medical and/or mental health monitoring and
				treatment available to them by qualified professionals on a 24-hour
				basis;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1842 - SPECIALTY MENTAL HEALTH FACILITY: FOOD AND NUTRITION SERVICES

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must
				have nutrition services that are directed and staffed by adequate personnel and
				meet the following standards:
(a) The
				facility must assign an employee or contract with a consultant who is qualified
				by experience and training as a food service supervisor to direct the food and
				nutrition service and to be responsible for the daily management of the
				nutrition service.
(b) The facility
				must utilize a nutritionist licensed in Montana, on a full-time, part-time, or
				consultant basis.
(c) Any
				therapeutic diet for a patient must be prescribed by the practitioner
				responsible for the care of that patient.
(d) Nutritional needs must be met in
				accordance with recognized dietary and nutrition practices and, at a minimum,
				the recommended daily dietary allowances established by the Food and
				Nutritional Board of the National Research Council, National Academy of
				Sciences, 10th edition, 1989.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1843 - SPECIALTY MENTAL HEALTH FACILITY: NURSING SERVICES

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must
				provide 24-hour nursing services and meet the following standards:
(a) The director of nursing services must be
				a licensed registered nurse and must:
(i)
				determine the types and numbers of nursing personnel and staff necessary to
				provide nursing care; and
(ii)
				schedule adequate numbers of licensed registered nurses, licensed practical
				nurses, and other personnel to provide nursing care as needed.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1844 - SPECIALTY MENTAL HEALTH FACILITY: PHARMACEUTICAL SERVICES

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility must
				have pharmaceutical services that meet the needs of the patients and include
				either a pharmacy directed by a registered pharmacist or a drug storage area
				under the supervision of a consulting pharmacist who develops, supervises, and
				coordinates all the facility's pharmacy services.
(2) The facility must ensure that:
(a) The pharmacy or drug storage area is
				administered in accordance with accepted professional principles.
(b) When a pharmacist is not available, drugs
				and biologicals are removed from the pharmacy or storage area solely by the
				personnel designated in writing in medical staff and pharmaceutical services
				policies, and in a manner consistent with federal and state law.
(c) All compounding, packaging, and
				dispensing of drugs and biologicals is under the supervision of a pharmacist
				and performed in a manner consistent with federal and state law and
				rules.
(d) Drugs and biologicals
				are kept in a locked storage area.
(e) Outdated, mislabeled, or otherwise
				unusable drugs and biologicals are removed from the facility and
				destroyed.
(f) Drug administration
				errors, adverse reactions, and incompatibilities are immediately reported to
				the attending practitioner.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1845 - SPECIALTY MENTAL HEALTH FACILITY: OUTPATIENT SERVICES

Current through Register Vol. 13, July 5, 2024
(1) If the specialty mental health facility
				provides outpatient services, each outpatient must be examined by a
				psychiatrist licensed in Montana and the services must meet the standards
				contained in ARM
				37.106.1008.
(2) The department incorporates by reference
				ARM 37.106.1008, which contains minimum licensure standards for outpatient
				facilities. Copies of ARM
				37.106.1008 may be obtained from
				the Department of Public Health and Human Services, Quality Assurance Division,
				2401 Colonial Drive, P.O. Box 202953, Helena, MT 59620-2953.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1852 - SPECIALTY MENTAL HEALTH FACILITY: PROHIBITIONS

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility may
				not admit as a patient any person who:
(a)
				does not voluntarily seek admission;
(b) requires physical or chemical
				restraints;
(c) is non-ambulatory
				or bedridden;
(d) may have impaired
				judgment or is incapable of appropriate physical action for self-preservation
				under emergency conditions;
(e)
				requires a medication regime:
(i) to orient
				him or her to reality;
(ii) for
				stabilization or any other purpose related to behavior modification;
(iii) for a mental health condition unrelated
				to an eating disorder, pathological gambling, or sexual dysfunction;
				or
(iv) that would otherwise
				suggest that the person is in need of inpatient psychiatric treatment on such
				medications;
(f)
				requires intensive supervision or specialized therapeutic interaction where
				medical or psychiatric attention or monitoring and treatment is necessary on a
				continuous basis as determined through a medical or psychiatric
				evaluation;
(g) requires a
				treatment that focuses on management of a psychiatric condition that may
				endanger the person, facility, staff, or others, as determined through a
				psychiatric evaluation prior to admission;
(h) requires electro-convulsive
				therapy;
(i) requires a locked
				environment; or
(j) requires
				treatment for a mental health condition other than one associated with an
				addiction.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1853 - SPECIALTY MENTAL HEALTH FACILITY: TREATMENT PROGRAM

Current through Register Vol. 13, July 5, 2024
(1) Each patient must have an individual
				comprehensive treatment plan that must be based on an inventory of the
				patient's strengths and disabilities or mental impairment as defined by the
				mental health professionals on the multi-disciplinary treatment team and
				approved by the evaluating or staff psychiatrist.
(2) An initial treatment plan for each
				patient must be formulated, written and interpreted to the staff by the staff
				psychiatrist as a part of the admission process.
(3) A comprehensive treatment plan for each
				patient must be formulated no later than three full working days after
				admission by a multi-disciplined treatment team and the staff psychiatrist, and
				placed in the patient's records immediately following approval by the
				evaluating or staff psychiatrist. The staff psychiatrist and multi-disciplinary
				professional staff must also participate in the preparation of any major
				revisions of the comprehensive plan.
(4) The comprehensive treatment plan must:
(a) be based on the patient's psychiatric
				evaluation;
(b) include clinical
				consideration of the patient's physical, developmental, psychological, age
				appropriate, family, educational, social, and recreational needs;
(c) specify the reason for admission and
				specific treatment goals, stated in measurable terms, including a projected
				timeframe for completed treatment; treatment modalities to be used; staff who
				are responsible for coordinating and carrying out the treatment; and expected
				length of stay and appropriate aftercare planning.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.18 - Licensure of Specialty Mental Health Facilities › Rule 37.106.1854 - SPECIALTY MENTAL HEALTH FACILITY: PATIENT RIGHTS

Current through Register Vol. 13, July 5, 2024
(1) A specialty mental health facility shall
				have written policies and procedures to assure the individual patient the right
				to dignity, privacy, and safety, and shall support and protect the basic human,
				civil, and constitutional rights of the individual patient.
(2) A written policy and procedure approved
				by the governing body shall provide a description of the patient's rights and
				the means by which these rights are protected and exercised.
(3) At the point of admission, the facility
				shall provide the patient and family, designated relative, guardian, or
				custodian, with a clearly written and readable statement of patients' rights
				and responsibilities. The statement shall be read to the patient and family,
				guardian, or custodian if any cannot read, and shall cover, at a minimum:
(a) each patient's access to treatment,
				regardless of race, religion or ethnicity;
(b) each patient's right to recognition and
				respect of his or her personal dignity in the provision of all treatment and
				care;
(c) each patient's right to
				be provided treatment and care in the least restrictive environment
				possible;
(d) each patient's right
				to an individualized treatment plan;
(e) each patient's and family's participation
				in planning for treatment;
(f) the
				nature of care, procedures, and treatment that he or she will
				receive;
(g) the risks, side
				effects, and benefits of all medications and treatment procedures
				used;
(h) the right, to the extent
				permitted by law, to refuse the specific medications or treatment procedures
				and the responsibility of the facility when the patient refuses treatment, or,
				in accordance with legal and professional standards, to terminate the
				relationship with the patient upon reasonable notice; and
(i) the patient and family members' right to
				access to a patient advocate.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1901 - MENTAL HEALTH CENTER: APPLICATION OF OTHER RULES

Current through Register Vol. 13, July 5, 2024
(1) To the extent
				that other licensure rules in ARM Title 37, chapter 106, subchapter 3, conflict
				with the terms of this subchapter, the terms of this subchapter will apply to
				licensed mental health centers.
AUTH:
					 50-5-103,
					 MCA; IMP:
					 50-5-103,
					 50-5-204,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1902 - MENTAL HEALTH CENTER: DEFINITIONS

Current through Register Vol. 13, July 5, 2024
In addition to the definitions in
				  50-5-101,
				  MCA, the following definitions apply to this subchapter:
(1) "Administrator" means a designated
				individual having daily overall management responsibility for the operation of
				a mental health center.
(2) "Adult
				day treatment" means a program which provides a variety of mental health
				services to adults with mental illnesses.
(3) "Chemical dependency services" means:
(a) screening of a client for substance abuse
				issues by the mental health center through its clinical intake
				assessment;
(b) as indicated by the
				substance abuse screening, the provision or arrangement by the mental health
				center for a client to be evaluated by a licensed addiction counselor;
(c) in accordance with the
				evaluation by a licensed addiction counselor, the provision or arrangement by
				the mental health center of chemical dependency treatment by a licensed
				addiction counselor or state-approved chemical dependency treatment program;
				and
(d) the integration and
				coordination by the mental health center of the client's mental health
				treatment with the chemical dependency treatment.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1906 - MENTAL HEALTH CENTER: SERVICES AND LICENSURE

Current through Register Vol. 13, July 5, 2024
(1) Each applicant for licensure must submit
				a license application to the department requesting approval to provide the
				services in (3) and may request approval to provide one or more of the services
				in (4).
(2) Services provided by a
				mental health center must be rendered by a single administration in a discrete
				physical facility or multiple facilities or by written agreement or contract
				with licensed health care professionals, licensed mental health professionals
				or other facilities such as hospital, clinics, or educational institutions
				which may combine to provide services.
(3) For a mental health center to be
				licensed, it must provide to its clients all of the following services:
(a) crisis telephone services;
(b) medication management services;
(c) outpatient therapy services;
(d) community-based psychiatric
				rehabilitation and support; and
(e) chemical dependency services.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1907 - MENTAL HEALTH CENTER: ORGANIZATIONAL STRUCTURE

Current through Register Vol. 13, July 5, 2024
(1) Each mental health center shall employ or
				contract with an administrator who shall:
(a)
				maintain daily overall responsibility for the mental health center's
				operations;
(b) develop and oversee
				the implementation of policies and procedures pertaining to the operation and
				services of the mental health center;
(c) establish written orientation and
				training procedures for all employees including new employees, relief workers,
				temporary employees, students, interns, volunteers, and trainees. The training
				must include orientation on all the mental health center's policies and
				procedures;
(d) establish written
				policies and procedures:
(i) defining the
				responsibilities, limitations, and supervision of students, interns, and
				volunteers working for the mental health center;
(ii) for verifying each professional staff
				member's credentials, when hired, and thereafter, to ensure the continued
				validity of required licenses; and
(iii) for client complaints and grievances,
				to include an opportunity for appeal, and to inform clients of the availability
				of advocacy organizations to assist them.
(e) develop an organizational chart that
				accurately reflects the current lines of administration and authority;
				and
(f) maintain a file for all
				client incident reports.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1908 - MENTAL HEALTH CENTER: POLICIES AND PROCEDURES

Current through Register Vol. 13, July 5, 2024
(1) Each mental health center shall maintain
				a policy and procedure manual. The manual must be reviewed and approved, at
				least annually, by the medical director and administrator. The manual must
				contain policies and procedures for:
(a)
				notifying staff of all changes in policies and procedures;
(b) addressing client rights, including a
				procedure for informing clients of their rights;
(c) addressing and reviewing ethical issues
				faced by staff and reporting allegations of ethics violations to the applicable
				professional licensing authority;
(d) informing clients of the policy and
				procedures for client complaints and grievances;
(e) initiating services to clients;
(f) informing clients of rules governing
				their conduct and the types of infractions that can result in suspension or
				discontinuation of services offered by the mental health center;
(g) suspending or discontinuing program
				services with the following information to be provided to the client:
(i) the reason for suspending or
				discontinuing services or access to programs;
(ii) the conditions that must be met to
				resume services or access to programs;
(iii) the grievance procedure that may be
				used to appeal the suspension or discontinuation; and
(iv) what services, if any, will be continued
				to be provided even though participation in a particular service or program may
				be suspended or discontinued.
(h) referring clients to other providers or
				services that the mental health center does not provide; and
(i) conducting quality assessment and
				improvement activities.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1909 - MENTAL HEALTH CENTER: CLINICAL RECORDS

Current through Register Vol. 13, July 5, 2024
(1)
				Each mental health center shall:
(a) collect
				assessment data and maintain clinical records on all clients who receive
				services and ensure the confidentiality of clinical records in accordance with
				the Uniform Health Care Information Act, Title 50, chapter 16, part 5, MCA. At
				a minimum, the clinical record must include:
(i) a clinical intake assessment;
(ii) additional assessments or evaluations,
				if clinically indicated;
(iii) a
				copy of the client's individualized treatment plan and all modifications to the
				treatment plan;
(iv) progress notes
				which indicate whether or not the stated treatment plan has been implemented,
				and the degree to which the client is progressing, or failing to progress,
				toward stated treatment objectives;
(v) medication orders from the prescribing
				physician and documentation of the administration of all medications;
(vi) signed orders by a licensed mental
				health professional for any restrictions of rights and privileges accorded
				clients of the mental health center including the reason(s) for the
				restriction; and
(vii) a discharge
				summary when the client's file is closed.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1915 - MENTAL HEALTH CENTER: CLIENT ASSESSMENTS

Current through Register Vol. 13, July 5, 2024
(1)
				Each mental health center shall complete a clinical intake assessment within 12
				hours after admission for crisis stabilization program services and within
				three contacts, or 14 days from the first contact, whichever is later, for
				other services. Intake assessments must be conducted by a licensed mental
				health professional trained in clinical assessments and must include the
				following information in a narrative form to substantiate the client's
				diagnosis and provide sufficient detail to individualize treatment plan goals
				and objectives:
(a) presenting problem and
				history of problem;
(b) mental
				status;
(c) diagnostic
				impressions;
(d) initial treatment
				plan goals;
(e) risk factors to
				include suicidal or homicidal ideation;
(f) psychiatric history;
(g) substance use/abuse and
				history;
(h) current medication and
				medical history;
(i) financial
				resources and residential arrangements;
(j) education and/or work history;
				and
(k) legal history relevant to
				history of illness, including guardianships, civil commitments, criminal mental
				health commitments, and prior criminal background.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1916 - MENTAL HEALTH CENTER: INDIVIDUALIZED TREATMENT PLANS

Current through Register Vol. 13, July 5, 2024
(1) Based upon the findings of the
				assessment(s) conducted in accordance with ARM
				37.106.1915, each mental health
				center must establish an individualized treatment plan for each client within
				24 hours after admission for crisis stabilization program services and within
				five contacts, or 21 days from the first contact, whichever is later, for other
				services. The treatment plan must:
(a)
				identify treatment team members, from within and outside of the mental health
				center, who are involved in the client's treatment or care;
(b) specifically state measurable treatment
				plan objectives that serve the client in the least restrictive and most
				culturally appropriate therapeutic environment;
(c) for each objective, describe the
				service(s) or intervention(s) with sufficient specificity to demonstrate the
				relationship between the service(s) or intervention(s) and the stated
				objective;
(d) identify the staff
				person and program responsible for each treatment service to be
				provided;
(e) include the signature
				of the client or parent/legal representative/guardian and date indicating
				participation in the development of the treatment plan. If participation of the
				client or parent/legal representative/guardian is not possible or
				inappropriate, written documentation must indicate the reason such
				participation is not possible;
(f)
				include the signature and date of the mental health center's licensed mental
				health professional and of the person(s) with primary responsibility for
				implementation of the plan, indicating development and ongoing review of the
				plan. If intensive care management is the only service being received by the
				client from the mental health center, a program supervisor must sign the
				treatment plan indicating the supervisor's review and approval for
				appropriateness; and
(g) state the
				criteria for discharge, including the client's level of functioning which will
				indicate when a particular service is no longer required.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1917 - MENTAL HEALTH CENTER: CLIENT DISCHARGE

Current through Register Vol. 13, July 5, 2024
(1)
				Each mental health center shall prepare a discharge summary for each client no
				longer receiving services. The discharge summary must include:
(a) the reason for discharge;
(b) a summary of the services provided by the
				mental health center including recommendations for aftercare services and
				referrals to other services, if applicable;
(c) an evaluation of the client's progress as
				measured by the treatment plan and the impact of the services provided by the
				mental health center; and
(d) the
				signature of the staff member who prepared the report and the date of
				preparation.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1918 - MENTAL HEALTH CENTER: PERSONNEL RECORDS

Current through Register Vol. 13, July 5, 2024
(1)
				For each employee or contracted individual, the mental health center shall
				maintain the following information on file:
(a) a current job description;
(b) if a licensed mental health professional,
				documentation of current licensure and certification; and
(c) dated documentation of the individual's
				involvement in orientation, training, and continuing education
				activities.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1919 - MENTAL HEALTH CENTER: QUALITY ASSESSMENT

Current through Register Vol. 13, July 5, 2024
(1)
				Each mental health center shall implement and maintain an active quality
				assessment program using information collected to make improvements in the
				mental health center's policies, procedures and services. At a minimum, the
				program must include procedures for:
(a)
				conducting client satisfaction surveys, at least annually, for all mental
				health center programs. The survey must address:
(i) whether the client, parent or guardian is
				adequately involved in the development and review of the client's treatment
				plan;
(ii) whether the client,
				parent or guardian was informed of client rights and the mental health center's
				grievance procedure;
(iii) the
				client's, parent's or guardian's satisfaction with all mental health center
				programs in which the client participated; and
(iv) the client's, parent's, or guardian's
				recommendations for improving mental health center's services.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1925 - MENTAL HEALTH CENTER: COMPLIANCE WITH BUILDING AND FIRE CODES, FIRE EXTINGUISHERS, SMOKE DETECTORS, AND MAINTENANCE

Current through Register Vol. 13, July 5, 2024
(1)
				Each mental health center shall ensure that its facilities, buildings, and
				homes:
(a) meet all applicable state and
				local building and fire codes;
(b)
				have a workable portable fire extinguisher on each floor, with a minimum rating
				of 2 A10BC. Extinguishers must be readily accessible at all times;
				and
(c) have a properly maintained
				and regularly tested smoke detector, approved by a recognized testing
				laboratory, on each floor. Building exits must be unobstructed and clearly
				marked.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1926 - MENTAL HEALTH CENTER: PHYSICAL ENVIRONMENT

Current through Register Vol. 13, July 5, 2024
(1)
				Each mental health center providing a mental health group home or a crisis
				intervention stabilization facility must ensure that no more than four
				residents reside in a single bedroom. Each multi-bedroom must contain at least
				80 square feet per bed, exclusive of toilet rooms, closets, lockers, wardrobes,
				alcoves, or vestibules. Each center must further provide:
(a) one toilet for every four
				residents;
(b) a toilet and sink in
				each toilet room;
(c) one bathing
				facility for every 12 residents; and
(d) showers and tubs with non-slip
				surfaces.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1927 - MENTAL HEALTH CENTER: EMERGENCY PROCEDURES

Current through Register Vol. 13, July 5, 2024
(1)
				Each mental health center shall develop a written plan for emergency
				procedures. At a minimum, the plan must include:
(a) emergency evacuation procedures to be
				followed in the case of fire or other emergency;
(b) procedures for contacting emergency
				service responders; and
(c) the
				names and phone numbers for contacting other mental health center staff in
				emergency situations.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1937 - MENTAL HEALTH CENTER: ADULT DAY TREATMENT

Current through Register Vol. 13, July 5, 2024
(1)
				In addition to the requirements established in this subchapter, each mental
				health center providing adult day treatment shall comply with the requirements
				established in this rule.
(2) The
				adult day treatment program shall:
(a)
				operate at least two days a week, for at least four hours a day;
(b) employ or contract with a program
				supervisor who is knowledgeable about the service and support needs of
				individuals with a mental illness, day treatment programming and psychosocial
				rehabilitation. The program supervisor or program therapist must be site
				based;
(c) provide, by means of a
				variety of individual and group treatment modalities, therapy and
				rehabilitation in the areas of independent living skills, crisis intervention,
				pre-vocational and vocational skill building, socialization, and recreational
				activities;
(d) structure its
				treatment activities to promote increasing levels of independence in the
				client's functioning;
(e) require
				the program supervisor and all program staff to each have a minimum of six
				contact hours of annual training relating to adult mental illness and
				treatment;
(f) maintain progress
				notes for each client. The progress notes must be entered into the client's
				clinical record at least every 30 days and upon the occurrence of any
				significant change in the client's condition; and
(g) maintain a client to staff ratio that may
				not exceed ten clients to one staff member.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1938 - MENTAL HEALTH CENTER: MENTAL HEALTH GROUP HOME

Current through Register Vol. 13, July 5, 2024
(1) In addition to the requirements
				established in this subchapter, each mental health center providing a mental
				health group home shall comply with the requirements established in this
				rule.
(2) The purpose of a mental
				health group home is to provide residential treatment for adults with a mental
				illness.
(3) The mental health
				group home is considered to be a community residential facility for the
				purposes of local zoning and building codes reviews.
(4) The mental health group home must be
				annually inspected for compliance with fire codes by the state fire marshal or
				the marshal's designee. The home shall maintain a record of such inspection for
				at least one year following the date of the inspection.
(5) The mental health group home shall:
(a) employ or contract with a program
				supervisor who is knowledgeable about the service and support needs of
				individuals with mental illnesses;
(b) maintain staffing at least eight hours
				daily. Additional staff hours and supervision shall be dictated by the needs of
				the group home residents;
(c)
				ensure that 24 hour a day emergency mental health care is available through the
				mental health center or other contracted entities;
(d) structure its treatment activities to
				promote increasing levels of independence in the client's
				functioning;
(e) establish
				admission criteria which assess the individual's needs and the appropriateness
				of the services to meet those needs. At a minimum, admission criteria must
				require that the person:
(i) be 18 years of
				age or older and be unable to maintain the stability of their mental illness in
				an independent living situation;
(ii) be diagnosed with a mental
				illness;
(iii) be medically
				stable;
(iv) not be an immediate
				danger to self or others;
(v)
				requires a transitional residential level of care from a short acute hospital
				stay or long-term commitment, or requires some ongoing residential structure or
				supervision;
(vi) sign a contract
				to follow group home rules.
(f) assess new admissions to the mental
				health group home and offer ongoing treatment and training in the following
				areas:
(i) community adjustment (ability to
				use community resources such as stores, professional services, recreational
				facilities, government agencies, etc.) ;
(ii) personal care (grooming, food
				preparation, housekeeping, money management, etc.) ;
(iii) socialization; and
(iv) recreation/leisure.
(g) maintain progress notes for each client.
				The progress notes must be entered into the client's clinical record at least
				every 30 days and upon the occurrence of any significant change in the client's
				condition.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.19 - Minimum Standards for Mental Health Centers › Rule 37.106.1945 - MENTAL HEALTH CENTER: CRISIS TELEPHONE SERVICES

Current through Register Vol. 13, July 5, 2024
(1) In addition to the requirements
				established in this subchapter, each mental health center shall provide crisis
				telephone services and comply with the following requirements:
(a) ensure that crisis telephone services are
				available 24 hours a day, seven days a week. Answering services and
				receptionists may be used to transfer calls to individuals who have been
				trained to respond to crisis calls;
(b) employ or contract with appropriately
				trained individuals, under the supervision of a licensed mental health
				professional, to respond to crisis calls. An appropriately trained individual
				is one who has received training and instruction regarding:
(i) the policies and procedures of the mental
				health center for crisis intervention services;
(ii) crisis intervention
				techniques;
(iii) conducting
				assessments of risk of harm to self or others, and prevention
				approaches;
(iv) the process for
				voluntary and involuntary hospitalization;
(v) the signs and symptoms of mental illness;
				and
(vi) the appropriate
				utilization of community resources.
(c) ensure that a licensed mental health
				professional provides consultation and backup, as indicated, for unlicensed
				individuals responding to crisis calls;
(d) establish written policies and procedures
				governing in-person contacts between crisis responders and crisis callers. The
				policies and procedures must address the circumstances under which the contacts
				may or may not occur and safety issues associated with in-person
				contacts;
(e) maintain
				documentation for each crisis call. The documentation must reflect:
(i) the date of the call;
(ii) the staff involved;
(iii) identifying data, if
				possible;
(iv) the nature of the
				emergency, including an assessment of dangerousness/lethality, medical
				concerns, and social supports; and
(v) the result of the intervention.