New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 580 - Operation Of Psychiatric Inpatient Units Of General Hospitals › Section 580.6 - Program

Current through Register Vol. 46, No. 28, July 10, 2024
(a) General.
(1) The program of services shall be provided
				in accordance with the principle of continuity of care, whereby a single member
				of the professional clinical staff shall exercise primary responsibility for
				each patient at all times.
(2)
				Direct service to patients shall be provided in accordance with an individual
				written plan of care, treatment and rehabilitation, specifying the nature of
				the conditions and the disabilities found to be present and those which are to
				be affected, relating these to the methods of care, treatment and
				rehabilitation to be provided, identifying the intended benefits of care and
				treatment and providing for appropriate review and revision.
(3) A single case record which contains
				current information regarding diagnosis, treatment and evaluation of results of
				care or treatment for each patient shall be available to all professional staff
				involved in the care or treatment of that patient.
(4) The programs provided by the unit shall
				include diagnostic and active treatment, including but not limited to
				individual and group psychotherapy, acceptable somatic therapies, psychiatric
				nursing care and a therapeutic milieu. In addition, in order to provide
				alternatives to inpatient care and a continuum of support and care beyond
				inpatient stay, a general hospital shall, either within its facility or by
				affiliation with other public or nonprofit or other approved agencies, assure
				access for patients, as clinically appropriate, to partial hospitalization
				services, outpatient and emergency services. The functions of the partial
				hospital services and outpatient programs shall closely relate to the inpatient
				unit, be established by written agreement if not provided by the psychiatric
				inpatient unit, and shall be available to all patients who might
				benefit.
(5) The treatment program
				in those hospitals which provide services to children shall include the means
				for providing instruction to children under the age of 18, consistent with
				their age, needs, and clinical condition, as well as, the needs and
				circumstances within the facility or program, in techniques and procedures
				which will enable such patients to protect themselves from abuse and
				maltreatment.
(6) A nurse
				practitioner or registered nurse shall be on duty on the unit at all
				times.
(7) A physician shall be on
				duty at all times at the hospital, and other medical staff shall be available
				on call as needed.
(8) The unit
				shall have continuously in force a written policy on prescription and
				dispensing of medications, including appropriate time limits for prescriptions
				or drug orders and requirements for review by the physician
				responsible.
(9) All facilities
				accepting admissions pursuant to section 9.39  of the Mental Hygiene Law must
				demonstrate the capacity to, when appropriate, control the access to and exit
				from units or areas of units in which individuals admitted pursuant to section 9.39  reside.