reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 12 - LICENSING, SITE REVIEW, AND WAIVERS › Section 10:37A-12.14 - Emergency situation

Current through Register Vol. 56, No. 14, July 15, 2024
DOH , when it determines that the health, safety, or welfare
				  of the consumers warrant it, may immediately suspend the license of a PA, and
				  take the necessary action to ensure the well-being of consumers. The PA shall
				  have the right to make a written request to the DOH Commissioner for a review
				  of an emergency license suspension. The DOH Commissioner, or designee, shall
				  review this request on an expedited basis. The PA shall have the right to
				  appeal the DOH Commissioner's decision by requesting an administrative hearing
				  pursuant to the Administrative Procedure Act, N.J.S.A. 52:14B-1 et seq., and
				  52:14F-1 et seq., and the Uniform Administrative Procedure Rules, N.J.A.C.
				  1:1.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Appendix B - GUIDING PRINCIPLES

Current through Register Vol. 56, No. 14, July 15, 2024
Supportive Housing Principles
The supportive housing principles are as follows:
1. Where appropriate, consumers shall have access to
				affordable, lease-based housing linked with flexible community mental health
				rehabilitation services designed to meet their varying needs as they change
				over time.
2. The goal shall be for every consumer to sign a lease, have
				the opportunity, where necessary, to sign a consumer rental subsidy agreement,
				have all tenancy protections afforded under New Jersey law, pay the rent, hold
				the key to the residence, and control who else holds or has access to a
				key.
3. A consumer's housing is not conditioned on his or her
				acceptance of, attendance at, participation in, or compliance with treatment
				programming.
Wellness and Recovery Principles
The wellness and recovery principles that guide all Division
				programs are as follows:
1. As a result of their relationships and connections with a
				residential or services program, consumers can justifiably expect that they
				will acquire tools and strategies to self-manage their illness and improve
				their quality of life;
2. Provider agency staff shall assist and support consumers in
				identifying and building upon their strengths in order to better address needs,
				preferences, and goals;
3. Any supervised or supportive residence environment shall
				encourage an atmosphere of wellness and recovery, and emphasize individual
				dignity and respect;
4. As recovery is most often a process, not an event, every
				provider agency shall address the needs of consumers over time and across
				different levels of disability, and shall perform regular assessments to assure
				that services meet identified needs;
5. Recovery principles shall be applied to the full range of
				residential, engagement, intervention, treatment, rehabilitation, and
				supportive services that a consumer may need;
6. As a recovery-oriented system, a residential program shall
				have the stated goal of sustaining wellness and recovery for consumers beyond
				enrollment in the program and shall engage and assist consumers in care in
				order that they can achieve, where available and appropriate, a degree of
				stability and recovery over a long period of time in the least restrictive
				environment possible to promote individual growth and safety;
7. Whenever possible, services provided by the provider agency
				shall be provided using the consumer's natural supports;
8. Supervised housing staff shall provide skill-building
				activities that empower consumers to achieve an improved sense of mastery over
				their disabilities and shall assist consumers in developing or regaining a
				meaningful sense of membership in the community; and
9. The residential staff shall incorporate evidence-based
				practices in the full complement of intervention strategies.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 1 - GENERAL PROVISIONS › Section 10:37B-1.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) This
				chapter sets forth program standards required of providers of community support
				services for adults with serious mental illness in the State of New
				Jersey.
(b) Community support
				services are rehabilitation services that are intended to increase consumer
				choice in terms of the substance of the service provided and the provider, and
				to involve the consumer in the development of an individualized rehabilitation
				plan that will enhance or maintain the ability of an individual who has been
				diagnosed with a mental illness to achieve and maintain valued life roles in
				employment, education, housing, and social environments.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 1 - GENERAL PROVISIONS › Section 10:37B-1.3 - Wellness and recovery principles

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Providers of community support services shall operate their programs in
				accordance with wellness and recovery principles, including, but not limited,
				to the following principles specific to community support services:
1. As a result of their relationships and
				connections with a community support services PA, consumers can justifiably
				expect that they will acquire tools and strategies to self-manage their illness
				and improve their quality of life;
2. PA staff shall assist and support
				consumers in identifying and building upon their strengths in order to better
				address needs, preferences and goals;
3. The community support services PA shall
				encourage an atmosphere of wellness and recovery, and emphasize individual
				dignity and respect;
4. As recovery
				is most often a process, not an event, the PA shall address the needs of
				consumers over time and across different levels of disability;
5. Recovery principles shall be applied to
				the full range of residential, engagement, intervention, treatment,
				rehabilitation, and supportive services that a consumer may need;
6. As a recovery-oriented system, a community
				support services program shall have the stated goal of sustaining wellness and
				recovery for the consumers beyond enrollment in the program and shall engage
				and assist consumer in care in order that they can achieve, where available and
				appropriate, a degree of stability and recovery over a long period of time in
				safety;
7. Whenever possible,
				community support services shall be provided using the consumer's natural
				supports;
8. Staff shall provide
				skill-building activities that empower the consumer to achieve an improved
				sense of mastery over his or her illness and shall assist the consumer in
				regaining a meaningful, constructive sense of membership in the community;
				and
9. The community support
				services program shall incorporate evidence-based practices in the full
				complement of intervention strategies.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 2 - ACCESSING COMMUNITY SUPPORT SERVICES › Section 10:37B-2.1 - Enrollment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division or
				its designee shall evaluate consumers, using an instrument approved by the
				Division for eligibility of community support services (CSS), enroll eligible
				consumers, and refer them to appropriate licensed providers of CSS in the
				appropriate geographic area.
(b) A
				PA shall assess, plan, and provide services to eligible consumers referred by
				the Division who live within the PA's service area as designated in the
				contract or affiliation agreement between the PA and the Division and who agree
				to receive services from the PA by executing a consumer service
				agreement.
(c) The PA shall assign
				a primary service coordinator for each enrolled and admitted consumer and shall
				provide additional staff sufficient to meet needs identified in the
				individualized rehabilitation plan.
(d) The Division or its designee will
				authorize payment for services delivered to enrolled consumers by licensed CSS
				providers upon approval of the preliminary or comprehensive individualized
				rehabilitation plan developed pursuant to
10:37B-2.4(a)
or (b).
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 2 - ACCESSING COMMUNITY SUPPORT SERVICES › Section 10:37B-2.2 - Freedom of choice

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each
				consumer found eligible for community support services may select one agency
				that will be his or her primary services provider.
(b) The Division will make reasonable efforts
				to make choices available in all areas of the State, and to communicate those
				options to consumers.
(c) Within
				each agency, the consumer will have access to a primary service coordinator who
				will be identified as the primary point of contact, and while this person may
				provide a majority of services and interventions, the consumer will have access
				to a team of community support workers.
(d) Consumers have the option of selecting
				different staff within an agency, or a different agency, if desired.
(e) Some community support services may be
				designed to operate as programs for targeted population subgroups of consumers
				who live in consumer-rented or consumer-owned housing, and eligibility for
				those programs may have additional clinical requirements provided in contracts
				with the Division; as such, those programs may not be available to all
				consumers. They currently include "enhanced supportive housing," "medically
				enhanced supportive housing," "at risk (of homelessness) supportive housing,"
				and consumers served by a "residential intensive support team (RIST)" or
				"medically enhanced RIST."
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 2 - ACCESSING COMMUNITY SUPPORT SERVICES › Section 10:37B-2.3 - Rehabilitation needs assessments

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				When documenting that a consumer is eligible for community support services,
				the Division, its designee, or a referring entity, in consultation with the PA
				and the consumer where feasible, shall develop a preliminary rehabilitation
				needs assessment for that consumer, which may include information from any
				prior service provider, any records of prior treatment accessible to the
				Division or the PA, and records that identify community support needs
				documented by a hospital, screening service, health care provider, or a
				licensed PA.
(b) The PA shall
				complete a written comprehensive rehabilitation needs assessment for each
				consumer by the 14th day of admission, every six months for the first year
				after the initial assessment, and annually thereafter.
(c) The development of the written
				comprehensive rehabilitation needs assessment shall be a consumer-driven
				process, informed by a face-to-face evaluation and discussion with the
				consumer.
1. Family members, significant
				others, and other collateral service providers, at the request of the consumer,
				may participate and/or otherwise provide information, providing that their
				involvement is within the bounds of the confidentiality provisions of
N.J.A.C. 10:37-6.79
.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 2 - ACCESSING COMMUNITY SUPPORT SERVICES › Section 10:37B-2.4 - Individualized rehabilitation plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Each eligible consumer shall be admitted with a preliminary individualized
				rehabilitation plan, to be developed with the consumer by the referring agency,
				health care provider, or Division in consultation with the PA, based on the
				medical necessity identified by the referring agency or the Division during the
				eligibility determination process. The preliminary individualized
				rehabilitation plan shall be followed in providing medically necessary services
				for up to 60 calendar days after admission.
(b) No later than 60 days after the consumer
				has been admitted, PA staff shall partner with the consumer to develop and
				implement an individualized rehabilitation plan.
1. Within the parameters established by State
				and Federal confidentiality laws, rules, and regulations, the PA shall consult
				with identified providers and the consumer's significant others in developing
				the individualized rehabilitation plan.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 3 - CONSUMER SERVICE AGREEMENT › Section 10:37B-3.1 - Standard consumer service agreement for all consumers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall develop and submit for
				approval to the Division, prior to use, a consumer service agreement that meets
				the specifications of this subchapter. In addition, the PA shall obtain written
				approval from the Department before deleting, adding, or revising in any way
				the requirements of the consumer service agreement. The initial consumer
				service agreement and any subsequent revisions shall be submitted for approval
				to:
New Jersey Department of Human Services
Division of Mental Health and Addiction Services
PO Box 362
Trenton, NJ 08625-0362
(b) All consumers enrolled in a community
				support services program shall have a written consumer service agreement that
				is reviewed by the consumer prior to acceptance and signed by both the consumer
				and PA upon the consumer's admission and that clearly articulates the roles and
				responsibilities of the PA and the consumer.
(c) The consumer service agreement shall be
				written in a language sufficiently understood by the consumer to assure
				comprehension.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 3 - CONSUMER SERVICE AGREEMENT › Section 10:37B-3.2 - Provisions required in a consumer service agreement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The consumer service agreement shall
				indicate the consumer's written acknowledgement that he or she understands the
				following terms of the agreement:
1. A list
				of available services for which there are no fees;
2. The fees for optional services to be
				provided (if any);
3. The
				consumer's rights (as specified in
10:37-4.5(h)
1 through 6) and responsibilities, including expectations of the
				program and complaint process specified in
10:37-4.6(b)
;
4. A PA shall ensure
				that the consumer is afforded the opportunity to: be supported in an effort to
				achieve the wellness and recovery goals outlined in a fully developed WRAP(R)
				where one is available, and the consumer chooses to use that tool, and in the
				consumer's individualized rehabilitation plan;
5. The consumer's roles and responsibilities
				and consequences for program violations;
6. Service termination procedures;
				and
7. The location and
				accessibility of policy and procedure manuals.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 3 - CONSUMER SERVICE AGREEMENT › Section 10:37B-3.3 - Procedures for review and access to the consumer services agreement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The consumer
				services agreement shall be updated as necessary, shall be reviewed at least
				annually, and discussed with the consumer.
(b) If applicable, a copy of the consumer's
				DMHAS rental subsidy agreement shall be attached to the consumer service
				agreement.
(c) A copy of the signed
				consumer service agreement shall be provided to the consumer and maintained in
				the consumer's record.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 4 - SERVICES › Section 10:37B-4.1 - Purpose and goals

Current through Register Vol. 56, No. 14, July 15, 2024
(a) PA staff
				shall offer a range of services and supports necessary to assist the consumer
				in achieving mental health rehabilitative and recovery goals, including, but
				not limited to:
1. Achieving and maintaining
				valued life roles in the social, employment, physical health, educational,
				and/or housing domains; and
2.
				Restoring or maintaining a consumer's level of functioning to that which allows
				the consumer to achieve community integration and to remain in an independent
				living setting of the consumer's choice.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 4 - SERVICES › Section 10:37B-4.2 - Skills development training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) PA staff shall offer to consumers
				therapeutic skills development training with the aim of promoting community
				integration and restoring the individual to the maximum possible functional
				level by improving functional, social, interpersonal, problem-solving, coping,
				and communication skills.
(b)
				Therapeutic skills development shall involve teaching the consumer the
				physical, cognitive/intellectual, and behavioral skills related to identified
				goals in a focused manner that leads to increased competence and proficiency in
				identified skills.
(c) At a
				minimum, skill teaching in every task or area shall be guided by the following
				principles, and PA staff shall have discussions with consumers about:
1. The skills to be learned, taking into
				account the consumers' past experiences in using the skills, what the skills
				entail, when to use the skills, and the benefits of using the skills;
2. Breaking down the skills into their
				component parts;
3. Showing
				examples of how the skills are correctly used or performed;
4. Arranging opportunities to practice skill
				use in a community setting where the skills are to be used; and
5. Providing evaluation and feedback on skill
				performance.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 4 - SERVICES › Section 10:37B-4.3 - Medication

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each consumer
				taking prescribed or over-the-counter medication shall self-administer his or
				her own medication to the extent possible.
1.
				Self-administration of medication means the consumer removes the individual
				dose of medication from a container provided by a pharmacy, sample medication
				container provided by the prescriber, or a container of non-prescription
				medication, and consumes the medication, places it into another container for
				consumption at a later time, applies the medication externally, or injects him-
				or herself with the medication. Qualified PA staff (including those qualified
				by training to administer diabetes testing and medications) may assist the
				consumer in self-administering the medication or by coaching/monitoring the
				consumer while he or she is self-administering the medication as part of the
				individualized rehabilitation plan.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 4 - SERVICES › Section 10:37B-4.5 - Coordination and management of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall coordinate and manage the
				required services by:
1. Providing oversight
				for the integrated implementation of goals, objectives, and strategies
				identified in the consumer's individualized recovery plan; and assuring stated
				goals, measurable objectives, and strategies are met within established
				timeframes;
2. Assuring all service
				activities are provided, including collaborative consultation and guidance to
				other staff serving the recipient and family, as appropriate; and
3. Monitoring and follow up to determine if
				the services accessed have adequately met the individual's needs.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 4 - SERVICES › Section 10:37B-4.6 - Provision of services identified in an individualized rehabilitation plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Training and
				support services shall be provided as needs are identified in each consumer's
				individualized rehabilitation plan.
(b) Services provided shall include, but not
				be limited to, evidence-based practices. Some evidence-based practices that are
				appropriate for implementing community support services are:
1. Motivational strategies that connect
				information and skills with personal goals, promoting hope and positive
				expectations, exploring the pros and cons of change, and reframing experiences
				in a positive light;
2. Cognitive
				behavioral strategies that include reinforcement, modeling, setting up role
				plays, behavior shaping (providing positive reinforcement in taking small steps
				toward learning a skill or reaching a goal), teaching behavioral tailoring and
				other strategies for medication adherence, cognitive restructuring, coping
				skills enhancement, relaxation training, and social skills training;
3. Educational strategies that include
				interactive teaching, breaking down information into manageable units, checking
				for understanding by asking participants to explain things in their own words,
				encouraging completion of worksheets in order to apply information to oneself,
				and collaborative development of home practice assignments; and
4. Illness management and recovery.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 5 - STAFF QUALIFICATIONS, RESPONSIBILITIES, AND TRAINING › Section 10:37B-5.1 - General requirements

Current through Register Vol. 56, No. 14, July 15, 2024
The PA shall employ a sufficient number of staff to offer
				  and provide all required services to consumers, based upon the numbers of
				  consumers served, the level of functioning and needs of the consumers, the
				  consumers' employment and living situations, and the geographic distribution of
				  the locations where services will be provided. The PA's compliance with this
				  staffing requirement must be approved by the Division and delineated in the
				  applicable purchase of service contracts or affiliation
				  agreements.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 5 - STAFF QUALIFICATIONS, RESPONSIBILITIES, AND TRAINING › Section 10:37B-5.2 - Staffing credentials and responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA may employ licensed physicians,
				psychiatrists, psychologists, advance practice nurses, or registered nurses who
				shall be licensed by the applicable State professional boards. Staff employed
				pursuant to this subsection shall be eligible to provide clinical and/or
				administration supervision and shall be eligible to deliver the following
				specified services, provided that staff is authorized to perform that service
				under their professional licensure, certification, or credentialing standards:
1. Perform a comprehensive rehabilitation
				needs assessment pursuant to N.J.A.C.
				10:37B-2.3;
2. Contribute to the development,
				implementation, monitoring, and updating of the individualized rehabilitation
				plan pursuant to N.J.A.C.
				10:37B-2.4;
3. Perform therapeutic rehabilitative skill
				development pursuant to N.J.A.C.
				10:37B-4.2;
4. Offer services appropriate to meet the
				consumers' needs pursuant to N.J.A.C.
				10:37B-4.6;
5. Perform crisis intervention pursuant to
				N.J.A.C.
				10:37B-4.4(b)24;
				and
6. Coordinate and manage
				services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 5 - STAFF QUALIFICATIONS, RESPONSIBILITIES, AND TRAINING › Section 10:37B-5.3 - Staff training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA
				shall develop, update, administer, and document a comprehensive training
				program and community support services training manual for all staff. The
				training program shall be consistent with the requirements set forth at
N.J.A.C. 10:37D-2.14
and
10:77A-2.4
. The evaluation of staff competencies after
				completion of any training module shall include demonstrated, documented
				evidence of the knowledge and skills acquired by each participating
				employee.
(b) Training manual. The
				training manual shall delineate the curriculum for the topics and subtopics set
				forth in (c) below and shall state the qualifications of individuals or sources
				that will provide training to the staff. The manual shall include a detailed
				description of the information to be covered; the training format to be used;
				any hand-outs, presentation outline, or other training materials to be used;
				and a description of how skill attainment will be measured, including a
				description or sample of any measurement test or instrument.
(c) The training curriculum shall include, at
				a minimum, the following topics:
1. An
				overview of adult mental health rehabilitation services delivery, including:
i. Psychiatric rehabilitation principles and
				methods;
ii. Illness management and
				recovery;
iii. Wellness and
				recovery action planning;
iv.
				Advance directives for mental health care;
v. Professional ethics and boundaries;
				and
vi. Confidentiality;
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 6 - LICENSING COMMUNITY SUPPORT SERVICES PROGRAMS › Section 10:37B-6.1 - Licensure process

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				licensure processes and fees specified at N.J.A.C. 8:121, Licensure Standards
				for Mental Health Programs, shall apply to community support
				services.
(b) A program currently
				licensed as a supportive housing program may be licensed as a community support
				services provider if it has submitted detailed information about its staffing
				and program elements sufficient to satisfy the Department that it is capable of
				delivering appropriate services to eligible consumers and it has signed a
				contract or contract modification with the Division to deliver community
				support services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 7 - TERMINATION OF SERVICES › Section 10:37B-7.1 - Reasons for termination of community support services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The community support services identified
				in the consumer's individualized rehabilitation plan may be terminated only if
				a consumer:
1. Has achieved the
				individualized rehabilitation plan goals and is no longer eligible for further
				services;
2. Refuses services after
				being notified by the PA that a refusal will result in termination of that
				service or all services;
3. Chooses
				another provider;
4. Leaves the
				geographic area served by the PA and services are no longer
				accessible;
5. Is out of contact
				with the community support service provider for a continuous period of 90 days,
				and the PA has attempted to engage the consumer through repeated telephone
				calls, correspondence, and home visits, which shall be documented in the
				clinical record; or
6. Repeatedly
				violates a written rule governing consumer conduct, which is reasonable both on
				its face and in its application, after the PA delivers to the consumer a
				written notice to cease violating such rule.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 7 - TERMINATION OF SERVICES › Section 10:37B-7.2 - Consumer-initiated termination

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the
				consumer is terminated pursuant to
10:37B-7.1(a)
1 through 4, the PA shall notify the Division that the consumer is no
				longer receiving services from the PA.
(b) If the program staff has reason to
				believe that the consumer is relocating to another community within the State
				not served by the PA, the PA shall provide the consumer with the names and
				contact information for any community support services programs that serve that
				geographic location, and shall advise the Division to notify those programs
				that an eligible consumer has moved to the area.
(c) Transfer of records and any verbal
				communication between PAs shall be accomplished in compliance with Federal and
				State confidentiality laws, rule, and regulations if and when the consumer
				agrees to receive services from another community support services provider.
				PAs can share information pursuant to Federal law, so long as the disclosure is
				with another PA under contract with the Division in compliance with
30:4-24.3
, or if the
				consumer has given written authorization for the disclosure.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 7 - TERMINATION OF SERVICES › Section 10:37B-7.3 - Termination by the community support services program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the consumer is terminated pursuant to
				N.J.A.C.
				10:37B-7.1(a)5  or 6, the PA
				shall notify the Division of the reasons for the termination and shall notify
				the consumer of his or her right to file a complaint pursuant to
				N.J.A.C.
				10:37-4.6. The PA shall submit to the
				Division, upon its request, any records relating to the services provided to
				the consumer, and copies of any rule, policy, notifications, attempts to
				contact or engage the consumer, or any other writing that documents the
				circumstances that led to the termination of services.
(b) The Division shall notify the Department
				of the rule violated in any termination pursuant to
				N.J.A.C.
				10:37B-9.1(a), and at the
				time of the next licensure review, the Department shall ensure that the rule
				was agreed to by all consumers who have signed a consumer service agreement and
				is reasonable, both on its face and as applied.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 8 - CONTINUOUS QUALITY IMPROVEMENT › Section 10:37B-8.1 - Continuous quality improvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				The PA shall develop and implement written policies and procedures for a
				continuous quality improvement program that meet the quality assurance
				requirements for community agencies in N.J.A.C. 10:37-9. In addition, the PA
				shall ensure, through its continuous quality improvement program that community
				support services conform to the program requirements for licensure specified in
				this chapter.
(b) Areas to be
				monitored and evaluated include the following:
1. Adequacy of planning for more independence
				in housing, education, activities of daily living, employment, and social
				environments, and reduction of service intensity.
i. Barriers to reducing reliance on community
				support services shall be reviewed annually.
ii. Barriers to transfer to a more integrated
				setting shall be reviewed annually for any consumer receiving community support
				services.
iii. Review findings
				shall be forwarded to the agency quality improvement oversight or utilization
				review committee for review and follow-up and shall be available at the time of
				a licensing review; and
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 9 - HEARINGS, APPEALS, COMPLAINTS › Section 10:37B-9.1 - Development and communication of complaint procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All PAs shall establish internal
				complaint procedures, which will be subject to DOH review and approval at the
				time of initial licensing and licensing renewal. Complaint procedures shall
				allow for a consumer, or his or her designee, to report a grievance to an
				identified administrator of the PA regarding services provided or which failed
				to be provided, to seek appropriate redress related thereto, and to have
				corrective action taken as might be warranted.
(b) The policy and procedure for consumer
				complaints shall be posted in a public place at the PA office site and a copy
				shall be given to each consumer upon admission to the program.
(c) Any invocation of the complaint procedure
				shall be documented in the consumer's clinical record.
(d) No consumer shall be subject to
				retaliation of any form by the PA because of the filing of a complaint or
				cooperation with an internal or external investigation of a
				complaint.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 9 - HEARINGS, APPEALS, COMPLAINTS › Section 10:37B-9.2 - Hearings, appeals process, ombudsperson

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall comply with
10:37-4.6(c)
through (f).
(b)
				Administrative hearings regarding final Department decisions will be conducted
				in accordance with the Administrative Procedure Act,
52:14B-1
et seq. and
52:14F-1
et seq., and the Uniform Administrative Procedure
				Rules,
N.J.A.C. 1:1
.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 10 - RECORDKEEPING › Section 10:37B-10.1 - Recordkeeping

Current through Register Vol. 56, No. 14, July 15, 2024
The PA shall create a record for each consumer who receives
				  CSS that shall document all assessments, individualized rehabilitation plans,
				  and other services required to be provided by this chapter or any other
				  applicable rules, and shall also include in that record, as needed, progress
				  notes, financial records, and a termination summary at the time of separation
				  of the consumer from the services provided under this
				  chapter.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 10 - RECORDKEEPING › Section 10:37B-10.2 - Progress notes

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				document and maintain progress notes for each consumer for each encounter and
				in times of crisis and transition.
(b) Progress notes shall indicate the level
				of goal attainment for goals set forth in the individualized rehabilitation
				plan, services provided, significant events, and contacts with other service
				providers. PA staff shall use the information contained in progress notes to
				recommend frequency of contact.
(c)
				PA staff shall sign, date, and indicate the time of entry for every progress
				note they write and shall include their staff titles and credentials.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 10 - RECORDKEEPING › Section 10:37B-10.3 - Termination summary

Current through Register Vol. 56, No. 14, July 15, 2024
(a) PA
				staff shall complete a termination summary for all consumers within 30 days of
				the termination of community support services.
(b) The termination summary required under
				(a) above shall include the following information:
1. The primary presenting
				problem(s);
2. The services
				provided and the consumer's response;
3. The consumer's clinical condition at the
				time of separation from the program;
4. Any recommendations and referrals,
				including medications;
5. The
				reason for program termination; and
6. The consumer's housing address/housing
				status at termination if applicable.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 10 - RECORDKEEPING › Section 10:37B-10.4 - Other records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In
				addition to the recordkeeping requirements in
N.J.A.C.
				10:37-6.73
,
6.74
,
6.76
,
6.77
, and
6.79
, PAs
				who charge consumers fees shall keep appropriate financial records.
(b) Financial records shall include specific
				charges for all service-related items applicable to each consumer.
(c) The PA shall make available, to the
				consumer, any and all financial records related to fees charged to that
				consumer.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 11 - POLICIES AND PROCEDURES MANUAL › Section 10:37B-11.1 - Written policies and procedures manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each provider agency shall develop,
				implement, maintain, and revise, as necessary, a written policies and
				procedures manual to ensure that the PA's service delivery system,
				organizational structure, and management structure comply with applicable
				statutory and regulatory provisions.
(b) The PA shall document the extent to which
				consumers and their families were meaningfully and integrally involved in the
				development and revision of the manual. The manual shall be available for
				review by consumers and their families upon request.
(c) The PA's manual shall:
1. Be reviewed annually by PA staff, as
				evidenced by dated signatures of the reviewer(s);
2. Be readily available for consultation by
				direct care staff at all times; and
3. Guide the staff on conformance with the
				principles and requirements in this chapter and any other applicable
				rules.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES › Subchapter 11 - POLICIES AND PROCEDURES MANUAL › Section 10:37B-11.2 - Content of the policies and procedures manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA's policies and procedures shall
				set forth the required parameters and processes in sufficient detail to guide
				staff in the performance of their duties and to give clear notice to consumers,
				families, and other interested parties as to the services provided, consumers'
				rights, and consumers' responsibilities expected in the program.
(b) Participation criteria. The manual shall
				have a section dedicated to inclusionary and exclusionary criteria to be used
				by the PA in determining whether a particular consumer could benefit from
				community support services. The participation criteria shall:
1. Comply with the standards set forth in
				N.J.A.C. 10:37B-2.1 and requirements in
				affiliation agreements or contracts with the Division; and
2. Specify intake procedures that are
				consistent with
				N.J.A.C.
				10:37B-2.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37D-1.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) This chapter applies to provider agencies
				(PAs) as defined in
				N.J.A.C.
				10:37D-1.2.
(b) The purposes of this chapter are to:
1. Promote:
i. Client-centered* services that provide
				high-quality, accessible, and innovative treatment;
ii. Creativity and responsiveness to client
				and staff needs; and
iii.
				Goal-directed services; and
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37D-1.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The words and terms in this chapter shall have the following
				  meanings, unless the context clearly indicates otherwise:
"Department" means the Department of Human Services.
"Division" means the Division of Mental Health and Addiction
				  Services.
"Provider agency (PA)" means an agency with which the
				  Division contracts or affiliates to provide specific direct mental health
				  services to clients.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.1 - Table of organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				have a written table of organization.
1. The
				table of organization shall clearly delineate staff accountability and the
				chain of command of the PA.
2. The
				table of organization shall be revised within 90 days of any major change in
				the PA organizational structure.
3.
				The table of organization shall be approved by the governing board.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.2 - Policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				develop policies and procedures to adequately guide PA operations to meet
				organizational, fiscal, programmatic, and management objectives.
1. Each PA shall ensure that agency policies
				and procedures are written, distributed to staff and clients, when relevant,
				and consistently enforced and monitored.
i.
				PA written policies and procedures shall include, but not be limited to, the
				following: client behavior management or modification systems (that is,
				rewards, privileges) and medication safety and storage.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.3 - Service accessibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				make services accessible to clients.
1.
				Mental health services shall be available at times and locations which provide
				all clients access to the services.
2. All services shall be accessible to
				individuals with disabilities.
3.
				Through careful attention to ethnic, racial, primary language, and other
				characteristics, the PA shall assure that services provided to clients are
				culturally sensitive, culturally competent and in a language sufficiently well
				understood by the client to assure comprehension.
4. Each PA shall provide a written sliding
				fee scale for clients based on their ability to pay, and inability to pay for
				services shall not preclude the receipt of services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.4 - Staff communications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				documentation that managers provide staff with the information they need to
				effectively perform the functions of their assigned tasks.
1. Methods for communicating information may
				include staff meetings, written memoranda, PA internal website for staff use,
				and supervisory meetings. Documentation that such communication exists may
				include evidence of staff and supervisory meetings and informational
				memoranda.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.5 - Environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall maintain a clean and safe
				environment which promotes dignity and self respect for staff and clients.
1. Each PA shall demonstrate compliance to
				all applicable codes governing building, fire, safety, and health requirements
				in the State, county, and municipality in which the licensed program is
				located.
2. There shall be
				sufficient space allocated for the programs and activities provided.
3. There shall be sufficient space to allow
				for privacy for individual, group or family sessions.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.6 - Quality assurance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Managers in
				each PA shall participate in and support their quality assurance program.
1. There shall be documented evidence that
				information resulting from the quality assurance process is reviewed and used
				by management to promote and enhance the mission, goals and objectives of the
				organization.
2. There shall be
				evidence that management provides input into the agency's quality assurance
				process as required at N.J.A.C. 10:37-9.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.7 - Management information system

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				develop a computerized or manual management information system which provides
				information to support the goals and objectives of the organization and the
				provision of high quality client-centered services.
1. The management information system may
				include, but need not be limited to, data on admissions, diagnoses, wait for
				service, referral sources, discharges, dropouts, readmissions, incidents,
				direct service staff activities, staff caseloads, frequency of services, and
				types of service modalities.
2. The
				information collected shall be used by management to assess accessibility of
				services and appropriateness of staffing, and to assist in management
				decision-making.
3. The PA's
				management information system shall be able to generate all routine system-wide
				contract and client registry data required by the Division.
4. Client information that is contained in
				the management information system shall be safeguarded to protect
				confidentiality.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.8 - Coordination of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				develop methods to coordinate services between providers who serve mutual
				clients to ensure continuity of care.
1.
				Procedures to coordinate services shall ensure that clients' treatment goals
				and objectives are consistently reinforced and that the services provided are
				complementary.