reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.71 - Setting

Current through Register Vol. 56, No. 14, July 15, 2024
Workshops, lectures, discussion groups and programs may be
				  held on-site or off-site. Outreach attempts must be made to reach gatekeepers,
				  human service agencies and natural support systems.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.74 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Systems
				Advocacy Services shall be available to the State target populations, as well
				as any underserved groups or geographical areas defined in an approved county
				plan.
(b) SA services shall provide
				clients with a cluster of services that shall be available to the client,
				independent of and in addition to the mental health and other services that the
				client may require, desire, and/or currently be receiving. For example, SA
				Services may provide individual support, lay advocacy, legal representation,
				companionship, and, where necessary, service procurement, to clients in
				institutional, community agency, and/or natural settings.
(c) The systems advocate may promote client
				interest through participation in the development, implementation, and/or
				monitoring of Individual Service Plans for specific target population
				clients.
(d) The systems advocate
				shall work with the client and providers of service toward achieving the
				highest degree of independence for that client through promoting and
				participating in the progressive utilization of less restrictive, more
				normative settings and services.
(e) The systems advocate shall encourage,
				and, where necessary, ensure continuity and comprehensiveness of care and
				opportunities for community involvement.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.75 - Designation of responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The goal is to
				have a SP Program Element in each county, in order to offer SA services to
				target population clients entering the mental health system. The specific role
				of the SA program in a particular county shall be outlined in an approved
				County Plan and/or in the State Mental Health Plan.
(b) Each SA program shall be sponsored by an
				organization, or a component thereof, independent of a direct mental health or
				other human service provider. Such an entity might be, but is not limited to a
				County Mental Health Association, advocacy group, etc. The Division may waive
				this requirement if an agency presents an organizational structure which
				demonstrates clear administrative autonomy between the advocacy activities and
				the provision of direct services.
1. For the
				purpose of this section, "Direct Services" shall mean the provision of any one
				of the other Program Elements contained in this chapter or related social,
				vocational, and housing services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.76 - Funding requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) SA Program
				Element may be funded by, but is not limited to:
1. Grant-in-aid;
2. Community care and/or Federal
				CMHC;
3. Title XX; and
4. Other State or Federal funding
				sources.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.77 - Population priorities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) SA programs
				shall serve target populations as indicated in
				10:37-5.2.
(b) When appropriate, every attempt shall be
				made to work with the families and other natural supports of all populations
				served.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.78 - Services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Services to be
				provided may include, but shall not be limited to:
1. Service planning: Including, at a minimum,
				participation in preparation of Individual Service Plans, for specified
				clients.
2. Personal advocacy:
i. Monitoring of Individual Service Plan (see
				10:37-5.78(b)5 
				).
ii. Assisting when necessary, or
				requested by client, in service procurement (see
				10:37-5.78(b)2 
				).
iii. Assisting, when requested
				by client, in the initiation of both internal (see
				10:37-4.6 ) and external grievance
				procedures.
iv. Ensuring, and where
				necessary or requested by client, assisting in the utilization of the least
				restrictive, most normative setting/support system.
3. Legal services and procurement of public
				entitlements.
4. Companionship (see
				10:37-5.78(b)4 
				).
5. Service coordination and
				monitoring (see
				10:37-5.78(b)2 
				and 3).
6. Outreach services: At a
				minimum, this shall include efforts to contact boarding homes and other
				residential facilities, in order to familiarize potential clients with the
				above services.
7. Information and
				referral services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.79 - Staff

Current through Register Vol. 56, No. 14, July 15, 2024
(a) SA staff shall
				minimally include:
1. Program Director with
				two years of experience in administration, advocacy, service procurement and
				community organization.
2. SA
				workers, who may be paraprofessionals, with a minimum of two years of
				experience in advocacy, counseling, community organization, service procurement
				or a related area.
3. The
				recruitment of qualified former mental health clients and volunteers shall be
				encouraged.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 5 - PROGRAM ELEMENT REQUIREMENTS › Section 10:37-5.80 - Setting

Current through Register Vol. 56, No. 14, July 15, 2024
(a) SA programs
				shall take place at locations convenient to the client. SA shall establish
				working hours or an on-call capability to provide services to clients at State
				and county hospitals, boarding homes, gatekeepers, courts and mental health
				agencies as needed in the appropriate Service Area(s).
(b) The primary location of SA activities
				should be in the local community with the client.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.1 through 10:37-6.12 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.13 - Compliance requirements

Current through Register Vol. 56, No. 14, July 15, 2024
The Division shall reserve the right to establish conditions
				  and/or consequences for non-compliance with this chapter, which may include but
				  not be limited to: notice of outstanding areas of non-compliance, mandatory
				  phase-in schedules, reduction in funding and/or termination of funding, to
				  become effective subsequent to June 30, 1981.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.14 - Waiver

Current through Register Vol. 56, No. 14, July 15, 2024
For special demonstration projects or for cases in which
				  there are documented, extenuating circumstances, the Division reserves the
				  right to waive any part of this chapter. Requests for such waivers shall be
				  submitted to the Division, and to the County Executive and/or the County Mental
				  Health Board, in writing, and must receive written approval from the Division
				  prior to implementation.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.15 - Appeals

Current through Register Vol. 56, No. 14, July 15, 2024
Agencies funded to provide any of the Mental Health Program
				  Elements described herein and facing reduction or termination in funding, due
				  to non-compliance with this chapter, shall have the right to appeal that
				  decision to the appropriate County Mental Health Board, to the Division
				  Director or designee, to the State Community Mental Health Advisory Board, and
				  then to the Department, in that order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.16 through 10:37-6.18 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.19 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
When a client's Individual Service Plan identifies the need,
				  that client should be enrolled in a Consumer Health Education program(s).
				  Consumer Health Education (CHE) is a type of Daily Living Education Program
				  which includes structured learning experiences to increase competencies.
				  Competency areas include: participation in normative roles of living, as a
				  social being, worker, home manager, consumer and citizen. Community mental
				  health program staff should provide or arrange linkage to appropriate CHE
				  programs as part of ongoing Assessment/Evaluation and Service Procurement
				  processes for clients. As often as possible, a client should be encouraged to
				  enroll in Adult Education and other mainstream educational programs.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.20 - Specific requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) CHE should be
				conceptualized within an educational design and should include courses in the
				following categories:
1. Personal and
				physical health care: To assist individuals with their own physical appearance
				and health; to encourage them to participate in their health care process.
				Includes, but is not limited to: personal hygiene, rest, nutrition, safety,
				visits to physicians, dentists, etc. Sample courses are: Dental Hygiene,
				Self-Medication, Learning about Your Epilepsy, Hypertension, Diabetic
				Self-Care, Coiffure and Cosmetology, Basic Hygiene, Physical Fitness and
				First-Aid.
2. Human behavior: To
				teach individuals aspects of human interaction and to help them incorporate
				positive learned behaviors into their daily lives. Sample courses are:
				Loneliness, Anger, Self-Appraisal, Human Communication, Human Sexuality,
				Women's/Men's groups, Death and Dying.
3. Home management and vocational planning:
				To instruct individuals in the skills necessary for living and working in the
				community. Such programs include: Use of the Telephone, Housekeeping,
				Nutrition, Shopping, Cooking, Banking and Money Management, Filling out Job
				Applications, Interviewing Techniques and Transportation.
4. Community adjustment, services and leisure
				activities: To inform individuals of the resources and services available
				within the community and to advocate for their use. Courses include: Library
				Orientation, Community Awareness, Voting, Senior Citizens Groups and Community
				Resources.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.21 - Necessary community involvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Staff shall
				make every effort to involve community services/resources available to the
				general public in providing CHE skills development programs, preferably within
				the community. Community resources such as Neighborhood Health Centers, Planned
				Parenthood, Adult Education courses, Voter Education/Registration programs,
				etc., shall be explored and clients made aware of their available
				offerings.
(b) Staff should
				instruct additional providers of services such as affiliating students,
				community volunteers, etc., in the concepts of CHE and urge them to provide
				skills development courses as part of their agency's programs.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.22 through 10:37-6.41 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.42 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Scope:
1. Service/Treatment planning should begin at
				the time of a client's entry into any mental Program Element, except Emergency
				Services.
i. In the case of ES, crisis
				stabilization shall be the first service priority. After stabilization, if the
				client needs ongoing mental health services, a comprehensive service plan shall
				be developed by the Screening Program Element, if available in that Service
				Area, or the OPD Program Element. ES shall make that linkage.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.43 - Designation of responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There must be a
				comprehensive ISP guiding service provision to each client in every Program
				Element except Emergency Services.
(b) Each client shall be given the
				opportunity and shall be encouraged to participate in the initial development
				of his/her ISP and in subsequent reviews and revisions of that ISP. Clients
				should sign their treatment plans, to indicate involvement and
				agreement.
(c) To the maximum
				extent possible, each Program Element shall involve the client's family and
				friends, in the needs assessment processes and in the development of the ISP,
				except when contradicted or when the client does not wish these other people
				involved. Efforts to involve clients and their natural support systems, as well
				as reasons for their noninvolvement, shall be documented in the client's
				record.
(d) When possible, an
				interdisciplinary team should assess client needs and develop an appropriate
				ISP. The team should consist of staff persons and community agencies, who are
				working with the client. Team participation should be a continuing process
				which operates concurrently with the delivery of services.
(e) When a team is utilized, there shall be a
				designated coordinator or "primary service procurer" who has overall
				responsibility for implementing the plan and insuring that linkages have been
				established among the appropriate Program Elements and other agencies. (See
				10:37-5.1.)
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.44 - Required content

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each ISP shall
				minimally include:
1. Client needs assessment
				and evaluation (as defined in the Division's Service Dictionary):
i. An Individual Level of Functioning and an
				Environmental/Natural Support System Assessment shall be completed for every
				client, except those in Emergency Services for whom this is not feasible.
(1) Agencies which want to propose the use of
				a Specific Level of Functioning (SLOF) scale other than the instrument
				developed by the Division, must submit their rationale and instrument to the
				Division for approval, prior to implementation.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.45 - Required review and modification

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The client's
				progress towards meeting the goals outlined in the ISP shall be reviewed and
				updated on a regular basis.
(b)
				Inpatient clients shall have an ISP developed within 72 hours. It shall be
				reviewed after one week and every two weeks thereafter up to three months. ISPs
				shall be reviewed and updated every three months thereafter.
(c) For non-inpatient programs, each ISP
				shall be reviewed no later than 90 days after service initiation and every six
				months thereafter, to justify service continuation. (See N.J.A.C. 10:37-6,
				Article XII.) When objectives have shorter time limits, more frequent reviews
				should occur.
(d) ISP shall be
				modified, as often as necessary, to reflect changing client needs.
(e) Progress notes included in the client's
				record at regular intervals should be directly related to the ISP. Progress
				notes shall also document regular team meetings convened for the purpose of
				evaluating the client's progress and the ongoing appropriateness of the Service
				Plan.
(f) A discharge note must be
				completed within 15 days after discharge.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.46 through 10:37-6.48 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.50 through 10:37-6.52 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.53 - Medication education and counseling

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All State
				funded Mental Health Program Elements using medication as a therapeutic
				modality shall regularly provide counseling services aimed at informing clients
				about medication(s) and the potential interactions if combined with alcohol or
				non-prescribed drugs. Medication counseling shall be included within the
				service plan of each client for whom psychotropic medication has been
				prescribed. Counseling efforts shall be documented in the client's
				record.
(b) As part of their
				medication counseling, such clients shall receive an individual written
				medication information fact sheet for each prescribed medication. The Division
				shall, if requested by an agency, supply a sample format for these fact sheets.
				Such fact sheets shall delineate the medication's purpose and potential side
				effects, as well as responses to potential side effects and any special
				precautions, for example, heat related precautions, of which clients should be
				aware. Clients shall also have the opportunity to participate in a planned
				program of self-medication which shall teach clients to administer their own
				prescribed medication dosage and to report side effects promptly. Explanations
				shall also include:
1. Types of medication
				prescribed;
2. Name of
				medication(s), dosage(s), and time to take medication(s);
3. Effects of medication(s), including
				expected benefits, risks, side effects and special precautions, for example,
				hypothermia;
4.
				Prescriptions;
5. Whom to go to
				with questions (for example, physician, nurse, pharmacist);
6. Reimbursement options for medication
				purchases;
7. Reasons for regular
				medical check-ups at recommended intervals; and
8. The dangers of combining prescribed
				medications with alcohol or non-prescribed drugs.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.54 - Psychotropic medication

Current through Register Vol. 56, No. 14, July 15, 2024
(a) "Psychotropic
				medication" shall include medications which have a direct effect upon the
				central nervous system and are capable of modifying behavior and/or mood. Drugs
				included, within the context of this chapter, are:
1. Anti-psychotics;
2. Anti-depressants;
3. Agents for control of mania and
				depression, such as lithium;
4.
				Anti-anxiety agents;
5.
				Anti-convulsants; and
6.
				Psychomotor stimulants.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.55 through 10:37-6.72 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.73 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A written
				record shall be maintained for each client served. The record shall:
1. Describe the client's status at service
				initiation, a comprehensive needs assessment, services provided and progress
				made, and the client's functional ability and status at the time of discharge
				from a Program Element, with followup/transfer or additional linkages noted as
				part of Individual Service Plan (ISP). (See Article VIII of this
				subchapter.)
2. Substantiate that
				the assessment process served as the basis for the service plan.
3. Serve as a basis for service coordination,
				implementation, evaluation, quality assurance, and training.
4. Be current and accurate.
5. Facilitate the determination of the
				client's problems and the service which is being provided at any specified
				time.
6. Provide documentation of
				the staff's having followed regulations concerning client rights. (See
				10:37-4.5.)
7. Provide documentation of the involvement
				of the client, parents, siblings, school personnel, employer, friends,
				community agencies and other significant figures involved in the client's
				service/treatment plan.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.74 - Required contents for all records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The client
				record shall contain the following information:
1. The identifying and other data indicated
				on the Division's Unified Services Transaction Form for enrolled and terminated
				clients.
2. Comprehensive
				assessment and evaluation of client needs, including level of functioning and a
				natural support resource inventory for all clients.
3. A social, psychological, and/or a
				psychiatric mental status evaluation, as needed.
4. Individual service plan with updated
				revisions.
5. A copy of any advance
				directive for mental health care executed by the patient, and a note that
				indicates the whereabouts of any copies of the directive, including whether the
				advance directive has been registered with DMHS, if known, or if no advance
				directive has been executed, a note documenting the actions taken by the staff
				of the agency to provide the client with the opportunity to execute an advance
				directive.
6. Clinical diagnosis
				based on the clinical evaluation of the client.
7. Client and/or mental health care
				representative consent for service initiation, evaluation, or research as
				permitted or required by law, and appropriate authorizations for record
				sharing.
8. Utilization Review
				Committee meeting notes which include the attendees, recommendations made, and
				actions taken.
9.
				Medications.
10. Laboratory or
				other diagnostic procedures.
11.
				Unusual incidents, occurrences such as:
i.
				Treatment complications;
ii.
				Accidents or injuries;
iii.
				Morbidity;
iv. Death of a client;
				and
v. Procedures placing the
				client at risk or causing pain/harm.
12. Correspondence related to the client and
				signed, dated notations of relevant contacts regarding the client's
				service/treatment.
13. Discharge or
				transfer summary in addition to the discharge plan which shall also be
				developed with the client and completed within 30 days of last
				service.
14. The record shall
				contain documentation of procedures that place clients at risk or in pain
				including, but not limited to restraint, seclusion; and/or behavior
				modification using painful stimuli. Such records shall document the
				justification for the use of the procedure, attempts of staff to provide
				alternatives, the specific procedures employed, the required authorization, and
				the measures taken to protect the client's safety and rights.
15. All entries in the record shall be
				legibly signed and dated.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.75 - Inpatients records: supplementary content requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Inpatient
				records in State, county, and State funded general hospital psychiatric units
				shall include all information cited above. Additional information necessary to
				meet State licensure and Federal accreditation shall also include:
1. Results of evaluations and services:
				Psychological testing, educational and socio-vocational evaluations, pathology
				and clinical laboratory examinations, radiology examinations, psychiatric and
				other medical treatment, and any other diagnostic or therapeutic procedure
				performed.
2. Psychiatric
				evaluation: Mental status, psychodynamics, sociodynamics, precipitating stress,
				premorbid personality, tentative diagnosis, a treatment plan, prognosis based
				on that plan, and subsequent modifications of the plan.
3. Physical examination if performed, shall
				include pertinent findings.
4.
				Admission notes: All additions to the history and subsequent changes in the
				physical findings.
5. Progress
				notes: Written by medical staff members or other individuals who have been
				granted clinical privileges, nursing staff, the interdisciplinary treatment
				team members, consultants, community liaison staff, and/or ancillary service
				staff.
6. Progress notes: By staff
				cited in (a)5 above, documenting the treatment plan, a pertinent chronological
				report of the client's functional abilities and clinical condition, changes in
				each condition and the results of service/treatment. Progress notes should
				include only pertinent, meaningful observations and information.
7. Medical orders: Written only by members of
				the medical staff and medical residents.
8. Telephone orders: Given by a physician
				only; shall be accepted and written by a licensed nurse only; such action shall
				be limited to urgent circumstances. Telephone orders shall be authenticated by
				the responsible physician within 24 hours, specifying date of initial contact
				or admission to the program.
9.
				History: Incorporating the client's chief complaint, details of present
				illness, past service history, and social, vocational and family history. The
				history shall be a record of information provided by the client or by his
				agent.
10. A Summation, in the
				event of a patient's death, in the form of a discharge summary, shall include
				the circumstances leading to death and shall be signed by a
				physician.
11. An autopsy shall be
				performed whenever indicated and results recorded in the record within 72
				hours; the complete protocol shall be made a part of the record within three
				months.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.76 - Policies and procedures regarding recordkeeping

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All agencies
				shall have written policies and procedures governing the compilation, storage,
				dissemination, and access to client records. (See
				10:37-6.79.)
(b) Policies and procedures shall be designed
				to ensure that:
1. The program fulfills its
				responsibility to safeguard and protect the record against loss and
				unauthorized alteration or disclosure of information;
2. The content and format of client records
				are uniform; and
3. Entries in the
				client record are dated and signed.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.77 - Retention of records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Records of
				adults must be retained five years after the last date of service. Records of
				children must be retained for five years after they reach their 18th
				birthday.
(b) Records may be
				destroyed by burning or shredding. The destruction must be complete; no
				readable material or client identification may remain.
(c) A list of the destroyed records must be
				kept on file for an additional five years. This list should include the
				client's name, case number and date of destruction. It should be signed by the
				staff person who supervised the records' destruction.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.78 - Record departments

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All Federally
				funded community mental health centers and all psychiatric hospitals shall have
				Records Department, adequately directed and staffed to facilitate the accurate
				processing, checking, indexing and filing of all records.
(b) Appropriate records for active clients
				shall be kept on the unit where the client's services are primarily provided
				and shall be directly accessible to the service staff.
(c) Records for terminated clients shall be
				maintained in a central location under the supervision of the Records
				Department.
(d) All records
				services shall maintain a system of identification and filing to facilitate the
				prompt location of client records. It is desirable that the model for the unit
				record system be used.
(e) Records
				departments shall maintain, control and supervise the records and their
				quality.
(f) In Federally funded
				community mental health centers and psychiatric hospitals, a qualified records
				librarian or an accredited records technician shall be hired and shall advise,
				administer, supervise, or perform work involved in the development, analysis
				maintenance, and use of records and reports.
(g) Records personnel shall be involved in
				staff development programs, including orientation, on-the-job training, and
				regular inservice education programs.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.79 - Confidentiality of records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All
				certificates, applications, information and records directly or indirectly
				identifying persons who are receiving or have received mental health services
				from a provider licensed by the Department, or for whom such services were
				sought, shall be kept confidential and shall not be disclosed by any person,
				except under the following circumstances:
1.
				Upon authorization of the consumer:
i. For
				adult consumers: Upon the written authorization of the consumer, or his or her
				legal guardian or authorized representative, if any.
ii. For consumers who are minors:
(1) A minor, 14 years or older, who has
				requested admission and been admitted voluntarily to a psychiatric facility,
				special psychiatric hospital, or children's crisis intervention service
				pursuant to R. 4:74-7A(c), may authorize the disclosure of his or her records
				in the same manner as an adult;
(2)
				The minor's parent or legal guardian may authorize the disclosure of the
				minor's records, provided that the minor shall be given prior notice and an
				opportunity to object to the disclosure. Objection by a minor, 14 years or
				older, who has requested admission and been admitted voluntarily to a
				psychiatric facility, special psychiatric hospital, or children's crisis
				intervention service pursuant to R. 4:74-7A(c), shall render the authorization
				of the parent or guardian void; or
(3) Disclosure of the clinical records of a
				minor, 14 years or older, who has requested admission and been admitted
				voluntarily to a psychiatric facility, special psychiatric hospital, or
				children's crisis intervention service pursuant to R. 4:74-7A(c), is permitted
				only upon written authorization of the minor; however, a parent or guardian,
				upon proper inquiry, shall be told the minor patient's current medical
				condition if the minor does not object to such disclosure;
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.80 through 10:37-6.82 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.83 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
This article established the minimum reporting required for
				  all agencies receiving financial assistance through the Division. Information
				  submitted shall serve as the basis for monitoring agency compliance, as well as
				  for planning and program development.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.84 - Designation of responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All agencies
				receiving funds through the Division are required to submit periodic client
				service and fiscal reports. The following regulations specify the type and
				frequency of reports required for each state-funded Program Element.
1. State grant-in-aid: client data:
i. Unified Service Transaction Forms (Revised
				MC-1-2):
(1) All agencies participating in the
				grant-in-aid program must maintain accurate client records for the purpose of
				complying with the Division's statistical reporting requirements. The Unified
				Services Transaction Form (USTF) represents the minimum data set which must be
				recorded as part of each client record. Copies of the USTF shall be available
				from the Division.
(2) Copies of
				the USTF-1 and USTF-2 must be kept in each client's clinical record at all
				times and made available for site reviews and program audits.
(3) All data elements found on the USTF-1
				(Acceptance) and USTF-2 (Termination), are required to be reported to the
				Division. The USTF-1 and USTF-2 must be completed and forwarded to the State as
				specified in the Division's Reporting Manual. Except in extraordinary
				situations, the forms should be mailed within 48 hours after acceptance or
				termination has occurred.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.85 through 10:37-6.87 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.88 - Services requiring prior approval

Current through Register Vol. 56, No. 14, July 15, 2024
(a) As of July 1,
				1981, no State-funded mental health program element shall be permitted to use
				psychosurgery, insulin therapy, electroconvulsive therapy, seclusion, and/or
				physical restraints, until such time as the Director of the Agency submits a
				written description of the proposed policies and procedures concerning the use
				of such modalities, and the Division of Mental Health and Hospitals approves
				them in writing. General, procedural approval must be sought and received prior
				to implementation. Any subsequent modification in procedures requiring prior
				approval must be re-submitted to the Division for approval.
(b) The Division shall review proposed
				policies and procedures within three days of their receipt by the
				Division.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.89 through 10:37-6.98 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.99 - Training and staff development

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division
				shall convene staff development sessions for State-funded agencies concerning
				the implementation of Division principles and administrative requirements.
				These sessions shall include, but not be limited to, areas such as
				normalization, functional and team approaches, advocacy, unified services
				planning, reporting requirements, etc.
(b) Agencies shall participate in these
				sessions as requested, and shall also reinforce the Division's sessions at the
				local level. Each agency shall develop a written plan or orientation for each
				new staff person which will include, but not be limited to, the following
				topics:
1. Division principles;
2. Agency goals and objectives;
3. Table of organization of agency;
4. Job description;
5. Fire evacuation procedure;
6. Emergency procedures (for example, unusual
				incidence procedures); and
7. Staff
				rights and responsibilities under the Advance Directives for Mental Health Care
				Act ( P.L.
				2005, c. 233
				).
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.100 through 10:37-6.102 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.103 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
To implement a Unified Service System, there must be clear
				  guidelines for continuity of care and for the interaction between the public
				  psychiatric inpatient facilities and the community-based Program Elements
				  responsible for residents of a given Service Area. The following regulations
				  include requirements for each stage of hospitalization in which community and
				  hospital interaction is essential.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.104 - Designation of responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) County and
				State psychiatric hospitals shall have a recently negotiated affiliation
				agreement detailing community/hospital interaction procedures for every county
				that it serves. Each Chief Executive Officer shall designate one hospital staff
				person to coordinate all hospital/community interfacing and to be responsible
				for monitoring the implementation of Unified Services efforts with community
				agencies.
(b) The Affiliation
				Agreements shall minimally include the procedures cited below.
1. Admissions: Criteria for hospital
				admissions:
i. Hospital admission staff shall
				be made aware of the Division's State Hospital Admission Policy and criteria.
				Staff should be trained to implement the appropriate screening and referral
				processes. If the county hospital does not choose to adopt that policy, it
				should formalize and implement its own criteria.
ii. Hospital admission staff shall gather and
				analyze Inappropriate Admissions Information on an ongoing basis. Minimally,
				information shall include (categories may be further delineated by Division):
(1) Number and percentage of appropriate and
				inappropriate referrals to hospital;
(2) Number and percentage of inappropriate
				referrals not admitted; and
(3) Key
				referral sources to hospital of inappropriate admissions.
iii. If an inappropriate admission is made,
				efforts to exhaust less restrictive community-based alternatives shall be
				outlined. Discharge shall then be expedited. The hospital, working with BTS,
				DYFS, and/or the local mental health OPD agency, shall locate a more
				appropriate community-based living arrangement as quickly as
				feasible.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.105 through 10:37-6.107 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 6 - GENERAL ADMINISTRATIVE REQUIREMENTS FOR ALL STATE-FUNDED COMMUNITY MENTAL HEALTH PROGRAM ELEMENTS › Section 10:37-6.108 - Unusual incident reporting system

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every Agency
				funded to provide services in a Mental Health Program Element shall submit
				reports, as required by the Division regarding incidents that may, or already
				have, adversely affect(ed) the health or safety of client(s). An explicit
				description of the types of incidents that must be reported and an appropriate
				reporting format shall be developed by the Division and disseminated to all
				participating agencies.
(b) Any
				incident that includes an allegation of child abuse and/or neglect must be
				immediately reported to the Division of Youth and Family Services (DYFS), in
				compliance with N.J.S.A. 9:6-8.1 0. Abuse or exploitation in
				rooming/boarding/nursing homes shall be reported to the County Welfare
				Agency.
(c) This section does not,
				however, negate the necessity of making entries into a client's clinical record
				concerning accidents and injuries. (See
				10:37-6.74(a)11.)
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 8 - CONDITIONS GOVERNING STATE GRANTS FOR CONSTRUCTION ASSISTANCE FOR COMMUNITY MENTAL HEALTH FACILITIES › Section 10:37-8.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
This subchapter applies to State grants for construction
				  assistance for community mental health facilities. The program for disbursement
				  of these funds shall designated as the "Community Service Capital Improvement
				  Program."
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 8 - CONDITIONS GOVERNING STATE GRANTS FOR CONSTRUCTION ASSISTANCE FOR COMMUNITY MENTAL HEALTH FACILITIES › Section 10:37-8.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this subchapter,
				  shall have the following meanings.
"Community-based" refers to those programs and/or facilities
				  which are not located on the grounds of, or operated by, a State or county
				  psychiatric institution, unless approved through a written waiver by the
				  Division.
"Community psychiatric inpatient service" means
				  community-based psychiatric inpatient services whether free standing or
				  hospital based, satisfying the requirements of N.J.A.C. 10:37-5, Article
				  VII.
"Construction of facilities" means the planning, erection,
				  acquisition, improvement, rehabilitation, reconstruction, development and
				  extension of facilities, including the acquisition of real property necessary
				  for said purposes.
"Outpatient and other services" means those community-based
				  services described in
				  10:37-5.1 and N.J.A.C. 10:37-5,
				  Article II through Article IX.