New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Appendices › Appendix 10

Current through Register Vol. 46, No. 28, July 10, 2024
I. The following
			 are additional definitions formulated for purposes of these regulations:
Rehabilitation testing and evaluation include tests,
				examinations and evaluative or diagnostic statements made by a psychiatrist,
				physician, psychologist, social worker, rehabilitation specialist, educational
				specialist, occupational therapist or other professional person in a related
				discipline that appraise a client's capacity to acquire occupational skills and
				acceptable patterns of social and employment behavior and that assess the
				client's capacity for productivity in a work, social, or educational situation,
				real or simulated.
Therapeutic recreation is a rehabilitative program consisting
				of social and recreational activities designed to help the mentally disabled
				client move forward in his personal adjustment and in his relationship with
				others.
A social remotivation program is that element of a
				rehabilitation program that attempts to stimulate a mentally disabled client to
				the point where he becomes willing to relate to other people in activities that
				will help him to move toward resumption of or adjustment to community
				life.
Occupational therapy is that aspect of a rehabilitation program
				that emphasizes a plan for restoration of mental, emotional and physical
				ability individually designed for each mentally disabled client and carried out
				under the direction or supervision of a physician with the intent of preparing
				such client for his return to the community.
Training for independent living is the kind of rehabilitation
				program that emphasizes activities designed to provide a mentally disabled
				client with practical experience in handling his day-to-day life in the
				community.
A job-tryout, on-the-job-training, or industrial therapy is a
				work experience within the rehabilitation agency or in conjunction with an
				outside industry or institution planned for the purpose of helping a client
				acquire work knowledge, develop skills, or of assessing his readiness for job
				placement.
Milieu therapy is the total environment of a program, including
				physical surroundings, equipment and staff attitudes that are integrated in
				such a way as to enhance the effectiveness of other therapies and activities
				and encourage the client's rehabilitation.
Personal adjustment training or work adjustment emphasizes the
				development of adjustment to work rather than the development of a particular
				skill. This may be achieved by long-term exposure to a real work situation
				stressing personal and social skills required to get along with others in a
				work setting, the development of work tolerance, appropriate work habits and
				emotional stability in responding to work pressures.
Long-term workshop employment is a program operated in a
				protected environment to provide employment for clients who are so severely
				incapacitated that they may not engage in competitive employment in the labor
				market for a prolonged period.
Job placement and to follow-up service is that aspect of a
				vocational rehabilitation program in which a client is placed in a job with
				subsequent determination as to whether he has been suitably placed in
				competitive employment. It also involves a decision as to whether the client
				needs further service and if so, what kind.
Domiciliary care (halfway houses, hostels, home care, family
				care, group living and the like) are temporary or permanent supervised living
				arrangements for mentally disabled clients.
Supportive services are designed to strengthen the abilities of
				mentally disabled clients to move ahead toward maximum independent functioning
				by working with their total environments including home and family, job and
				employer and the community as a whole.
II. The following professional disciplines
			 must be licensed, certified or registered in the State of New York:
A psychiatrist must have a license to practice medicine in the
				State of New York and must have completed a three year psychiatric residency in
				an approved psychiatric hospital.
A physician or other specialist in the medical profession must
				have a license to practice medicine in the State of New York and one year of
				acceptable experience.
A psychologist must be certified in the State of New York as a
				psychologist or as a school psychologist. Certification is waived for
				psychologists employed by public agencies.
A social worker must be certified in the State of New York. A
				master's degree from an approved school of social world that includes too years
				of part-time supervised field work is required for certification. Certification
				is waived for social workers employed by public agencies.
A nurse must be registered with, the State of New York. To
				qualify for registration a nurse must have graduated from an accredited school
				of nursing that includes the proper academic training and supervised student
				nursing.
A physical therapist, occupational therapist, or speech
				therapist must be licensed by the State of New York.
A teacher in a rehabilitation program in an institution must
				hold a bachelor a degree from a recognized four-year college or university
				which includes satisfactory completion of the necessary hours in the subject of
				the teaching specialty or specialties.
Other specialists for whom licensure, certification or
				registration is not required by New York State must be eligible for membership
				in their national standard-setting organization.
III. Discharge policies shall be premised on
			 specific considerations.
The client is considered to have a reasonably good adjustment
				to work and daily living and requires no further service.
The client requires another community service that can better
				serve his needs.
The client has reached the maximum allowable stay as determined
				by policy of the rehabilitation agency. Referrals to other resources should be
				made if further service is required.
The client is not ready at this time for vocational
				training.
The client shows gross lack of cooperation with the program
				rules and procedures of the rehabilitation agency.
IV. The following certifications or approvals
			 are required, if applicable, in relation to premises.
Written approval by the local fire department that the premises
				are fire-safe.
Written approval by the local building department that the
				building or space in the building is in safe repair for the purposes of the
				program.
Written indication where required from the local zoning
				authority that the rehabilitation service is in the proper zone.
Certificate of occupancy from the building department stating
				that the premises may be used for a rehabilitation program unless the service
				is housed in a public building in which case this requirement is waived.
Written approvals as required from the health or sanitation
				departments if food is prepared on the premises.
V. The following are the qualifications for
			 mental health aide that were developed by the Municipal Service Division of the
			 New York State Civil Service Commission on June 19, 1967. Graduation from high
			 school and either:
graduation from a recognized college or university, or four
				years of experience working under professional supervision with clients on
				assigned aspects of their social, health, education or rehabilitation problems
				in an agency or institution adhering to acceptable standards, or any equivalent
				combination of experience and training.
Possession of an associate degree issued after completion of
				  a two-year course with specialization in community service assistance can be
				  substituted for two years of the experience called for in (b)
				  above.