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 37.106.1936 - MENTAL HEALTH CENTER: CHILD AND ADOLESCENT 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 a child and
				adolescent day treatment program shall comply with the requirements established
				in this rule.
(2) The Child and
				Adolescent Day Treatment program must be site based and occur in a location
				separate from the child and adolescent's regular classroom. Appropriate,
				supplemental day treatment services may be delivered off site. The program
				shall:
(a) operate at least five days per
				week for at least three hours per day, unless school holidays preclude day
				treatment activities. Preschool day treatment programs shall operate at least
				three days a week, three hours a day, unless school holidays preclude day
				treatment activities;
(b) employ or
				contract with a program supervisor who is knowledgeable about the service and
				support needs of children and adolescents with serious emotional disturbances.
				The program therapist or program supervisor must be site based;
(c) establish admission criteria which assess
				the child or adolescent's needs and the appropriateness of the services to meet
				those needs. Students still in school, 18 years of age or older, remain
				eligible for the program;
(d)
				provide mental health services according to the individualized treatment plan
				which may include individual therapy, family and group therapy, social skills
				training, life skills training, pre-vocational training, therapeutic recreation
				services and ensure access to emergency services;
(e) coordinate its services with educational
				services provided through full collaboration with a school district recognized
				by the office of public instruction;
(f) provide referral and aftercare
				coordination with inpatient facilities, residential treatment programs, or
				other appropriate out-of-home placement programs;
(g) establish policies and procedures
				regarding the use of time-out and seclusion. Time-out and seclusion may not be
				used with a locked door. Mechanical restraints may not be used. If time-out is
				used, intermittent to continuous staff observation is required, as clinically
				indicated. If seclusion is used, continuous staff observation is required.
				Written permission from the parent or legal guardian must be obtained for the
				use of non-aversive and aversive interventions and must be placed in the
				client's clinical record. The clinical record must include signed orders by a
				licensed mental health professional for use of seclusion, a detailed
				description of the circumstances warranting such action, and the date, time and
				duration of the seclusion;
(h)
				require and ensure that the program supervisor and all staff shall each have a
				minimum of six contact hours of annual training relating to child and
				adolescent mental illnesses and treatment; and
(i) 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.