New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIV - Office for People With Developmental Disabilities › Part 676 - Diagnostic and Research Clinics › Section 676.1 - Introduction and intent

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Part
				establishes standards for the certification and operation of a diagnostic and
				research clinic. The diagnostic and research clinic program has been conceived
				as a highly specialized tertiary care facility. The diagnostic and research
				clinic shall either be part of a larger research institute or part of an
				article 28 certified primary or secondary health care facility. The clinic
				shall be established to deliver specialized clinical diagnostic assessments,
				laboratory services, treatment planning, and if needed, to facilitate the
				evaluation procedures, short term residential services. Only individuals
				referred to the clinic with apparent disabilities will be admitted for its
				services. Primarily, individuals will be admitted whose disabilities have been
				difficult to diagnose, and who are suspected of having developmental
				disabilities and who also require treatment planning so as to match their
				particular needs with appropriate interventions and services. The diagnostic
				and research clinic, based on assessments spanning several disciplines, shall
				be responsible to prepare a written diagnostic and evaluation summary and an
				interdisciplinary recommended treatment plan for each person admitted. This
				plan shall be used to explain to parents, advocates, correspondents, referring
				agency, etc., the cause and nature of the person's disabilities, and to
				recommend the type and intensity of treatment best suited to care for the
				person. The clinic shall also provide follow-up and corollary referrals, if
				needed, for each person admitted. The diagnostic and research clinic, if
				affiliated with an overall research facility will be able to utilize its
				sophisticated technical expertise and equipment for diagnosis and evaluation.
				In addition, the clinic may provide the research institute with data and
				material for approved research projects and thereby to expand and enhance the
				extant knowledge of the causes, prevention and treatment of developmental
				disabilities. The diagnostic and research clinic shall only be permitted to
				release information for research if such information has been obtained in the
				process of delivering clinical services specified for an individual and if
				appropriate consents and review procedures for research with human subjects
				mandated by Federal and State laws, regulations and guidelines have been
				followed.
(b) A diagnostic and
				research clinic as defined and operated under this Part, shall be established
				as an organizational entity providing persons with developmental disabilities,
				or persons suspected of having developmental disabilities, with comprehensive
				behavioral and medically related assessment and diagnostic services.
(c) Such services shall primarily:
(1) identify the existence, nature and extent
				of a person's mental and physical disabilities and/or suspected disabilities,
				and his or her chronic and/or acute medical needs;
(2) conduct definitive laboratory evaluations
				and specialized procedures for those individuals whose disabilities have been
				difficult to diagnose, evaluate and treat;
(3) assess an individual if necessary in each
				functional discipline and evaluate the areas of disability, the levels of
				disability and specify in writing the person's diagnosis or diagnoses in each
				area in which the person has been assessed; and, develop in a recommended
				treatment plan the methods, objectives, goals, services, treatments, etc. that
				could be used to ameliorate, habilitate, or rehabilitate the individual to his
				or her best possible functional level;
(4) prevent the outbreak of illness, disease,
				or other disabilities or prevent the progression of such conditions;
(5) prolong life and limb and the quality of
				life for the natural duration of the life of a person with a disability; and
				assess the etiology of the symptomatology of a person with a disability after
				death if requested by the family, and/or required by court or by legal
				mandate;
(6) consult with family
				for the purposes of intake, referral, genetic counseling, case management, and
				advocacy;
(7) conduct approved and
				appropriate experimental diagnosis and treatment procedures using specialized
				clinical laboratories and other resources if appropriate consents are granted;
				and
(8) educate, train, and guide
				other professional clinicians, and scientists and/or those studying to be
				professional clinicians and/or scientists to participate in clinical
				investigations concerning the causes, treatment and prevention of developmental
				disabilities.