reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 4 - AFFILIATED EMERGENCY SERVICE PERSONNEL REQUIREMENTS › Section 10:31-4.3 - Crisis intervention specialist requirements, qualifications and duties

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each AES may
				employ one or more crisis intervention specialist(s).
(b) The crisis intervention specialist shall
				possess, at a minimum, the requirements listed at
				10:31-3.4(c),
				with the exception provided for under
				10:31-3.4(d) 
				(peer advocates).
(c) The duties of
				the crisis intervention specialist shall include, but are not limited to, the
				following:
1. Crisis intervention counseling,
				on and off-site;
2. The monitoring
				and supervision of patients;
3.
				Assessment, referral and linkage, including referral to a screening service, if
				indicated; and
4. Hotline
				coverage.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 4 - AFFILIATED EMERGENCY SERVICE PERSONNEL REQUIREMENTS › Section 10:31-4.4 - Psychiatrist requirements, qualifications, and duties

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each
				affiliated emergency service shall employ one or more psychiatrists.
(b) The duties of the psychiatrist shall
				include, but not be limited to, the following activities with documentation:
1. Psychiatric evaluation and
				management;
2. The prescription and
				monitoring of medication;
3.
				Participation in the planning of alternatives to hospitalization;
4. Consultation with screeners and crisis
				intervention specialists, when appropriate;
5. Consultation with and provision of support
				for families and/or significant others regarding emergency services received by
				clients;
6. Consultation with other
				treating psychiatrists;
7.
				Consultation with emergency room physicians involved in the case and those at
				the receiving facility;
8.
				Completion of the screening certificate; and
9. As appropriate, other duties as defined in
				a Division-approved affiliation agreement.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 5 - SYSTEMS REVIEW IN THE ACUTE CARE SYSTEM › Section 10:31-5.1 - Acute care system review

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The screening
				service in each geographic area, in consultation with the Division, shall
				monitor the provision of acute care services.
1. The monitoring process shall be
				accomplished by a committee, known as the systems review committee, which shall
				meet monthly.
2. The screening
				service shall coordinate with the systems review committee to ensure the
				discussion of relevant issues and follow-up with the Division and the county
				mental health board.
3. The
				screening service shall compile information regarding the disposition of
				persons seen in the screening service for review by the systems review
				committee to the extent permitted by any applicable confidentiality
				laws.
4. Technical assistance shall
				be provided by the Division as necessary.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 5 - SYSTEMS REVIEW IN THE ACUTE CARE SYSTEM › Section 10:31-5.2 - Composition of the systems review committee

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The systems
				review committee shall be made up of representatives from:
1. Each of the separately identifiable
				programs comprising the acute care services available in a geographic
				area;
2. The State or county
				psychiatric hospital, STCF and affiliated voluntary psychiatric inpatient unit,
				as well as special psychiatric hospitals;
3. The county mental health board and the
				Division;
4. Family and consumer
				organizations concerned with the quality and provision of acute care services,
				and/or consumers and family members of consumers who have been recipients of
				acute care services; and
5. Any
				additional entity who is deemed appropriate and necessary by the Systems Review
				Chair, who shall be a screening coordinator, and upon prior approval of the
				Division.
i. The Division shall base its
				decision upon a determination that the additional entity would contribute a
				perspective that is unique or without existing representation on the Systems
				Review Committee and that the additional party is knowledgeable and experienced
				in issues relating to the screening system.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 5 - SYSTEMS REVIEW IN THE ACUTE CARE SYSTEM › Section 10:31-5.3 - Role of the systems review committee

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The systems
				review committee shall perform the following functions:
1. Identify gaps in the acute care system and
				bring them to the attention of the appropriate county mental health board(s)
				and the Division;
2. Monitor
				utilization of acute care resources to ensure that services are fairly and
				appropriately accessed;
3. Ensure
				that clients receive the highest quality of care in the most appropriate, least
				restrictive environment, including the effectiveness of referrals and linkages
				to other mental health and social services;
4. Review transfers from the STCF to State
				psychiatric hospitals (as well as direct admissions to State psychiatric
				hospitals) to monitor appropriateness;
5. Identify those concerns which shall be
				considered by an agency's internal quality assurance committee, notify that
				committee, and provide the internal agency committee with any relevant
				information;
6. Investigate and
				make recommendations to DMH & H and county mental health boards regarding
				impediments and obstacles in the acute care system;
7. Discuss additional systems issues within
				the geographic area, and make recommendations to DMH & H and county mental
				health boards;
8. Study the
				medication monitoring services within the geographic area and make
				recommendations for change when necessary;
9. In a case conferencing subcommittee,
				review disputed or problem cases, which are indicative of possible service gaps
				and need systems change.
i. The composition of
				the case conferencing subcommittee shall be limited to relevant parties and
				dependent upon the prior approval of the systems review chair; and
10. Conduct data
				analysis.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 6 - TERMINATION OF SERVICES › Section 10:31-6.1 - Standards for termination of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Consumers will
				be terminated from the screening service for any of the following reasons:
1. The consumer does not meet the standard
				for involuntary commitment and refuses further services;
2. The crisis has been resolved;
3. The consumer has an appointment with
				another service or accepted for ICMS or PACT;
4. The consumer has been voluntarily admitted
				to a hospital or other treatment facility;
5. The consumer has been involuntarily
				committed to treatment; or
6. The
				consumer does not meet the standard for involuntary commitment and is a current
				patient of a facility that can stabilize or treat the consumer or can arrange
				for transport of the individual to an appropriate treatment setting.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 7 - POLICE INVOLVEMENT › Section 10:31-7.1 - Transportation of consumers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A screener may
				request that a law enforcement officer transport an individual to a screening
				service if the screener has, as part of a screening outreach visit, evaluated
				the individual and signed the form prepared by the Division for this purpose
				found at N.J.A.C. 10:31 Appendix D, incorporated herein by reference,
				indicating that the individual may meet the commitment standard and requires
				further evaluation at the screening center.
(b) The screening service shall maintain
				written policies and procedures delineating the circumstances under which a
				police response to a mental health crisis or outreach is to be considered and
				the procedures to be followed in such a case. The fact that a location is a
				private residence shall not be, without additional factors, a justification for
				police involvement.
(c) When a
				screener has reasonable cause to believe that an individual may be in need of
				involuntary commitment, the screener may request that a law enforcement officer
				investigate the situation, but shall not state or imply to the officer that
				transport is being authorized by the screener. If, on the basis of personal
				observation, the law enforcement officer has reasonable cause to believe that
				the individual is in need of involuntary commitment, the individual shall be
				transported to the screening service by the law enforcement officer for further
				evaluation. The screening service staff shall maintain contact with the law
				enforcement agency to determine the outcome of the investigation for those
				consumers who are not brought to the screening service.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 7 - POLICE INVOLVEMENT › Section 10:31-7.2 - Police request for evaluation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A screening
				service shall evaluate an individual who is brought to the screening service by
				a law enforcement officer if, based on personal observation, that officer has
				reason to believe that the individual meets the commitment standard.
(b) A screening service shall provide,
				whenever possible, mobile screening outreach at the request of a law
				enforcement officer if the screening service determines that, based on
				clinically relevant information provided by a law enforcement officer with
				personal knowledge of the individual subject to screening, that the person may
				need involuntary commitment and is unwilling or unable to come to the screening
				service for an assessment.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 7 - POLICE INVOLVEMENT › Section 10:31-7.3 - Provision of security

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A screener may
				request that a law enforcement officer shall remain at the screening service
				whenever his or her presence is necessary to protect the safety of the consumer
				or other individuals. He or she shall request that the officer remain at the
				screening service until the situation is secured.
(b) The screening service shall have written
				procedures describing the circumstances under which a screener may request
				continuation of police involvement at a screening service.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 8 - CONSUMERS' RIGHTS › Section 10:31-8.1 - Consumers' rights

Current through Register Vol. 56, No. 14, July 15, 2024
P.L. 1991, c. 233 establishes rights for consumers receiving
				  screening services, including psychiatric emergency services provided in a
				  general hospital unit pursuant to a written affiliation agreement with a
				  screening service. These services shall be provided in compliance with all
				  applicable statutory and regulatory provisions.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 9 - CONTINUED QUALITY IMPROVEMENT › Section 10:31-9.1 - Continued quality improvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The quality and
				appropriateness of care and services provided by the screening
				service/affiliated emergency service are monitored and evaluated in accordance
				with the agency's continued quality improvement plan and Division standards for
				continued quality improvement as defined at N.J.A.C. 10:37-9.
1. The screening service or AES coordinator
				or designee is responsible for implementing the monitoring and evaluation
				process.
2. Information analyzed
				shall include, but not be limited to, access to screening, appropriateness of
				commitment, use and frequency of mobile outreach, including police involvement,
				quality of telepsychiatry services, if applicable, provision of telepsychiatry
				services in adherence to requirements enumerated in
N.J.A.C.
				10:31-2.3(i)
1, and
				systems review data.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 10 - PLANNING › Section 10:31-10.1 - Designation of screening services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Pursuant to
				30:4-27.4, the Division shall
				designate a screening service in each geographic area. Although a geographic
				area will usually consist of a county, depending on geographic size,
				population, demographics or other factors, the Division may designate a portion
				of a county or a multi-county area as a geographic area.
(b) Beginning in 2011, and in each year
				thereafter, the Division shall designate a screening service for each of the
				State's geographic areas for a period of up to seven years at the conclusion of
				the process concerning the awarding of public contracts through public
				solicitation of bids or, in accordance with emergency designation procedures
				delineated in
				10:31-10.2.
1. In the year prior to the year of
				designation, the Division shall notify the public, through a notice published
				in the New Jersey Register and news media and posted on its website, that it is
				accepting applications for screening service designation in certain geographic
				areas.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 10 - PLANNING › Section 10:31-10.2 - Withdrawal of designation as screening service

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division
				may act to withdraw designation status before expiration thereof if one of the
				following occur:
1. The screening service
				notifies the Division of its intent to terminate its contract for no
				cause;
2. The Division notifies the
				screening service that the contract will be terminated for cause or because of
				default.
i. For purposes of this provision,
				"default" shall mean that the screening service has materially failed to
				fulfill or comply with the terms and conditions of its contract with the
				Division to provide screening services for a geographic area;
3. The screening service has
				failed to comply or is no longer able to comply with the screening law
				(30:4-27.1 et seq.) or this
				chapter;
4. The screening service
				has made a willful misstatement of, or omitted revealing, a material fact or
				facts in its dealings with the Division or the public that have or could have
				impacted on its receipt of designated status in the first instance;
5. The screening service failed to provide
				all information required by this chapter or requested by the
				Division;
6. The screening service
				acted or failed to act in a manner that was or could have been detrimental to
				the Department, consumers, screening service or hospital staff or the general
				public including, but not limited to, adjudged criminal activity that has been
				committed by the screening service staff, board members or officers;
7. Continued designation threatens the
				efficient and expeditious operation of the screening service's mission in the
				Statewide acute care system, such that it interferes with the delivery of vital
				psychiatric services to consumers; or
8. Continued designation presents a risk of
				harm to the health, safety or welfare of consumers, staff or the general
				public.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 10 - PLANNING › Section 10:31-10.3 - Emergency termination or suspension of designation status and interim designation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division
				may act immediately to suspend or terminate the designation status of a
				screening service without following the procedures delineated in
				10:31-10.2, in the event that the
				Division determines that one of the following emergent circumstances exist and
				threatens public health, safety and welfare:
1. A screening service has failed to perform
				its responsibilities in a manner that is consistent with the screening law
				(30:4-27.1 et seq.) and this
				chapter, including, but not limited to, failure to comply with the terms of a
				waiver or waiver conditions;
2. A
				screening service has lost the capacity to comply with the screening law
				(30:4-27.1 et seq.) and this
				chapter; or
3. A significant change
				in conditions has occurred since designation of the screening service that has
				impaired its ability to perform its responsibilities as a designated screening
				service.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 11 - WAIVER › Section 10:31-11.1 - Waiver standards

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division,
				in accordance with the intent and purpose of
				30:4-27.1 et seq., and this
				chapter, may act to relax or waive, with or without conditions, sections of
				this chapter in the specific circumstances presented, if the Division finds the
				following:
1. The rule is not mandated by any
				provision of
				30:4-27.1 et seq.;
2. The provision of screening services in
				accordance with the purpose and procedures contained in
				30:4-27.5 would not be compromised
				if the waiver were to be granted; and
3. No significant risk to the welfare and
				safety of individuals subject to screening services or the staff of designated
				screening or emergency services or the general public, would result from the
				grant of the waiver.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 11 - WAIVER › Section 10:31-11.2 - Procedures for all but personnel-related waivers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A screening
				service seeking a waiver shall submit a written request at the time of the
				annual renewal of its contract, at the designation of its status as a screening
				service, or at any time, should circumstances arise that necessitate a
				waiver.
(b) A screening service
				seeking a waiver of any provision of this chapter, with the exception of the
				standards delineated at N.J.A.C. 10:31-3 and 4, shall submit its request in
				writing to the appropriate Division regional office and shall comply with the
				following procedures:
1. A screening
				service's written waiver request shall:
i.
				Specify the rule(s) or part(s) of the rule(s) for which a waiver is
				requested;
ii. Explain the reasons
				for requesting a waiver, including a statement specifying the type and degree
				of hardship (including, but not limited, to funding limitations) that would
				result if the waiver is not granted; and
iii. Include all documentation supporting the
				waiver request; and
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 11 - WAIVER › Section 10:31-11.3 - Procedures for personnel waivers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Any requested
				waiver of the screening and screening outreach personnel requirements
				delineated at N.J.A.C. 10:31-3 or the affiliated emergency service personnel
				requirements delineated at N.J.A.C. 10:31-4 shall be known as a personnel
				waiver. In the interests of preserving a job candidate's privacy and to avoid
				undue delay in the hiring process, a screening service's request for a
				personnel waiver shall not be required to follow the procedures delineated in
				10:31-11.1 and 11.2, but shall be
				required to meet the following requirements.
1. The screening service shall submit its
				written request only to the Division's regional office. The request need not
				undergo the public review procedures delineated at
				10:31-11.2.
2. The personnel waiver request shall contain
				the information delineated in
				10:31-11.2(b)1 
				and shall include clear clinical or programmatic justification.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Subchapter 11 - WAIVER › Section 10:31-11.4 - Renewal requests and extensions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) To renew a
				waiver originally granted for one year, a screening service shall submit a
				written request to the appropriate Division regional office 60 days prior to
				the waiver's expiration. This request shall meet the standards delineated in
				10:31-11.1(a)  or
				11.3, as applicable.
(b) The
				screening service may request an extension of a waiver granted for less that
				one year by submitting a written request to the appropriate Division regional
				office 60 days prior to its expiration. This request shall meet the standards
				delineated in
				10:31-11.1(a)  or
				11.3, as applicable.
(c)
				Notwithstanding the procedure set forth in (a) and (b) above, the Division,
				upon written request of a screening service, may issue a new waiver or renew an
				existing waiver. The Division may also extend a waiver and/or waiver conditions
				on an emergent basis the Division determines that public health and safety
				concerns require immediate action. Such an issuance or extension shall be
				issued prior to public notice and comment and shall be limited to the time
				period necessary to complete the waiver decision process.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Appendix A

Current through Register Vol. 56, No. 14, July 15, 2024
Click here to
				view image
Click here to
				view image
Click here to
				view image
Click here to
				view image
Click here to
				view image
Click here to
				view image
Click here to
				view image
Click here to
				view image
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 31 - SCREENING AND SCREENING OUTREACH PROGRAM › Appendix D

Current through Register Vol. 56, No. 14, July 15, 2024
STATE OF NEW JERSEY
DEPARTMENT OF HUMAN SERVICES
Division of Mental Health Services
SCREENING OUTREACH
Authorization for Police Transport pursuant to
				N.J.S.A.
				30:4-27.5
Data in
				image
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Subchapter 1 - SCOPE AND PURPOSE › Section 10:32-1.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
This chapter shall apply to psychiatric hospitals listed in
				  30:1-7 and to the Division of
				  Mental Health and Addiction Services in the Department of Human
				  Services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Subchapter 1 - SCOPE AND PURPOSE › Section 10:32-1.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The purpose of these rules is to standardize the use of
				  advance directives for mental health care and to foster the self-directed
				  recovery of persons who have mental illnesses.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Subchapter 1 - SCOPE AND PURPOSE › Section 10:32-1.4 - Annual reporting

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The chief executive officer of each
				psychiatric facility listed in
				30:7-1 shall submit a report to
				the Commissioner of Human Services, through the Division of Mental Health and
				Addiction Services on September 1st every year, about the facility's
				implementation of the New Jersey Mental Health Advance Directives Act. The
				report shall not include patient identifiers, but shall include:
1. The percentage of patients admitted during
				the preceding year who had executed an advance directive before
				admission;
2. The number of
				patients who executed or modified an advance directive for mental health care
				while a patient at the facility;
3.
				The number of advance directives that were challenged by the treating
				professionals at the facility, and in each case why the advance directive was
				challenged, whether and by whom the overriding of the advance directive was
				approved, and whether the patient appealed the override;
4. The number of staff trained to assist
				patients with advance directives (initial and follow-up training);
5. The number of sessions held by the
				administration for professional staff to explain their legal obligations under
				the Act and these rules;
6. The
				number of persons who are discharged with an advance directive; and
7. A narrative that describes any systemic
				problems encountered during the year in the implementation of the act, problems
				in accessing the registry, complaints from patients or families, or other
				issues.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Subchapter 1 - SCOPE AND PURPOSE › Section 10:32-1.5 - Policies at psychiatric facilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every
				psychiatric facility listed at
				30:1-7 shall develop policies and
				procedures that require appropriate clinical staff to:
1. Inform current patients of:
i. The availability of advance directives for
				mental health; and
ii. The
				availability of the State's voluntary registry;
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Subchapter 1 - SCOPE AND PURPOSE › Section 10:32-1.6 - Reporting of interference with patient rights to have or invoke an advance directive

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A psychiatric facility shall report to
				the Department, by a written report to the Assistant Commissioner for Mental
				Health and Addiction Services, every incident in which an employee has
				materially failed to comply with the policies required by
				10:32-1.5.
1. Notification of the Assistant Commissioner
				shall occur no later than five business days after the facility substantiates
				the event and shall be made in a form and manner prescribed by the Division.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Subchapter 2 - REGISTRY OF MENTAL HEALTH CARE DIRECTIVES › Section 10:32-2.1 - Creation and maintenance of a registry of mental health care directives

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division shall create an
				internet-based registry that contains information about the advance directives
				for mental health care of individuals who choose to submit such
				information.
(b) The information
				shall be submitted either electronically or on paper on a registry form
				developed by the Division, Chapter Appendix B, incorporated herein by
				reference, that shall be available to all licensed mental health programs and
				to the public through the Department or Division website.
(c) The registry form (N.J.A.C. 10:32
				Appendix B) shall be an addendum to the standard advance directives for mental
				health treatment form (N.J.A.C. 10:32 Appendix A) published by the Division of
				Mental Health and Addiction Services, but shall clearly be an optional portion
				of the form, and shall be separately witnessed or executed electronically
				through a secure website with appropriate safeguards to prevent fraudulent
				access or registration.
(d) Only
				DMHAS staff, declarants, licensed independent practitioners, and mental health
				screeners certified by the Division of Mental Health and Addiction Services
				pursuant to
				10:31-3.3, and employed by a
				designated screening service shall be authorized to access information on the
				registry. Information on the registry shall only be accessed by persons other
				than the declarant for purposes of maintenance of the registry or of
				ascertaining the wishes of a declarant who has registered his or her advance
				directive, and shall be treated as confidential protected health
				information.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Subchapter 2 - REGISTRY OF MENTAL HEALTH CARE DIRECTIVES › Section 10:32-2.2 - Access to the registry

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An authorized
				person may access the registry through the Internet,
http://www.state.nj.us/humanservices/dmhs/wellness_recovery.htm
,
				24-hours a day, seven days a week, or on the telephone at 1-800-382-6717 during
				weekday business hours by providing a password by the Division of Mental Health
				and Addiction Services pursuant to (b) or (c) below.
(b)The Division of Mental Health and
				Addiction Services shall provide a user name and password to any licensed
				independent practitioner or a person who is certified as a mental health
				screener pursuant to
				10:31-3.3 upon the request of that
				person and receipt of proof of the license or certification.
1. A person who obtains a user name and
				password shall keep that user name and password confidential and shall use it
				to access information only about a person to whom they are a responsible mental
				health professional as defined in these rules and who has provided a name,
				social security number, or other unique identifier to the licensed or certified
				provider for purposes of accessing the advance directive or for purposes of
				treatment or payment. The purposeful misuse or disclosure of a password, or
				failure to report the accidental disclosure of a password, shall be cause to
				revoke that person's privilege to access the database.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 32 - ADVANCE DIRECTIVES FOR MENTAL HEALTH CARE › Appendix B

Current through Register Vol. 56, No. 14, July 15, 2024
Registration
I hereby submit my mental health advance directive to the
				Division of Mental Health and Addiction Services in the
New Jersey Department of Human Services to be registered. I
				choose the following password that will permit access for me and anyone with
				whom I share it.
__________________________________
I further understand that a licensed health care provider who
				is providing me with mental health care may be able to access my directive if
				needed. No other person will be permitted to see the directive (except as
				required for administration of the registry) without my permission.
___________________________________
Signature
Print Name: _________________________ , contact information
				for confirmation:
___________________________________
Witness:
____________________________________
Dated: ______________________________
Send original to: NJDMHAS Registry, 222 S. Warren Street, PO
				Box 700, Trenton, NJ 08625-0700 and attach a copy of your entire mental health
				care advance directive. You may also submit other documents to be registered
				that affect your legal ability to consent, such as a health care advance
				directive, durable power of attorney, temporary or limited guardianship orders,
				etc., which the registry will accept in its discretion.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 1 - GENERAL PROVISIONS › Section 10:35-1.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
This chapter shall apply to the operation of the four current
				  county psychiatric facilities at New Bridge Medical Center; Essex County
				  Hospital Center; Meadowview Psychiatric Hospital; and Cornerstone Behavioral
				  Health Hospital of Union County. This chapter shall also apply to any
				  additional county psychiatric facilities, which may be so designated by the
				  Commissioner in the future.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 1 - GENERAL PROVISIONS › Section 10:35-1.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The purpose of this chapter is to promote efficiency,
				  accessibility, and high-quality services within the county psychiatric
				  facilities as part of a publicly funded well-coordinated and integrated
				  Statewide system of mental health services. In order to best accomplish this
				  purpose, the Commissioner hereby delegates certain authority granted by P.L.
				  1990, c. 73 to the Assistant Commissioner as detailed throughout this
				  chapter.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 1 - GENERAL PROVISIONS › Section 10:35-1.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, as used in this chapter, shall
				  have the following meanings, unless the context clearly indicates
				  otherwise.
"Assistant Commissioner" means the Assistant Commissioner of
				  the Division of Mental Health and Addiction Services.
"Commissioner" means the Commissioner of the Department of
				  Human Services.
"Compliance with Federal standards" means meeting the
				  Medicare certification requirements in units for patients who require a level
				  of care consistent with such Medicare certification.
"Compliance with State standards" means meeting the
				  applicable licensure requirements of the New Jersey Department of
				  Health.
"County psychiatric facility" means a psychiatric hospital
				  or unit which is operated by the governing body of a county and which
				  participates in the State aid program of the Department of Human Services,
				  Division of Mental Health and Addiction Services.
"Department" means the New Jersey Department of Human
				  Services.
"Division" means the New Jersey Division of Mental Health
				  and Addiction Services within the Department of Human Services.
"Governing body of a county" means the office of the county
				  executive. In those counties without a county executive it shall mean the
				  county board of chosen freeholders.
"Plan" means financial and management plan submitted by the
				  governing body of a county.
"Regional State psychiatric facility" means those State
				  psychiatric hospitals listed at
				  N.J.S.A.
				  30:1-7, which are being utilized to treat
				  adult psychiatric patients within designated regions of the State. These
				  facilities are Ancora Psychiatric Hospital, Greystone Park Psychiatric
				  Hospital, and Trenton Psychiatric Hospital.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 2 - FINANCIAL AND MANAGEMENT PLAN › Section 10:35-2.1 - Purpose and deadline of plan

Current through Register Vol. 56, No. 14, July 15, 2024
The governing body of each county that operates a county
				  psychiatric facility shall submit to the Assistant Commissioner a plan no later
				  than December 31 of each calendar year so that the purpose articulated at
				  10:35-1.2 above may be achieved.
				  In addition to the information listed at
				  10:35-2.2, the plan may need to
				  include additional program or fiscal information deemed essential by the
				  Assistant Commissioner to fulfill the duties mandated by P.L. 1990, c. 73. If
				  any such additional information is needed, it shall be so requested in writing
				  by the Assistant Commissioner.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 2 - FINANCIAL AND MANAGEMENT PLAN › Section 10:35-2.2 - Content of plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The plan from each county psychiatric
				facility shall minimally include the following information:
1. A statement of whether the governing body
				of the county intends to continue to operate or privatize a county psychiatric
				facility for the next calendar year. Should the governing body of the county
				intend to privatize the county psychiatric facility, the plan must minimally
				include the following:
i. The reason for
				privatization and whether or not the county intends to fully privatize or to
				operate via a lease back option through the new owner;
ii. The anticipated timeframe for
				sale;
iii. An attestation that the
				county will keep the Assistant Commissioner apprised of the status of planning
				activities (including when the solicitation for bids will be issued, any public
				meetings that will be held, when the New Jersey Department of Health will be
				notified to either request a change in certificate of need and/or transfer of
				license, award of proposal); and
iv. An attestation that the county will work
				collaboratively with the Division through the transition to ensure safe and
				quality continued care for the patients of the county psychiatric hospital and
				to facilitate a smooth transition for the local system of care;
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 2 - FINANCIAL AND MANAGEMENT PLAN › Section 10:35-2.3 - Annual certification process

Current through Register Vol. 56, No. 14, July 15, 2024
On or before December 31 of each year, the governing body of
				  each county shall submit written certification to the Assistant Commissioner as
				  to the accuracy of information submitted and that information contained in the
				  previously submitted plan remains in effect without change, if that is
				  so.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 2 - FINANCIAL AND MANAGEMENT PLAN › Section 10:35-2.4 - Modifications to the plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If changes to
				the plan are anticipated for the next year, the governing body of each county
				shall submit written notification and description of the modifications to the
				Assistant Commissioner on or before December 31 of the preceding
				year.
(b) If modifications occur
				subsequent to the annual certification, these changes must be reported
				immediately, in writing, to the Assistant Commissioner.
(c) Facility or program modifications that
				would require a Certificate of Need (CN) as established by rules promulgated by
				the New Jersey Department of Health must be specified in a letter of intent to
				the Assistant Commissioner, concurrent with the notification to the Department
				of Health.
(d) Modifications that
				do not require a CN but that would have an impact on the provision of services
				within the New Jersey mental health system, require six months advance notice
				to the Assistant Commissioner prior to implementing any program or facility
				modification.
(e) The governing
				body of each county shall immediately inform the Assistant Commissioner, in
				writing, of any changes in the status of the county psychiatric facility's
				licensure, accreditation, or certification, as these occur during the
				year.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 2 - FINANCIAL AND MANAGEMENT PLAN › Section 10:35-2.5 - Division review of initial and modified plans and annual certification

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Assistant Commissioner shall complete
				the review of each county psychiatric facility's plan and notify, in writing,
				the governing body of the county of his or her decision to approve or approve
				with conditions, the county's plan guiding the operations of its respective
				county psychiatric facility within 90 days of the plan's receipt.
(b) If the county's plan receives conditional
				approval, the governing body of the county shall satisfactorily address the
				outstanding issues within 90 days of notification. Proposed modifications to
				the plan may be discussed and negotiated with the Assistant Commissioner or the
				Assistant Commissioner's designee within this 90-day period.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 3 - AFFILIATION AGREEMENT DEVELOPMENT › Section 10:35-3.1 - Affiliation agreement development

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each county
				psychiatric facility shall negotiate and develop affiliation agreements with
				designated screening programs (as defined at
				10:31-1.3)
				, community based short term care facilities (as defined at
				10:31-1.3)
				, Division contracted community mental health services, (for example liaison,
				case management, partial care, residential) and State psychiatric
				facilities.
(b) The purpose of
				these agreements shall be to effectively link the county psychiatric facility's
				services to these other services so that accessible, high quality mental health
				care is provided in the most clinically appropriate, least restrictive service
				environment, consistent with an individual's needs.
(c) These agreements shall be consistent with
				the county psychiatric facility's mission statement, plan and
				license.
(d) Minimally, affiliation
				agreements shall include a description of each party's program components, as
				well as the referral and admissions process. The admission process shall
				specify inclusionary and exclusionary criteria. A section providing a
				description of the treatment planning process, length of stay objectives and
				the discharge planning process shall also be included in the affiliation
				agreement.
(e) Staff associated
				with Programs of Assertive Community Treatment and Integrated Case Management
				Services shall be credentialled and privileged to participate in treatment team
				and discharge planning processes.
(f) Each affiliation agreement shall contain
				a section identifying a problem resolution process agreed to by the
				signatories.
(g) The process and
				general procedures for referrals to and transfers among affiliating system
				components should be specified within the agreements, along with medical
				clearance procedures (when required).
(h) Affiliation agreements, as stipulated
				above, shall be completed within 180 days of the adoption of these
				rules.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 3 - AFFILIATION AGREEMENT DEVELOPMENT › Section 10:35-3.2 - Review process

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The county psychiatric facility
				affiliation agreements and any subsequent modifications should be developed in
				consultation with the county mental health board's professional advisory
				committee.
(b) The signed
				affiliation agreement shall be provided to the county mental health board on an
				annual basis.
(c) The signed
				affiliation agreement(s) as approved by the county psychiatric facility or
				their governing body shall be submitted to the Division.
(d) County systems review committees shall
				review the operational aspects of the county psychiatric facility affiliation
				agreements.
(e) Both County and
				Regional State psychiatric facility representatives shall attend the system
				review committee ("SRC") meetings and provide SRC data on the forms used for
				that purpose.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 4 - TRANSFERS BETWEEN REGIONAL STATE AND COUNTY PSYCHIATRIC FACILITIES › Section 10:35-4.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules
				within this subchapter shall apply to patients residing at county psychiatric
				facilities being considered for transfer to a regional State psychiatric
				facility and to patients residing at a regional State psychiatric facility
				being considered for transfer to county psychiatric facilities. No provision
				within these rules is intended to override or replace provisions within valid
				judicial orders regarding patient placement or transfer.
(b) Within the parameters set out within this
				subchapter, the specific process for transfers between Regional State and
				county psychiatric facilities shall be specified within their affiliation
				agreement.
(c) Prior to a patient's
				initial commitment hearing, only emergency transfers may be made. Postponement
				of such hearings beyond 20 days after admission may not be requested by
				hospital staff due to the emergency transfer of a patient.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 35 - COUNTY PSYCHIATRIC FACILITIES › Subchapter 4 - TRANSFERS BETWEEN REGIONAL STATE AND COUNTY PSYCHIATRIC FACILITIES › Section 10:35-4.2 - Basis for transfers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Clinical
				considerations shall always be paramount in any transfer decision. Any of the
				factors described below may serve as a basis for the transfer of a patient:
1. To place him or her in closer proximity to
				family members;
i. If a patient and his or
				her family members disagree on a transfer request based on proximity to family
				members, a clinical determination shall be made by the hospital staff based
				solely on the clinical best interest of the patient;