reglab/statecodes huggingface dataset:
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 10:37-8.3 - Program priorities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Priority will
				be given to facilities which provide the following services:
1. Screening/crisis intervention;
2. Residential care;
3. Community psychiatric inpatient;
				and
4. Outpatient and other
				services that meet critical needs identified in State, regional and county
				plans.
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 10:37-8.4 - Capital construction priorities and local matching requirements

Current through Register Vol. 56, No. 14, July 15, 2024
Preference will be given to grant requests which propose
				  acquisition and minor rehabilitation of residential structures for use in
				  providing screening/crisis intervention and residential care facilities. In the
				  case of community psychiatric inpatient, outpatient and other service
				  facilities, preference will be given to grant requests which propose
				  reconstruction and/or extension of existing facilities. The matching
				  requirements for screening and residential services will be determined by the
				  Division of Mental Health and Hospitals.
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 10:37-8.5 - Eligible agencies

Current through Register Vol. 56, No. 14, July 15, 2024
Any community-based public or private nonprofit New Jersey
				  agency is eligible to receive construction assistance.
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 10:37-8.6 - Allowable costs

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Construction
				assistance for acquisition will be available only in those cases in which the
				acquired facility expands the current service capability of the sponsoring
				agency.
(b) Construction assistance
				may include project development expenditures for certain non-construction items
				such as architectural, engineering, legal and other fees. Equipment, with the
				exception of fixed equipment or fixtures considered necessary for facility
				operation, is not an allowable cost. The determination of allowable
				non-construction costs will be made by the Division and Department
				representatives on a case basis.
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 10:37-8.7 - Applicable procedure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Applications
				for Community Service Capital Improvement Program must be filed on the official
				forms provided.
(b) Sponsoring
				agencies shall submit applications for these grants to the Division and the
				appropriate county mental health board.
(c) The county mental health boards shall
				review and comment on all grant applications.
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 10:37-8.8 - Condition

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Compliance with
				all applicable Federal, State, and local provisions for permits, certificates,
				approvals and assurances.
(b) A
				formal commitment of local match resources, if required by the
				Division.
(c) A formal commitment
				to provide services for a minimum time period agreed upon by the Division and
				the sponsoring agency. This time period will be determined through the use of a
				formula based on the amount of the State capital funds grant from the
				project.
(d) Consistency with the
				New Jersey Comprehensive Mental Health Services Plan and Divisional philosophy
				pertaining to normalization, unified services, level of functioning and client
				advocacy.
(e) Submission of fiscal
				assurances as requested by the Division.
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 10:37-8.9 - State approval

Current through Register Vol. 56, No. 14, July 15, 2024
(a) After review by
				the Division and the Department's Capital Facilities planning staff, the
				Commissioner shall approve State financial participation in the development of
				those capital improvement proposals which comply with the regulations of the
				Department.
(b) The Commissioner
				shall grant final approval of all capital improvement program contracts
				executed with agency sponsors.
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 10:37-8.10 - Interim inspections

Current through Register Vol. 56, No. 14, July 15, 2024
The Department shall have the right to conduct inspections
				  at various stages of construction for purposes of reviewing construction
				  progress, work quality and project expenditures.
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 10:37-8.11 - Payment schedules

Current through Register Vol. 56, No. 14, July 15, 2024
The Division and the sponsoring agency shall negotiate a
				  reasonable payment schedule.
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 10:37-8.12 - Records and reports

Current through Register Vol. 56, No. 14, July 15, 2024
Each project shall establish and maintain appropriate
				  methods for conducting fiscal affairs. Adequate records shall be accessible,
				  and reports shall be submitted to the Division as requested.
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 10:37-8.13 - Contract property

Current through Register Vol. 56, No. 14, July 15, 2024
The Department shall maintain an equitable interest in all
				  property erected, acquired, improved, rehabilitated, reconstructed, developed
				  or extended as specified in the construction contract.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.1 - Introduction

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules
				within this subchapter are designed and intended to provide a framework for
				provider agencies (PAs) to use when developing a quality assurance (QA)
				program. The standards set forth in this subchapter require PAs to implement a
				process of ongoing monitoring and evaluation, through the following activities:
1. Development of a written QA
				plan;
2. Description of how the
				plan is to be implemented;
3.
				Identification of important components of all QA programs;
4. Follow-up on problems or opportunities to
				improve care identified through QA activities; and
5. Evaluation of the impact of the QA
				program.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.2 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) This subchapter
				applies to PAs as defined in
				10:37-9.3.
(b) PAs shall implement a QA program which
				provides an ongoing loop of information about important aspects of
				care.
(c) The standards set forth
				in this subchapter, when implemented, shall provide PAs with information about
				their ability to provide responsive, outcome oriented treatment to clients by
				generating data about the following:
1.
				Whether clients receive services appropriate to their needs;
2. Whether clients are attaining individual
				program goals;
3. Whether
				programming is flexible enough to meet the changing needs of clients;
4. Whether clients are receiving the services
				that are documented on their treatment plans;
5. Whether clients are receiving services
				they do not need;
6. Whether
				clients are receiving services they want;
7. Whether clients are staying in service for
				an appropriate period of time, commensurate with their needs;
8. Whether there is client participation in
				treatment and in evaluating the quality of service; and
9. Whether staff are qualified to provide
				particular services to clients and whether their skills are enhanced through
				continuing education.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.4 - Quality assurance (QA) plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The scope,
				organization, monitoring, evaluation and problem correction activities of the
				QA program shall be written and will be referred to as the QA plan.
(b) The QA plan shall describe an ongoing,
				systematic process of monitoring and evaluation of important aspects of care
				with participation by all levels of staff.
(c) The QA plan shall include or
				cross-reference a description of indicators monitored in each program element.
				Indicators shall cover limited areas that are deemed to be high risk, high
				volume or problem prone.
(d) The QA
				plan shall include a description of outcome indicators monitored in each
				program element.
(e) The QA plan
				shall identify or cross-reference thresholds for evaluation for each
				indicator.
(f) The QA plan shall
				include procedures for monitoring problem correction.
(g) The QA plan shall describe monitoring
				activities to ensure client involvement in treatment.
(h) The QA plan shall describe the scope of
				client participation in the QA program.
(i) The QA plan shall describe reviews of
				open and closed client records for timely completion of required
				documentation.
(j) The QA plan
				shall describe the process for reviews of open and closed client records to
				evaluate the quality and appropriateness of treatment.
(k) The QA plan shall specify the required
				sample size for review of open and closed client records. The rationale for
				sample size selected shall also be described in the plan.
(l) The QA plan shall describe the process,
				frequency, and criteria for selection of problem, high risk, difficult cases
				for Special Case Review. Special Case Reviews include, but are not limited to,
				incidents and adverse medication reactions.
(m) The QA plan shall describe the
				organizational structure, including lines of authority and how the QA program
				fits into this structure.
(n) The
				QA plan shall describe the persons responsible for QA activities.
(o) The QA plan shall describe the extent of
				medical staff participation in the QA program.
(p) The QA plan shall describe the
				organization and composition of the committee responsible for QA
				oversight.
(q) The QA plan shall
				describe the required frequency of committee meetings in which QA oversight
				occurs.
(r) In the case of
				hospital-based PAs, the QA plan shall describe the process for integration with
				the hospital QA program.
(s) The QA
				plan shall describe how QA findings are effectively communicated to all
				relevant components of the organization.
(t) The QA plan shall describe how
				supervision is utilized to identify and resolve QA issues.
(u) The QA plan shall describe how relevant
				findings are shared with clients.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.5 - Quality assurance (QA) implementation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The QA plan
				shall be implemented.
(b) Data
				shall be routinely collected from ongoing monitoring activities and
				periodically evaluated and analyzed, based on thresholds.
(c) Documented reports of all ongoing
				monitoring and evaluation activities shall be produced. When ongoing monitoring
				reveals that more intensive evaluation is required, documentation shall include
				evidence of further assessment, conclusions drawn, and actions taken to improve
				care and to resolve identified problems. Examples of possible actions that can
				be taken are: implementation of inservice training, personnel action, changes
				in policies and procedures, administrative actions.
(d) Status of previously identified problems
				(follow-up) shall be documented. Problems identified and corrective actions
				taken shall be monitored for a prescribed time frame.
(e) To the extent that the QA process
				identifies issues that require medical staff input, review and response to such
				referrals shall be documented. These referrals may include questionable
				admissions and continued stays.
(f)
				Documentation and evidence of QA monitoring activities to ensure client
				involvement in treatment shall be provided, and shall include, at a minimum:
				each client's active and informed participation in his or her treatment plan;
				medication education; and application of clients' rights and the client
				grievance procedure.
(g)
				Documentation of monitoring of effectiveness of the PA's mechanisms to respond
				to client complaints and suggestions shall be provided.
(h) In the case of hospital based PAs,
				documented evidence of integration with the hospital QA program shall be
				available.
(i) There shall be
				evidence that relevant QA findings are effectively communicated to all relevant
				components of the PA, including clients.
(j) When the PA has developed the QA program,
				the following additional elements should be implemented:
1. Participation by medical staff on the QA
				oversight committee;
2.
				Documentation of analysis of aggregate QA findings to identify and address
				patterns and trends related to client characteristics, treatment and service
				utilization;
3. Utilization of
				responses to client satisfaction surveys and recommendations from clients and
				family members; and
4.
				Documentation of the use of applicable QA findings in ongoing staff
				development, supervision and performance evaluation.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.6 - Administrative support

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA
				administration shall require and support the QA program.
(b) PA administration shall review and
				approve the QA plan, as part of an annual QA plan review.
(c) QA reports shall be made available to the
				PA administration, as described in the QA plan.
(d) The annual appraisal of the QA program
				shall be submitted to the PA administration.
(e) There shall be documentation of
				administrative review of QA findings.
(f) When the PA has developed the QA program,
				the PA administration should also document use of QA findings for management
				decision-making and program planning (for example, link with goals and
				objectives, and long range or annual plans).
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.7 - Quality assurance (QA) oversight

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A committee
				composed of a representative sample of individuals from the PA's program
				elements shall perform the function of oversight of organization-wide QA
				activities.
(b) Appropriate
				oversight functions shall include:
1. Annual
				review and reappraisal of the QA plan;
2. Review of problems which cannot be
				resolved at a program element level, recommending actions to resolve these
				problems, and following up to ensure correction takes place. These problems may
				reflect trends, patterns of performance, or problems that affect more than one
				program element;
3. Review and
				approval of program element QA indicators; and
4. Review and approval of revisions of QA
				policies and procedures.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.8 - Utilization review (UR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each QA program
				shall include a utilization review (UR) component which shall be described in
				the QA plan.
(b) The UR component
				of the QA program shall include a system, which shall include timeframes for
				review and which shall monitor the appropriateness of:
1. Admission, for at least 10 percent of all
				new clients each month; and
2.
				Continued stay, for at least 10 percent of the clients served by the PA during
				the previous year, with a representative sample from each program
				element.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.9 - Risk management (RM)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each QA program
				shall include a risk management (RM) component which shall be described in the
				QA plan.
(b) The RM component of
				the QA program shall include the following activities:
1. Monitoring of implementation of PA's
				policies and procedures regarding medication (for example: documentation that
				staff are aware of medications prescribed for clients, dosage, frequency, side
				effects, and adverse medication reactions, frequency of laboratory tests when
				necessary);
2. Monitoring life
				safety;
3. An incident review and
				reporting procedure that will allow for the analysis of client and staff
				incidents to identify patterns and trends or opportunities to improve client
				care and staff safety and to reduce agency liability risks. Incident review
				shall include interviews of clients and staff involved in each incident. The PA
				shall ensure that clients and staff who report incidents are not adversely
				affected; and
4. Development of an
				infection control policy and monitoring of the implementation of the
				policy.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Subchapter 9 - QUALITY ASSURANCE › Section 10:37-9.10 - Annual appraisal

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An annual
				appraisal of the QA program shall be conducted by the PA and
				documented.
(b) The annual
				appraisal shall include review of adequacy of monitoring, evaluation and
				reporting mechanisms, and evidence of solutions to identified
				problems.
(c) When the PA has
				developed the QA program, evidence of positive impact on client care and client
				input should also be included in the appraisal process.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT › Appendix A

Current through Register Vol. 56, No. 14, July 15, 2024
APPENDIX A
Continuum of Mental Health
						Settings
Consumer Enters System through Self,
						Other Agency,
Gatekeeper Referral Screening
(Most Natural)
MENTAL HEALTH SERVICES
Reinforcement
Crisis
Outpatient
Partial Care
24-hour
and/or
Intervention
Program
Program
Treatment/
Develop of
(Preferably
Element
Element
Crisis Home
Non-Mental
in Natural
for Children
Health Natural Supports
Environment)
Own Family/Home
Semi-Indep. Apt.Group Home
Transitional Resid. and/or Sheltered Care Boarding
						Home
DYFS Resid. Network For Children
RESIDENTIAL CARE/LIVING ARRANGEMENTS
APPENDIX A
Continuum of Mental Health
						Settings
Consumer Enters System through Self,
						Other Agency,
Gatekeeper Referral Screening
(Most Restrictive)
Local Inpatient Program
County Psychiatric
State Psychiatric
Element
Hospital
Hospital
LocalIPU
Public Psychiatric Hospital
RESIDENTIAL CARE/LIVING ARRANGEMENTS
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 1 - GENERAL PROVISIONS › Section 10:37A-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 licensed community residences for adults with mental
				illnesses in the State of New Jersey. These residences shall not be considered
				health care facilities within the meaning of
26:2H-1
et seq. Provider
				agency staff shall be familiar with, and services shall embody, to the extent
				practicable, the Wellness and Recovery and Supportive Housing Principles set
				forth at
N.J.A.C. 10:37A
Appendix B.
(b) Licensed community residences for adults
				with mental illnesses include:
1. Supervised
				housing, including:
i. Those group homes that
				provide services at Levels A+, A, and B;
ii. Level A+, A, and B apartments;
				and
iii. Family care homes (also
				known as Level D); and
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 2 - POLICIES AND PROCEDURES MANUAL › Section 10:37A-2.1 - Written policies and procedures manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each
				supervised housing 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.
1. Policies and procedures shall promote the
				principles of normalization, age-appropriateness, consumer resident empowerment
				and least restriction, and shall be consistent with the PA's organizational
				structure and management philosophy.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 2 - POLICIES AND PROCEDURES MANUAL › Section 10:37A-2.2 - Content of the 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, rights, and responsibilities expected in the residential
				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 living in a supervised residence. The participation
				criteria shall:
1. Comply with the standards
				set forth in
10:37A-3.1
and in
				affiliation agreements or contracts with the Division; and
2. Specify intake procedures that are
				consistent with
10:37A-4.1
.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 3 - CONSUMER ADMISSION CRITERIA › Section 10:37A-3.1 - Consumer admission criteria

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The provider
				shall develop and submit to the Division for its approval a written policy
				regarding consumer admission criteria that is consistent with this chapter, and
				shall submit and update as needed the name of the individual staff member who
				shall serve as the provider's admissions coordinator.
(b) Any medical clearance policy established
				by the provider shall comport with the provider's contract with the
				Division.
(c) Priority for
				admission shall be in accordance with an individual PA's Division contract and
				shall reflect that which has been established at
N.J.A.C.
				10:37-5.2
, regarding target
				populations.
(d) The admissions
				coordinator shall forward to Division-designated hospital staff or another
				Division-designated entity a listing of current vacancies and inform them of
				new vacancies by the next business day following a bed becoming
				vacant.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 4 - CONSUMER SERVICES › Section 10:37A-4.1 - Intake policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				develop and implement a written policy outlining an intake process that
				provides a basis for assessment of an applicant's eligibility for services,
				consistent with N.J.A.C. 10:37A-3 and this subchapter.
(b) All intake procedures shall be guided by
				a consumer's preferences and goals with regard to treatment and community
				living. The consumer's choices shall be documented in the assessment.
(c) PA staff shall conduct intake procedures
				in a manner that is culturally and linguistically appropriate to the consumer
				and that facilitates continuity of service.
(d) Intake procedures shall be designed to
				facilitate program participation at the earliest appropriate
				opportunity.
(e) Except for a
				consumer referred to the provider from a State psychiatric hospital, the PA
				shall conduct the intake procedure for a referred consumer within five business
				days of a vacancy in the PA's program.
(f) When a consumer has been referred from a
				State psychiatric hospital, the following procedures shall apply:
1. State psychiatric hospital staff shall
				coordinate and make appropriate referrals of consumers to the PA based on the
				vacancy report generated pursuant to N.J.A.C. 10:37A-3.1(d) and shall not make
				a referral to a PA that does not have an appropriate existing or anticipated
				vacancy.
2. The State psychiatric
				hospital placement entity shall forward to the PA a referral form and response
				package for each consumer under consideration for residential
				placement.
3. The package shall
				consist of a:
i. Psychosocial
				assessment;
ii. Psychiatric
				evaluation;
iii. Physical
				examination report;
iv.
				Psychological assessment, if completed;
v. Documentation evidencing the nature and
				current status of any judiciary involvement;
vi. Accurate family/guardian/emergency
				contact information;
vii.
				Medication administration record; and
viii. Progress notes, up to and including
				notes from the last two weeks of the consumer's hospitalization.
4. Upon request, PAs shall have
				access to the referred consumer's State psychiatric hospital charts for further
				information, as necessary and appropriate. PAs may request and receive copies
				of pertinent information from the State psychiatric hospital chart within 24
				hours of request.
5. PAs may
				request and receive an interview with the consumer.
6. PAs shall inform State psychiatric
				hospital staff, in writing, of the outcome of the referral within five working
				days of its receipt of the complete referral form and response
				package.
7. The PA shall place a
				consumer referred by a State psychiatric hospital into the available vacancy as
				soon as possible, but in all cases, within 21 days of the PA's receipt of the
				referral.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 4 - CONSUMER SERVICES › Section 10:37A-4.2 - Consumer service agreement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				develop and submit for approval to the Department 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 supervised
				residence shall have a written consumer service agreement which is reviewed by
				the consumer prior to acceptance and signed by both the consumer and PA upon
				the consumer's admission and which clearly articulates the roles and
				responsibilities of the PA and the consumer.
(c) The consumer service agreement shall
				contain provisions indicating the voluntary nature of services in supervised
				housing. These agreement provisions shall state that in the event that the
				consumer refuses services, the PA staff shall meet with the consumer at least
				monthly to discuss the consumer's progress toward wellness and recovery goals
				and, if appropriate, alternatives for housing with or without
				services.
(d) The consumer service
				agreement shall be written in a language sufficiently understood by the
				consumer to assure comprehension.
(e) 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 7, and 10:37A Appendix A) and responsibilities, including expectations
				of the program and complaint process (as specified in
				10:37-4.6(b));
4. A PA shall ensure that the consumer is
				afforded the opportunity to:
i. 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;
ii. Be afforded suitable opportunities for
				interactions with others;
iii.
				Spend one's own money for expenses and purchases;
iv. See visitors each day; and
v. Practice the religious/spiritual program
				of one's own choice or to abstain from religious practices;
5. The consumer's roles and
				responsibilities and consequences for 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 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 4 - CONSUMER SERVICES › Section 10:37A-4.4 - Nursing assessments, reassessments, and 90-day visits in supervised residences

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Initial comprehensive nursing assessment.
				Within the 14th day of a consumer's admission to a supervised residence, a
				registered nurse, or higher level nursing professional, shall provide, in a
				face-to-face setting, an initial comprehensive nursing assessment.
(b) Comprehensive nursing reassessments shall
				be performed annually, at a minimum. These reassessments may be performed on a
				more frequent basis than annually, where clinically necessary, shall cover the
				same information as the annual reassessment, and shall include a justification
				for the level of care received by the consumer.
(c) The initial nursing assessment and annual
				reassessments shall include:
1. An evaluation
				of the current status of diagnosed medical conditions, as well as
				identification of risk factors for medical conditions;
2. Allergies;
3. Adverse medication reactions;
4. An indication of whether the consumer
				possesses the ability to take medications as prescribed;
5. An indication of whether the consumer
				possesses an understanding of the risks and benefits of the medications
				prescribed;
6. An indication of
				whether the consumer possesses the ability to manage healthcare problems and
				healthcare appointments;
7. An
				indication of whether the consumer possesses the ability to manage mental
				illness and crises;
8. A physical
				wellness assessment (exercise, tobacco use, alcohol intake, sleep habits,
				coping mechanisms to deal with stress, dates of physicals/dental exams, height,
				weight, and vital signs);
9.
				Whether there are any barriers to wellness and recovery;
10. The consumer's dietary needs and current
				status;
11. An indication of
				whether the consumer possesses the ability to complete daily living tasks to
				meet safety, nutritional, food preparation, hygiene, household cleanliness, and
				clothing needs; and
12.
				Documentation of the justification for the continuation of services and a
				recommendation for the appropriate level of care (Level A+, A, or B housing,
				and family care homes).
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 4 - CONSUMER SERVICES › Section 10:37A-4.5 - Individualized rehabilitation plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) No later than
				30 days after the consumer has been admitted, PA staff shall be responsible for
				partnering with the consumer to develop, implement, monitor, and update an
				individualized rehabilitation plan.
(b) Within the parameters established by
				State and Federal confidentiality laws and
10:37A-2.2(d)
, the PA shall consult with identified providers and significant
				others in developing the individualized rehabilitation plan.
(c) The individualized rehabilitation plan
				for each consumer shall be based upon the comprehensive rehabilitation needs
				assessment, WRAP(R) and advance directive for mental health care, most recent
				nursing assessment, and any other existing assessments.
(d) An individualized rehabilitation plan
				shall include the following information:
1.
				The valued life role the consumer wants to achieve or maintain, the consumer's
				rehabilitation and recovery goals, and time-framed, measurable
				objectives;
2. The strategies and
				interventions to be employed, as well as anticipated outcomes;
3. Specific measurable criteria for program
				discontinuance or reduction in services that delineate a desired behavioral
				change or skill attainment;
4. A
				schedule of updates to the plan; and
5. All relevant providers serving the
				consumer.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 5 - CLINICAL RECORD DOCUMENTATION › Section 10:37A-5.1 - General requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				maintain written records for each consumer residing in supervised
				housing.
(b) The PA shall maintain
				the confidentiality of all records (in accordance with all applicable Federal
				and State laws) and shall securely store such records in a manner as to provide
				access only to authorized persons.
(c) Each consumer record shall be maintained
				in an organized, up-to-date fashion and shall include documentation of all
				services provided and contacts with consumers, including, as appropriate, the
				following documents:
1. A consumer service
				agreement that meets the requirements of
10:37A-4.2
;
2. A comprehensive rehabilitation needs
				assessment that meets the requirements of
10:37A-4.3
;
3. A nursing assessment that meets the
				requirements of
10:37A-4.4
;
4. An individualized
				rehabilitation plan that meets the requirements of
10:37A-4.5
;
5. Progress notes that meet the requirements
				of
10:37A-5.2
;
6. A termination summary that meets the
				requirements of
10:37A-5.3
;
				and
7. If the PA charges consumers
				fees, appropriate financial records that meet the requirements of
10:37A-5.4(a)
.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 5 - CLINICAL RECORD DOCUMENTATION › Section 10:37A-5.2 - Progress notes

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall document and maintain
				progress notes for each consumer on a weekly basis or more frequently in times
				of crisis or transition.
(b)
				Progress notes shall indicate the level of goal attainment, services provided,
				significant events, and contacts with other service providers. PA staff shall
				use the information contained in progress notes to set levels of care and to
				develop and revise the individualized rehabilitation plan and ongoing
				assessments related to a consumer's WRAP (R), where one exists.
(c) PA staff shall sign, date, and indicate
				the time of entry for every progress note they write and shall include their
				staff titles.
(d) Progress notes
				shall document ongoing communication with other service providers.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 5 - CLINICAL RECORD DOCUMENTATION › Section 10:37A-5.3 - 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 termination from community mental
				health residences.
(b) The
				termination summary shall include the following information:
1. The primary presenting
				problem(s);
2. The treatment
				provided and consumer's response;
3. The clinical condition at
				termination;
4. Any recommendations
				and referrals, including medications;
5. The reason for program termination;
				and
6. The consumer's
				post-termination housing address/housing status, if known.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 5 - CLINICAL RECORD DOCUMENTATION › Section 10:37A-5.4 - Financial records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to the recordkeeping
				requirements found in
N.J.A.C. 10:37-6.73
,
6.74
,
6.76
,
6.77
,
				and
6.79
, PAs that 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 and any rental subsidies received on
				the consumer's behalf.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 6 - SERVICES › Section 10:37A-6.1 - 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, as identified in the consumer's
				individualized rehabilitation plan, including, but not limited to:
1. Achieving and maintaining valued life
				roles in the social, employment, educational, and/or housing domains;
				and
2. Restoring a consumer's level
				of functioning to that which allows the consumer to achieve community
				integration and to access an independent living setting of the consumer's
				choice.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 6 - SERVICES › Section 10:37A-6.2 - Services to be provided by the supervised housing program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Based
				upon the needs of the consumers served, a range of services shall be offered to
				consumers in the supervised housing program, specifically addressing the
				maintenance or enhancement of consumer self-sufficiency. These services are
				intended to foster a sense of belonging, both within the residential setting
				and the greater community. They are designed to enhance the consumer's interest
				and participation in all spheres of community living (such as religious,
				social, political, and cultural). The PA shall empower the consumer to use the
				full range of community services. The PA shall provide consumers with access to
				an on-call PA staff member 24 hours per day, seven days per week for times of
				stress and crisis.
(b) Following
				assessment and evaluation of individual needs and services and in consultation
				with the consumer, the following minimum services shall be directly provided by
				the PA to enrolled consumers as individually appropriate and agreed to by the
				consumer, and shall be documented in the clinical record:
1. Individual services
				coordination;
2. Training in daily
				living skills;
3. Residential
				counseling;
4. Support
				services;
5. Crisis intervention
				services;
6. Medication education
				and facilitation of proper administration techniques; and
7. Health care monitoring and oversight
				services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 6 - SERVICES › Section 10:37A-6.4 - 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.
2. 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 or monitoring the consumer while he or she is self-administering the
				medication as part of the individualized rehabilitation plan.
3. If psychotropic medication or controlled
				substances are included in the individualized rehabilitation plan, arrangements
				appropriate to the consumer's ability to self-administer such medications shall
				be provided or arranged as appropriate by any engaged service provider,
				including procedures for location, storage, and retrieval of the
				medications.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 7 - STAFF QUALIFICATIONS, RESPONSIBILITIES, AND TRAINING › Section 10:37A-7.1 - 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
				  types of residences utilized, and the geographical distribution of residences.
				  The PA shall maintain the staffing pattern approved by the Division and
				  reflected in the purchase of service contract.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 7 - STAFF QUALIFICATIONS, RESPONSIBILITIES, AND TRAINING › Section 10:37A-7.2 - Staffing credentials and responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Staff shall be appropriately licensed.
(b) All staff shall have credentials as
				appropriate to their functional job descriptions and be hired in compliance
				with all applicable laws regarding criminal record background checks and
				substance use testing.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 7 - STAFF QUALIFICATIONS, RESPONSIBILITIES, AND TRAINING › Section 10:37A-7.3 - Staff training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall develop, update, administer,
				and document a comprehensive, competency-based training program and manual for
				individuals providing adult mental health residential services. The training
				curriculum shall be consistent with the requirements set forth at
N.J.A.C. 10:37-6.99
,
10:37D-2.14
, and
10:77A-2.4
, and shall have
				as stated objectives the attainment of the skills to provide, to the extent
				they are applicable, the services listed in (d) below.
(b) A training completion summary sheet shall
				be documented for each employee, listing each topic and subtopic relevant to
				the employee's job that is included in the curriculum and indicating the date
				that each training was provided, the duration of the training, the source of
				the training, and the competency (as indicated by a completed test, if
				applicable) or certification achieved. On-line training may serve as the
				delivery method for each topic or subtopic listed in (d) below.
(c) A training manual shall provide a
				detailed description of the curriculum, consistent with the topics listed in
				(d) below, the qualifications of the individuals or sources of the training
				providers, the training format, any materials to be used or distributed, and a
				description of how skill attainment will be measured, including a copy of any
				measurement instrument to be used.
(d) 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;
ii. Illness, management, and
				recovery;
iii. Wellness and
				recovery action planning;
iv.
				Advance directives for mental health care;
v. Professional ethics and
				boundaries;
vi.
				Confidentiality;
vii. Resident
				populations; and
viii. Continuum of
				care and discharge orientation.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37A - LICENSED COMMUNITY RESIDENCES FOR ADULTS WITH MENTAL ILLNESSES › Subchapter 8 - FACILITY › Section 10:37A-8.1 - Physical plant requirements

Current through Register Vol. 56, No. 14, July 15, 2024
All licensed supervised residences shall comply with all
				  applicable provisions of the New Jersey Uniform Construction Code as specified
				  in
N.J.A.C. 5:23
, all applicable provisions of the New Jersey
				  Uniform Fire Code, as specified in
N.J.A.C. 5:70, 5:71
, and
				  5:72, and evidenced by a valid Certificate of Occupancy under the Construction
				  Code or Certificate of Inspection under the Fire Code, as appropriate, and all
				  applicable local codes.