North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-13 - Mental Health and Retardation Service Units › Chapter 33-13-01 - Licensure of Community Mental Health and Retardation Centers (Service Units) › Section 33-13-01-02 - Direct services

Current through Supplement No. 393, July, 2024
1.
Inpatient
				care.
a. Principle. The inpatient care
				component shall provide twenty-four hour supervised therapeutic care under the
				direction of a physician in a hospital. This service should be utilized only
				when, and for so long as, other services of the center are not appropriate.
The goal of the inpatient care component is to provide
				  appropriate and effective treatment to facilitate the patient's earliest return
				  to the community.
b.
				Standards.
(1) The inpatient care component
				shall have a written statement describing its philosophy and objectives in the
				provision of care to patients with emotional problems.
(a) This written statement shall include a
				statement of the primary diagnostic and treatment modalities utilized.
(b) This written statement shall
				delineate the interrelationship of the inpatient care component and its
				personnel with other components.
(2) The inpatient care component shall
				provide an intensive treatment program in a therapeutic environment. There
				shall be documentation that an evaluation of the needs of the patient has been
				conducted within twenty-four hours of the patient's entry into the inpatient
				care component.
(a) This evaluation shall be
				carried out by or under the supervision of a qualified physician.
(b) The process and results of this
				evaluation shall be documented in the patient's inpatient record.
(3) There shall be a written,
				individualized treatment plan based on the diagnostic assessment of the
				patient's needs.
(a) Any mental health
				professional may be involved in the patient's treatment under the supervision
				of a physician.
(b) The treatment
				plan shall be aimed at moving the patient from the inpatient care component
				into another care component of the center, or into the community as soon as the
				patient is sufficiently improved.
(4) The inpatient care component shall be
				reasonably accessible and immediately available.
(a) Patients who need inpatient care shall be
				hospitalized without delay.
(b) In
				the event that all inpatient care beds are filled, the center has the
				responsibility for arranging a suitable place for the patient's care.
(5) Whenever possible,
				a person shall be admitted voluntarily to the inpatient care component.
				However, the center shall be prepared to receive clients who are committed to
				the inpatient care component through legal action.
(6) The inpatient care component shall be
				structurally suitable to assure the patient of privacy when the patient desires
				it, and to encourage therapeutic interaction between patients and staff
				members.
(7) Hospital inpatient
				care facilities, staffing, records, procedures, and programs shall meet the
				requirements for licensure by the state of North Dakota and, if appropriate,
				meet the requirements for accreditation by the joint commission on
				accreditation of hospitals.