Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-2 - Grievances; Death; Psychotropic Medication; Etc › Section 5122-2-12 - Regional psychiatric hospital (RPH) inpatient assessment, treatment planning and discharge planning

Current through all regulations passed and filed through July 1, 2024
(A)
								 The purpose of
			 this rule is to establish department policy and guidelines governing the
			 development and implementaton of assessments, treatment plans and discharge
			 plans.
(B)
								 The following definitions shall apply to this rule in
			 addition to or in place of those appearing in rule
			 5122-1-01 of the
			 Administrative Code.
(1)
									 "Basic neurological exam" means an examination of
			 cranial nerves, sensory and motor functions, coordination, and deep tendon
			 reflexes.
(2)
									 "CPST" means community psychiatric supportive
			 treatment service which provides an array of services delivered by community
			 based, mobile individuals or multidisciplinary teams of professionals and
			 trained others. Services address the individualized mental health needs of the
			 client. They are directed toward adults, children, adolescents and families and
			 will vary with respect to hours, type and intensity of services, depending on
			 the changing needs of each individual. The purpose/intent of CPST service is to
			 provide specific, measurable, and individualized services to each person
			 served. CPST services should be focused on the individual's ability to succeed
			 in the community; to identify and access needed services; and to show
			 improvement in school, work and family and integration and contributions within
			 the community.
(3)
									 "Day" means a calendar day, unless otherwise
			 indicated.
(4)
									 "Direct care nursing staff" means, but is not limited
			 to, registered nurses, licensed practical nurses, mental health technicians,
			 and therapeutic program workers.
(5)
									 "Goal" means an
			 expected result or condition that takes time to achieve, that is specified in a
			 statement that provides guidance in establishing intermediate objectives
			 directed towards its attainment.
(6)
									 "Long-term view"
			 means the life situation the patient would like to attain in the next three to
			 five years. Usually described in the patient's own words, the long-term view
			 includes all elements that are important to the patient. This may include
			 living arrangements, vocational/educational activities, relationships, and
			 other factors that are important to the quality of life desired by the
			 patient.
(7)
									 "Objective" means an expected result or condition that
			 takes less time to achieve than a goal, is stated in measurable terms, has a
			 specified time for achievement, and is related to the attainment of a
			 goal.
(8)
									 "Physical disabilities" means conditions such as
			 deaf/hard-of-hearing, visual impairment, and/or other physical limitations in
			 what would be considered normal physical functioning that may affect an
			 individual's access to treatment, and that needs to be considered in the
			 overall assessment process, and in the development of an individual's treatment
			 plan.
(9)
									 "Physical examination" means an examination of a
			 patient by a physician including, but not limited to, all the items indicated
			 on "History of Physical Illness" and "Physical Examination" forms designated by
			 the department.
(10)
									 "Physician" means a person licensed under the laws of
			 this state to practice medicine.
(11)
									 "Psychiatric
			 examination" means an examination of a patient by a psychiatrist, or a
			 physician privileged by the facility to conduct such examinations, including,
			 but not limited to, all the items indicated on the "Psychiatric Examination"
			 form designated by the department.
(12)
									 "Psychiatrist"
			 means a licensed physician who has satisfactorily completed a residency
			 training program in psychiatry, as approved by the residency review vommittee
			 of the American council on graduate medical education, the committee on
			 graduate education of the American osteopathic association, or the American
			 osteopathic board of neurology and psychiatry, or who, as of July 1, 1989, has
			 been recognized as a psychiatrist by the Ohio state medical association or the
			 Ohio osteopathic association on the basis of formal training and five or more
			 years of medical practice limited to psychiatry.
(13)
									 "Psychologist"
			 means an individual who holds a current license under Chapter 4732. of the
			 Revised Code which authorizes the practice of psychology.
(14)
									 "Recovery"
			 means a personal process of overcoming the negative impact of a psychiatric
			 disability despite its continued presence.
(15)
									 "Registered
			 nurse" means an individual who holds a current license issued under Chapter
			 4723. of the Revised Code which authorizes the practice of nursing as a
			 registered nurse.
(16)
									 "Social worker" means a person who uses the
			 application of specialized knowledge of human development and behavior, and
			 social, economic and cultural systems in directly assisting individuals,
			 families, and groups to improve or restore their capacity of social
			 functioning, including assessment, counseling, and the use of social work
			 interventions and social psychotherapy.
(17)
									 "Treatment
			 plan" (also known as "plan of care") means a written statement of specific,
			 reasonable and measurable goals and objectives for an individual established by
			 the treatment team, in conjunction with the patient, with specific criteria to
			 evaluate progress towards achieving those objectives.
(18)
									 "Treatment
			 team" means a team comprised of the patient, patient's family as defined and
			 authorized by the patient, psychiatrist, or physician so privileged by the
			 facility, registered nurse, social worker, and other appropriate personnel
			 (such as activity therapist, CPST worker, interpreter, readers, dietitian,
			 occupational therapist, pharmacist, psychologist, and others as appropriate)
			 based on patient needs and standard-setting agency requirements.