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 37.106.1935 - MENTAL HEALTH CENTER: YOUTH AND ADOLESCENT AND ADULT TARGETED CASE MANAGEMENT

Current through Register Vol. 13, July 5, 2024
(1) In addition to
				the requirements established in this subchapter, each mental health center
				providing youth and adolescent and adult targeted case management services
				shall comply with the requirements established in this rule.
(2) Each mental health center providing
				targeted case management program services shall:
(a) ensure each targeted case manager is
				meeting with a supervisor at least once per month, as necessary based on the
				case manager's documented skills and skill sets such as developing treatment
				plans, facilitating family or caregivers treatment team meetings, and educating
				the youth and the youth's family or caregivers about the mental health system.
				In addition, targeted case managers must have access to clinical consultation
				through the treatment team meeting;
(b) employ or contract with case managers who
				have the knowledge and skills needed to effectively perform targeted case
				management duties. Minimum qualifications for a case manager are a bachelor's
				degree in a human services field with at least one year of full-time experience
				serving people with mental illnesses. Individuals with other educational
				backgrounds who, as providers, consumers, or advocates of mental health
				services have developed the necessary skills, may also be employed as targeted
				case managers. The mental health center's targeted case management position
				description must contain equivalency provisions;
(c) train the supervisor and program staff in
				the therapeutic de-escalation of crisis situations to ensure the protection and
				safety of the clients and staff. The training must include the use of physical
				and non-physical methods of managing clients and must be updated, at least
				annually, to ensure the maintenance of necessary skills;
(d) develop a written protocol for case
				managers and supervisors that includes a minimum of 20 hours of initial
				training, and 20 hours of annual continuing education. Areas of focus should
				include:
(i) competencies in key skill sets
				such as developing treatment plans, facilitating treatment team meetings, and
				educating the youth and the youth's family or caregivers about the mental
				health system; and
(ii) training on
				suicide prevention, including crisis and safety planning.
(e) 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;
(f) ensure caseload
				sizes are sufficiently small to permit case managers to respond flexibly to
				differing service needs of youth and families, including frequency of
				contact;
(g) develop written
				policies and procedures addressing the independence of the targeted case
				manager and targeted case management program. At a minimum, the policies and
				procedures must address:
(i) the targeted
				case manager acting as a client's advocate in involuntary commitment
				proceedings;
(ii) the targeted case
				manager's role in conflicts between the client and the mental health center or
				other agencies;
(iii) the ability
				of the targeted case manager to freely advocate for services from or outside of
				the mental health center on behalf of the client;
(iv) the relationship between the primary
				therapist, if the client has one, and the case manager;
(v) the obligation to report information to
				the mental health center staff that the client has requested to be kept
				confidential; and
(vi) the ability
				of the targeted case manager to contact an advocacy organization if the case
				manager believes the mental health center is unresponsive to the needs of the
				client.