reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5200 - RESIDENTIAL THERAPEUTIC (HABILITATIVE) CAMPS FOR CHILDREN AND ADOLESCENTS OF ALL DISABILITY GROUPS › Section 27G .5202 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility shall have a program
				  director who has:
(1) a minimum of two years'
				  experience in child or adolescent services specific to the campers' needs;
				  and
(2) who has camping experience,
				  and who has educational preparation in administrative, education, social work,
				  nursing, psychology or a related field.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5200 - RESIDENTIAL THERAPEUTIC (HABILITATIVE) CAMPS FOR CHILDREN AND ADOLESCENTS OF ALL DISABILITY GROUPS › Section 27G .5203 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility
				  shall develop and implement written policies and procedures on basic care and
				  safety.
(b) In accordance with the
				  schedules developed by the Program Director, staff shall maintain the following
				  distance from the campers:
(1) During waking
				  hours, staff shall be within sight or voice range of the campers.
(2) During sleeping hours, staff shall be
				  located within voice range of the campers.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5200 - RESIDENTIAL THERAPEUTIC (HABILITATIVE) CAMPS FOR CHILDREN AND ADOLESCENTS OF ALL DISABILITY GROUPS › Section 27G .5204 - PHYSICAL PLANT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All sleeping
				  units shall provide at least the following space:
(1) 30 square feet per person;
(2) 30 inches between sides of
				  beds.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5300 - RESERVED FOR FUTURE CODIFICATION › Section 27G .5301 - RESERVED FOR FUTURE CODIFICATION

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5400 - DAY ACTIVITY FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5401 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Day activity is a day/night facility that
				  provides supervision and an organized program during a substantial part of the
				  day in a group setting to individuals who are mentally ill, developmentally
				  disabled or have substance abuse disorders.
(b) Participation may be on a scheduled or
				  drop-in basis.
(c) The service is
				  designed to support the individual's personal independence and promote social,
				  physical and emotional well-being through activities such as social skills
				  development, leisure activities, training in daily living skills, improvement
				  of health status, and utilization of community resources.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5400 - DAY ACTIVITY FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5402 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each client admitted to a facility shall
				  receive services from a designated qualified mental health, developmental
				  disability or substance abuse professional, as appropriate, who has
				  responsibility for the client's treatment, program or case management
				  plan.
(b) Each facility shall have
				  at least one staff member on site at all times when clients are present in the
				  facility.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5400 - DAY ACTIVITY FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5403 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Each day activity facility shall be available three or more
					 hours a day on a regularly scheduled basis at least once a
					 week.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5500 - SHELTERED WORKSHOPS FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5501 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A sheltered workshop is a day/night
				  facility which provides work-oriented services including various combinations
				  of evaluation, developmental skills training, vocational adjustment, job
				  placement, and sheltered employment to individuals of all disability groups 16
				  years of age or over who have potential for gainful employment. Sheltered
				  workshops also may be known as Community Rehabilitation Programs
				  (CRPs).
(b) This service is
				  designed for individuals who have demonstrated that they do not require the
				  intensive training and structure found in programs such as Adult Developmental
				  and Vocational Programs (ADVP) but have not yet acquired the skills necessary
				  for competitive employment. It provides the individual opportunity to acquire
				  and maintain life skills including appropriate work habits, specific job
				  skills, self-help skills, socialization skills, and communication
				  skills.
(c) This service focuses on
				  productive work activities for individuals who have potential for gainful
				  employment as determined by Vocational Rehabilitation Services or the ability
				  to participate in a sheltered employment program. Sheltered workshops are
				  subject to Department of Labor Federal Wage and Hour Guidelines for the
				  Handicapped.
(d) The Rules in this
				  Section specify licensure requirements applicable to sheltered workshops which
				  serve individuals who are primarily mentally retarded or otherwise
				  developmentally disabled; however, individuals with mental illness, with
				  substance abuse disorders and severely physically disabled individuals may also
				  be served within a sheltered workshop.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5500 - SHELTERED WORKSHOPS FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5502 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility shall have a designated
				  full-time program director who shall have a baccalaureate degree with one year
				  of experience in developmental disability rehabilitation programming; be a high
				  school graduate or equivalent with three years of experience in developmental
				  disability programming; or be a high school graduate or equivalent with three
				  years of experience in business or personnel management.
(b) Each facility shall have a designated
				  program coordinator who shall have a baccalaureate degree with one year of
				  experience in developmental disability programming or be a high school graduate
				  or equivalent with three years of experience in developmental disability
				  programming.
(c) At least one staff
				  member shall be designated as a client evaluator who shall have at least a high
				  school diploma, and shall have completed a five day inservice training program
				  in the evaluation component of a licensed ADVP or sheltered workshop or in
				  another training program approved by DMH/DD/SAS.
(d) Each facility shall maintain an overall
				  direct service ratio of at least one full-time or full-time equivalent direct
				  care staff member for every ten or fewer clients.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5500 - SHELTERED WORKSHOPS FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5503 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Hours. Each
				  facility shall be available for client attendance at least six hours per day
				  (exclusive of transportation time), five days per week.
(b) Business Practices:
(1) Supplies, materials or tools, if provided
				  by the sheltered workshop, shall be identified as a separate amount in the bid
				  price.
(2) Wages paid to clients
				  shall be on a piece rate or hourly commensurate wage basis.
(3) Each client involved in productive work
				  shall receive a written statement for each pay period which indicates gross
				  pay, hours worked and deductions.
(4) Prices for goods produced in the facility
				  shall be equal to or exceed the cost of production (including commensurate
				  wages, overhead, tools and materials).
(5) Clients shall be counseled concerning
				  their rights and responsibilities in such matters as wages, hours, working
				  conditions, social security, redress for injury and the consequences of their
				  own tortious or unethical conduct.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5600 - SUPERVISED LIVING FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5601 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Supervised living is a 24-hour facility
				  which provides residential services to individuals in a home environment where
				  the primary purpose of these services is the care, habilitation or
				  rehabilitation of individuals who have a mental illness, a developmental
				  disability or disabilities, or a substance abuse disorder, and who require
				  supervision when in the residence.
(b) A supervised living facility shall be
				  licensed if the facility serves either:
(1)
				  one or more minor clients; or
(2)
				  two or more adult clients.
Minor and adult clients shall not reside in the same
					 facility.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5600 - SUPERVISED LIVING FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5602 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Staff-client ratios above the minimum
				  numbers specified in Paragraphs (b), (c) and (d) of this Rule shall be
				  determined by the facility to enable staff to respond to individualized client
				  needs.
(b) A minimum of one staff
				  member shall be present at all times when any adult client is on the premises,
				  except when the client's treatment or habilitation plan documents that the
				  client is capable of remaining in the home or community without supervision.
				  The plan shall be reviewed as needed but not less than annually to ensure the
				  client continues to be capable of remaining in the home or community without
				  supervision for specified periods of time.
(c) Staff shall be present in a facility in
				  the following client-staff ratios when more than one child or adolescent client
				  is present:
(1) children or adolescents with
				  substance abuse disorders shall be served with a minimum of one staff present
				  for every five or fewer minor clients present. However, only one staff need be
				  present during sleeping hours if specified by the emergency back-up procedures
				  determined by the governing body; or
(2) children or adolescents with
				  developmental disabilities shall be served with one staff present for every one
				  to three clients present and two staff present for every four or more clients
				  present. However, only one staff need be present during sleeping hours if
				  specified by the emergency back-up procedures determined by the governing
				  body.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5600 - SUPERVISED LIVING FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5603 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Capacity. A
				  facility shall serve no more than six clients when the clients have mental
				  illness or developmental disabilities. Any facility licensed on June 15, 2001,
				  and providing services to more than six clients at that time, may continue to
				  provide services at no more than the facility's licensed capacity.
(b) Service Coordination. Coordination shall
				  be maintained between the facility operator and the qualified professionals who
				  are responsible for treatment/habilitation or case management.
(c) Participation of the Family or Legally
				  Responsible Person. Each client shall be provided the opportunity to maintain
				  an ongoing relationship with her or his family through such means as visits to
				  the facility and visits outside the facility. Reports shall be submitted at
				  least annually to the parent of a minor resident, or the legally responsible
				  person of an adult resident. Reports may be in writing or take the form of a
				  conference and shall focus on the client's progress toward meeting individual
				  goals.
(d) Program Activities. Each
				  client shall have activity opportunities based on her/his choices, needs and
				  the treatment/habilitation plan. Activities shall be designed to foster
				  community inclusion. Choices may be limited when the court or legal system is
				  involved or when health or safety issues become a primary concern.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Temporary Amendment Eff. January 1, 2002;
Amended
					 Eff. April 1, 2003;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5600 - SUPERVISED LIVING FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5604 - REQUIREMENTS FOR STATE/COUNTY SPECIAL ASSISTANCE RECIPIENTS

Current through Register Vol. 39, No. 2, July 15, 2024
The following applies to facilities under Rule .5601 in
					 Subparagraph (c)(1), (3) and (6) of this Section that admit clients who
					 participate in the Special Assistance Program administered by the Division of
					 Social Services:
(1) the facility
				  shall be in compliance with the rules of this Subchapter prior to admitting
				  Special Assistance Program recipients and receiving payment through the Special
				  Assistance Program;
(2) forms
				  required by the Secretary pursuant to these Rules which have been signed by a
				  qualified professional shall be filed in the client's record and renewed
				  annually; and
(3) the facility
				  shall submit a signed DSS-1464 (Civil Rights Compliance Form) upon request and
				  comply with the legal requirements as set forth in the Civil Rights Act of
				  1964.
Authority
					 G.S.
					 143B-147;
Temporary Adoption Eff.
					 January 1, 2002;
Eff. April 1, 2003;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5700 - ASSERTIVE COMMUNITY TREATMENT SERVICE › Section 27G .5701 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Assertive community treatment (ACT)
				  services shall be provided to individuals with serious mental illness,
				  developmental disabilities, or substance abuse diagnoses who:
(1) may have a pattern of frequent use of
				  crisis services, repeated hospitalizations or incarceration;
(2) may have failed to remain engaged in or
				  to respond to conventional services; or
(3) have been determined to have unusual
				  needs.
Such individuals require intervention by an Assertive
					 Community Treatment Team (ACTT) in order to provide ongoing assertive treatment
					 and services that are made available outside clinic settings in order to
					 address their treatment needs effectively.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5700 - ASSERTIVE COMMUNITY TREATMENT SERVICE › Section 27G .5702 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Team Composition. The team shall be
				  interdisciplinary in order to carry out the varied activities needed to meet
				  the complex needs of clients and shall include:
(1) a qualified professional, appropriate to
				  the diagnoses of the clients being served;
(2) a Registered nurse;
(3) an MD (at least .25 FTE per 50 clients);
				  and
(4) one or more
				  paraprofessional staff trained to meet the needs presented by the facility's
				  client population.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5700 - ASSERTIVE COMMUNITY TREATMENT SERVICE › Section 27G .5703 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Objectives. The
				  treatment objectives shall be addressed by activities designed to:
(1) promote symptom stability and appropriate
				  use of medication;
(2) restore
				  personal, community living and social skills;
(3) promote and maintain physical
				  health;
(4) establish access to
				  entitlements, housing, and work and social opportunities; and
(5) promote and maintain the highest possible
				  level of functioning in the community.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5800 - SUPPORTED EMPLOYMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5801 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A supported employment program is a
				  service that provides periodic support services for individuals 16 years of age
				  or older with developmental disability, mental illness or substance abuse
				  disorders to prepare the individual to work as independently as possible. The
				  service is typically planned and implemented in cooperation with the Division
				  of Vocational Rehabilitation Services.
(b) Supported employment encompasses a
				  variety of services, which are implemented according to the employment needs of
				  the individual as identified in the individual's service plan. These include
				  vocational evaluation, job development, intensive training, job placement, and
				  long-term support. Support services to clients' families and consultation with
				  the clients' employers and other involved agencies may also be
				  provided.
(c) The Rules contained
				  in this Section are applicable to two specific models of supported employment
				  services:
(1) Supported Employment. All of the
				  training activities in this model occur in a separate location in the
				  community, not in a specialized facility maintained by the operator.
(2) Supported Employment - Long-Term Support.
				  Clients served in this model have successfully completed the intensive initial
				  training phase of supported employment sponsored by the Division for Vocational
				  Rehabilitation Services, and now are receiving those long-term support services
				  targeted towards maintenance in the job, which are the responsibility of
				  DMH/DD/SAS:
(A) At a minimum these services
				  provide monthly monitoring at the work site of each individual in supported
				  employment in order to assess employment stability, unless the individualized
				  written rehabilitation plan specifies a different monitoring schedule or
				  off-site monitoring, which is based on client request.
(B) Examples of such long-term support
				  services include "refresher" vocational training to ensure that existing job
				  skills are not lost, training in new job performance expectations, and
				  consultation to other employees, employers, and families, and residential
				  program staff.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5800 - SUPPORTED EMPLOYMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5802 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each supported employment program shall
				  have a designated program director.
(b) The Program Director shall be at least a
				  high school graduate or equivalent with three years of experience in the
				  appropriate disabilities programs.
(c) Each program shall provide for client
				  evaluation.
(d) Any person
				  providing evaluation of job performance services shall have a high school
				  diploma.
(e) In group supported
				  employment models, such as the mobile crew or enclave, each supported
				  employment shall maintain an overall direct service ratio of at least one
				  full-time equivalent direct service staff member for each eight or fewer
				  clients.
(f) In individual
				  placement models, such as job coach, the amount of staff contact time per
				  client shall be individualized based on client needs and goals as identified in
				  the service plan.
Authority
					 G.S.
					 122C-26;
					 143B-147;
Eff. May
					 1, 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5800 - SUPPORTED EMPLOYMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5803 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Population
				  Served. Each supported employment program shall be designed primarily to serve
				  individuals who are 16 years of age or older.
(b) Business Practices:
(1) For supported employment programs
				  operated by an area program or its contract agency, if the supported employment
				  program seeks or receives remuneration for goods or services provided to
				  another individual, organization or business:
(A) Supplies, materials or tools, if provided
				  by the supported employment program, shall be identified as a separate amount
				  in the bid price;
(B) Wages paid to
				  supported employment clients shall be on a piece rate or hourly commensurate
				  wage basis;
(C) Each client
				  involved in productive work shall receive a written statement for each pay
				  period which indicates gross pay, hours worked and deductions; and
(D) Prices for goods produced in the
				  supported employment shall be equal to or exceed the cost of production
				  (including commensurate wages, overhead, tools and materials).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5800 - SUPPORTED EMPLOYMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5804 - CLIENT ELIGIBILITY AND ADMISSIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Eligibility. Clients served shall be individuals 16 years of age or older who
				  have a mental illness, developmental disability, or substance abuse
				  disorder.
(b) Admissions. Each
				  supported employment facility shall have written admission policies and
				  procedures.
(1) A pre-admission staffing
				  shall be held for each client considered for admission to the supported
				  employment program. During the staffing, information shall be considered
				  regarding the client's medical, psychological, social, and vocational
				  histories.
(2) Results of the
				  pre-admission staffing shall be documented and forwarded to the referral or
				  sponsoring agency. The client shall be notified of the results of the
				  staffing.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5900 - CASE MANAGEMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5901 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Case management is a support service
				  through which planning and coordination of services are carried out on behalf
				  of the individual. It is designed to integrate multiple services needed or
				  being received by the individual from the area program or from other
				  agencies.
(b) Case management may
				  include advocacy on behalf of the individual and monitoring the provision of
				  services to the individual. Within this context, case management assists an
				  individual in meeting his total needs by linking the individual to evaluation,
				  treatment, educational, vocational, residential, health, financial, social, and
				  any other needed services.
(c) The
				  extent to which case management services are provided will vary according to
				  the needs of the client. The area program may elect to provide case management
				  through a variety of models such as:
(1)
				  primary therapist;
(2) contract
				  with a private agency;
(3)
				  disability-specific case managers; and
(4) area operated case management
				  units.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5900 - CASE MANAGEMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5902 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
When infants, toddlers and preschoolers are served, the
					 case manager shall have demonstrated knowledge and understanding about:
(1) infants and toddlers with or at risk for
				  developmental delays or atypical development;
(2) Part H of the Individuals with
				  Disabilities Education Act, the federal regulations related to it and relevant
				  state statutes and standards;
(3)
				  effective and appropriate help-giving behaviors; and
(4) the nature and scope of the services
				  available under the state's early intervention program, resources available for
				  payment for services and other related information.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .5900 - CASE MANAGEMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .5903 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Provision Of
				  Case Management. The case management process shall begin at the time the
				  individual is accepted as a client and shall continue through the termination
				  of the client/agency relationship.
(b) Case Management Activities:
(1) Case management activities shall include:
(A) comprehensive assessment of the client's
				  treatment/habilitation needs or problem areas;
(B) the allocation of responsibilities for
				  implementation and monitoring of the treatment/habilitation plan;
(C) establishment of separate and joint
				  responsibilities among staff and service agencies involved in helping the
				  individual;
(D) planning for need
				  or problem resolution through the identification or development of an
				  appropriate service network inclusive of all available resources;
(E) assessment or determination of outcomes;
				  and
(F) when minors are served,
				  informing families of the availability of advocacy services.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6000 - INPATIENT HOSPITAL TREATMENT FOR INDIVIDUALS WHO HAVE MENTAL ILLNESS OR SUBSTANCE ABUSE DISORDERS › Section 27G .6001 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Inpatient hospital treatment involves the
				  provision of 24-hour treatment in an inpatient hospital setting. This facility
				  is designed to provide treatment for individuals who have acute psychiatric
				  problems or substance abuse disorders and is the most intensive and restrictive
				  type of facility for individuals. Services may include:
(1) psychological and medical diagnostic
				  procedures;
(2)
				  observation;
(3) treatment
				  modalities, including medication, psychotherapy, group therapy, occupational
				  therapy, industrial therapy, vocational rehabilitation, and recreation therapy
				  and milieu treatment;
(4) medical
				  care and treatment as needed;
(5)
				  supportive services including education; and
(6) room and board.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6000 - INPATIENT HOSPITAL TREATMENT FOR INDIVIDUALS WHO HAVE MENTAL ILLNESS OR SUBSTANCE ABUSE DISORDERS › Section 27G .6002 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each facility shall delineate in writing
				  the numbers and qualification of its personnel.
(b) Each facility shall have a designated
				  director. The director shall be an individual who is a graduate of a college or
				  university and who meets at least one of the following additional qualification
				  criteria:
(1) has an advanced degree in a
				  human service field and two years of management or supervisory experience in
				  inpatient mental health services; or
(2) has a bachelor's degree in a human
				  service field and four years of management or supervisory experience in
				  inpatient mental health services; or
(3) has an advanced degree in a field related
				  to the management of health care facilities and two years of management
				  experience in inpatient mental health services.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6000 - INPATIENT HOSPITAL TREATMENT FOR INDIVIDUALS WHO HAVE MENTAL ILLNESS OR SUBSTANCE ABUSE DISORDERS › Section 27G .6003 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Program Plan Description. Each facility shall
					 specify:
(1) a daily schedule of
				  therapeutic activities;
(2) a
				  description of services offered for the family and significant others and how
				  these individuals are involved in the treatment process;
(3) a description of how the client and
				  family members are linked in their home communities with support groups and
				  referral sources; and
(4) a
				  description of how the facility will facilitate the continuity of care between
				  inpatient and outpatient services.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6100 - EMERGENCY SERVICES OR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6101 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
Each area program shall make provisions for emergency
					 services on a 24-hour non-scheduled basis to individuals of all ages and
					 disability groups and their families, for immediate screening or assessment of
					 presenting problems including emotional or behavioral problems or problems
					 resulting from the abuse of alcohol or other drugs.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6100 - EMERGENCY SERVICES OR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6102 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) At least one staff member shall be
				  designated to coordinate and supervise activities of the emergency services
				  network.
(b) A qualified
				  professional, as appropriate to the client's needs, shall be available for
				  immediate consultation and for direct face-to-face contact with
				  clients.
(c) Prior to providing
				  emergency services, each staff member or volunteer shall be trained in:
(1) available resources;
(2) interviewing techniques;
(3) characteristics of substance abuse
				  disorders, developmental disabilities, and mental illness;
(4) crisis intervention;
(5) making referrals; and
(6) commitment procedures.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6100 - EMERGENCY SERVICES OR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6103 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Emergency
				  services shall include at least the following:
(1) 24-hour access to personnel trained in
				  emergency services;
(2) 24-hour
				  telephone coverage at no cost to the client;
(3) provision for emergency hospital
				  services; and
(4) provision of
				  emergency back-up or consultation by a qualified mental health professional and
				  a qualified alcoholism, drug abuse or substance abuse professional.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6200 - OUTPATIENT SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6201 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
Each area program shall make provision for outpatient
					 services which are provided to individuals of all ages and disabilities,
					 families, or groups in a non-hospital setting through short visits for the
					 purpose of treatment, habilitation, or rehabilitation.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6200 - OUTPATIENT SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6202 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Availability Of
				  Services. The area program shall provide at least one clinic that holds office
				  hours no less than 40 hours per week in order to make available outpatient
				  services. Clinics which are located at other sites in the catchment area, and
				  which operate less than 40 hours per week, shall inform clients of the
				  availability of the full-time clinic when part-time clinics are not
				  open.
(b) Scheduling Appointments.
				  The service shall establish and implement written procedures for scheduling
				  appointments and providing services for individuals without
				  appointments.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6300 - COMPANION RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6301 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
Companion respite is a support service in which a trained
					 respite provider is scheduled to care for the individual in a variety of
					 settings, including the individual's own home or other location not subject to
					 licensure.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6300 - COMPANION RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6302 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Responsibilities Of Governing Body. Each governing body shall:
(1) develop and implement written criteria
				  for the approval of providers and the sites where services may be
				  provided.
(2) attempt to match the
				  client's needs with the provider's ability to provide respite
				  services.
(3) make available to the
				  provider instructions regarding duties and responsibilities which shall
				  include, but need not be limited to:
(A)
				  length of time for which service will be provided;
(B) administration of medications;
				  and
(C) special dietary
				  considerations.
(4)
				  furnish written information to the provider, if the client is involved in a day
				  program, regarding responsibilities for assuring that the client attends the
				  program and for structuring activities to enhance objectives established by the
				  developmental or occupational program.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6400 - PERSONAL ASSISTANCE FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6401 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Personal assistance is a service which
				  provides aid to a client who has mental illness, developmental disabilities or
				  substance abuse disorders so that the client can engage in activities and
				  interactions in which the client would otherwise be limited or from which the
				  client would be excluded because of a disability or disabilities. The
				  assistance includes:
(1) assistance in
				  personal or regular living activities in the client's home;
(2) support in skill development;
				  or
(3) support and accompaniment of
				  the client in regular community activities or in specialized treatment,
				  habilitation or rehabilitation service programs.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6400 - PERSONAL ASSISTANCE FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6402 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Personal assistance shall be provided
				  under the direction of a supervisor who is a qualified professional.
(b) When a specific client's disability is
				  different than that for which the supervisor is trained, the personal
				  assistance employee shall have access to consultation from a qualified
				  professional who is trained in a discipline related to the client's
				  needs.
(c) Individuals who are
				  employed to provide personal assistance shall have:
(1) at least a high-school diploma or its
				  equivalent; and
(2) training
				  regarding the needs of the specific client for whom assistance will be
				  provided.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6400 - PERSONAL ASSISTANCE FOR INDIVIDUALS OF ALL DISABILITY GROUPS › Section 27G .6403 - OPERATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Housing Review. When personal assistance for a client
					 includes providing service in the client's home, one of the purposes of the
					 service is to assess the safety and sanitation of the home with the client. If
					 the safety or sanitation is in question, it shall be brought to the attention
					 of the client and the professional responsible for the treatment/habilitation
					 or case management of the client, so that the situation can be discussed as a
					 part of the regular treatment/habilitation or case management planning
					 process.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6500 - EMPLOYEE ASSISTANCE PROGRAMS (EAP) › Section 27G .6501 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An employee assistance program (EAP) is a
				  worksite based program designed to assist in the identification and resolution
				  of productivity problems in the workplace associated with employees impaired by
				  personal concerns including, but not limited to, health, marital, family,
				  financial, alcohol, drug, legal, emotional, stress, or other personal concerns
				  which may adversely affect employee job performance.
(b) The service is offered in partnership
				  with employers with whom the area program has a written agreement and provides
				  employee education, supervisory training, referral, follow-up and program
				  evaluation.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 27 - MENTAL HEALTH, COMMUNITY FACILITIES AND SERVICES › Subchapter G - RULES FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE FACILITIES AND SERVICES › Section .6500 - EMPLOYEE ASSISTANCE PROGRAMS (EAP) › Section 27G .6502 - STAFF

Current through Register Vol. 39, No. 2, July 15, 2024
The area program shall designate an individual who has the
					 responsibility for planning and implementing employee assistance programs with
					 employers from both the public and private sector.
Authority
					 G.S.
					 143B-147;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 20,
					 2019.