reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.9 - Financial procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				have a system of financial internal controls to protect organizational assets
				and promote the goals and objectives of the organization.
(b) The system of financial internal controls
				shall provide reasonable assurance that:
1.
				Obligations and costs are in compliance with applicable laws;
2. Funds, property and other assets are
				safeguarded against waste, loss, unauthorized use and
				misappropriation;
3. All financial
				transactions applicable to agency operations are properly recorded and
				accounted for so that financial and statistical reports and accountability over
				the assets can be maintained and can be prepared; and
4. There is a system of checks and balances
				related to specific financial routine procedures and a careful separation of
				functions and responsibilities in authorizing, processing, recording and
				reviewing transactions.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.10 - Personnel manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall have a personnel policies
				and procedures manual which is approved by the governing board and describes
				the practices of the PA.
(b) There
				shall be documentation that the governing board has reviewed and approved the
				personnel manual on an annual basis.
(c) The personnel manual shall include, but
				need not be limited to, the following policies: staff benefits, work hours,
				sick leaves, leave of absence, on the job injuries, grievances, employee
				discipline, code of ethics, outside employment, reporting losses, thefts or
				vandalisms, retirement assistance, employee evaluations, and conflict of
				interest.
(d) There shall be
				written job descriptions for every employee position which includes staff
				responsibilities, minimum qualifications and reporting relationships.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.11 - Personnel files

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall maintain personnel files
				for all staff, volunteers, and student-interns.
1. Personnel files shall include applications
				and resumes with pertinent identifying data; a copy of employee contracts when
				applicable; copies of school affiliation agreements and verifications of
				professional credentials as appropriate; performance evaluations; and current
				job descriptions.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.12 - Verification of staff credentials

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				have written policies and procedures to ensure the verification of staff
				credentials, experience, and employment references.
1. Credentials shall be verified either: by
				viewing the original licenses or degrees of professional staff; a sign-off
				sheet by the personnel officer or appropriate staff; or documentation of
				written or telephone contact with the organization that granted the degree; or
				license.
2. Previous employment and
				experience shall be verified by documentation of written or telephone contact
				with an employee's previous employers.
3. There shall be documentation that licenses
				are verified each year to ensure that they are valid.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.13 - Qualification of staff

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				hire staff who are appropriately licensed, certified or trained in order to be
				able to assume responsibility for the services provided by the PA.
1. The PA governing board shall formally
				adopt policies and procedures to ensure that psychiatrists are Board certified
				or Board eligible by the American Board of Psychiatry and Neurology or the
				American Osteopathic Board of Neurology and Psychiatry.
2. The PA shall ensure that only
				appropriately licensed personnel shall provide services for which a license is
				required.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.14 - Training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall orient, train, supervise
				and evaluate employees.
1. There shall be an
				orientation to assist staff to adequately perform their job responsibilities at
				the onset of their employment.
2.
				There shall be documented ongoing training provided to staff on pertinent
				topics.
3. Cultural sensitivity
				shall be included in staff orientation and training programs.
4. There shall be regularly scheduled staff
				meetings or supervisory conferences.
5. There shall be at least an annual
				performance evaluation of all staff.
6. There shall be procedures to orient and
				supervise the work of student interns and volunteers.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.15 - Conflict of interest

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				have a policy addressing conflict of interest issues.
1. The policy shall prohibit PA staff from
				personal, financial, professional or political gain at the expense of the PA's
				or clients' interest.
2. The policy
				shall comply with any current Department conflict of interest rules contained
				in 10:3-1.14.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.16 - Non-discrimination

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				have a policy that prohibits discrimination against applicants for employment
				or services and against any employee or recipient of service, because of race,
				color, creed, religion, ethnic background, national origin, marital status,
				handicap, age or gender. The policy shall comply with all Federal and State
				statutes as well as any current Department non-discrimination policy.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.17 - Affirmative action and equal employment opportunity

Current through Register Vol. 56, No. 14, July 15, 2024
Each PA shall have policies and procedures that address
				  Affirmative Action pursuant to the Civil Rights Act of 1964, Executive Order
				  No. 61, N.J.A.C. 17:27,
				  10:5-31 et seq. and P.L. 1975,
				  c.127, and Equal Employment Opportunity pursuant to
				  11A:7-1 et seq. The policies
				  shall adhere to all Federal and State statutes and any current Department
				  policies.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 2 - MANAGEMENT STANDARDS › Section 10:37D-2.18 - Client confidentiality, rights and grievances

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				have policies and procedures to address client confidentiality, rights and
				grievances.
1. The policy to safeguard
				clients' confidentiality shall comply with
				30:4-24.3 on confidentiality, any
				current Department policies on access to records and
				10:37-6.79, Confidentiality of
				records.
2. The policy to address
				clients' rights shall comply with
				10:37-4.5, Clients
				rights.
3. The clients' grievance
				procedure shall comply with
				10:37-4.6, Client complaint agency
				ombuds procedure.
4. Policies on
				client confidentiality, rights and grievances shall comply with all related
				Federal and State statutes, and any current Department rules.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 3 - GOVERNING BODY › Section 10:37D-3.1 - Governing board; general duties and composition

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				have a governing board which may establish advisory boards or committees to
				ensure that the PA's programs are responsive to the consumers in the
				communities served by the PA.
1. Priority for
				membership shall be given to individuals who reside, work, and/or receive
				services in the service area, or are former recipients of services, or have
				family member(s) who receive services from the PA.
2. Each PA shall document "good faith"
				efforts to recruit current or former recipients of services from a mental
				health program, or family members or guardians of such recipients for board
				membership.
3. Governing boards and
				advisory boards shall generally reflect the age, race and gender demographics
				of the service area.
4. To promote
				diversity, advisory boards shall be composed of individuals with varied
				expertise.
5. The majority of the
				governing and advisory board members shall not be providers of health
				care.
6. There shall be
				documentation that all advisory boards offer recommendations to the governing
				board for their consideration.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 3 - GOVERNING BODY › Section 10:37D-3.2 - Governing board; financial responsibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA's
				governing board shall assume fiduciary responsibility for the financial
				management of the PA.
1. The governing board
				shall authorize, approve and adopt the PA's annual budget.
2. The governing board shall approve all
				capital projects.
3. The governing
				board shall review and approve the PA's annual audits performed by an
				independent public accountant.
4.
				Each governing board shall formally designate a member to certify financial
				statements by signature.
5. The
				governing board shall monitor expenditure reports on at least a quarterly basis
				to ensure the PA's financial solvency.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 3 - GOVERNING BODY › Section 10:37D-3.3 - By-laws

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each governing board shall establish
				by-laws that define its roles and functions.
1. The by-laws shall describe the powers and
				duties of the governing board, its officers and committees.
2. The by-laws shall state the criteria and
				method of selecting members.
3. The
				by-laws shall state the number of members necessary for a quorum and the rules
				for meetings, including frequency of meetings.
4. The by-laws shall describe the authority
				and responsibilities of the Chief Executive Officer including his or her
				reporting responsibilities to the board.
5. The by-laws shall be reviewed at least
				every two years and revised as necessary. The board president or chair shall
				sign and date the by-laws to indicate the time of review or revision.
6. The by-laws shall conform to the
				requirements of
				N.J.S.A.
				14A:2-9 or
				15A:2-10, whichever is
				applicable.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 3 - GOVERNING BODY › Section 10:37D-3.4 - Conflict of interest

Current through Register Vol. 56, No. 14, July 15, 2024
Each governing board shall develop a conflict of interest
				  and disclosure policy which conforms with Department rules at
				  10:3-1.14.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 3 - GOVERNING BODY › Section 10:37D-3.5 - Meetings; schedule and minutes

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each governing
				board and its advisory boards shall meet on a regular basis as described in its
				by-laws.
1. The governing board and its
				advisory boards shall meet with sufficient frequency to carry out the functions
				described in this document but in no case less frequently than
				quarterly.
2. Minutes of meetings
				shall be maintained, including resolutions and motions pertaining to the fiscal
				and legal responsibilities of the board.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 3 - GOVERNING BODY › Section 10:37D-3.6 - Functions of the board

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The executive
				and management functions of the governing board shall include, at a minimum,
				establishing and approving general policies for the fiscal and programmatic
				operation of the agency, to ensure consistency with the agency's mission and
				goals.
(b) The governing board
				shall appoint the Chief Executive Officer and evaluate his or performance
				annually.
(c) The governing board
				shall review and approve plans to establish new programs or to substantially
				alter or discontinue existing programs, substantial changes in levels of
				service, and changes in populations served.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37D - MANAGEMENT AND GOVERNING BODY STANDARDS › Subchapter 3 - GOVERNING BODY › Section 10:37D-3.7 - Reports to the board

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each PA shall
				submit written reports summarizing the PA's activities and status to the
				governing board.
1. The governing board shall
				determine the nature and frequency of these reports, with input from the Chief
				Executive Officer.
2. The frequency
				and content of these reports shall provide the governing board sufficient
				information to meet its legal and fiscal responsibilities.
3. The PA shall provide summaries of Quality
				Assurance findings to the governing board.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37E-1.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules in
				this chapter shall apply to all Division funded outpatient services
				(OP).
(b) The purpose of OP
				services is to support, enhance and encourage the emotional development and the
				development of clients life skills in order to maximize their individual
				functioning. These services are designed to preserve or improve current
				functioning, strengths and resources. In OP services clients and staff work
				together to plan and implement effective treatment.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37E-1.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The words and terms in this chapter shall have the following
				  meanings unless the context clearly indicates otherwise.
"Affiliated psychiatric emergency service" means a
				  psychiatric emergency service which has a written, Division approved
				  affiliation agreement with a designated screening center to provide screening
				  services within the area served by the designated screening center.
"Division" means the Division of Mental Health and Addiction
				  Services in the Department of Human Services.
"Medication monitoring" means medication services provided
				  under supervision of a licensed physician, or by a certified nurse
				  practitioner/ clinical nurse specialist and his or her collaborating physician,
				  to evaluate, prescribe or administer, and monitor the client's use of
				  psychotropic medications including anti-parkinsonian medications.
"Outpatient services" means mental health services provided
				  in a community setting to clients who possess a psychiatric diagnosis,
				  including clients who are seriously and persistently mentally ill but excluding
				  substance abuse and developmental disability unless accompanied by treatable
				  symptoms of mental illness. Periodic therapy, counseling, and supportive
				  services are generally provided onsite at the provider agency for relatively
				  brief sessions (between 30 minutes and two hours). Services may be provided
				  individually, in group, or in family sessions.
"Provider agency (PA)" means a public or private organization
				  which has a contract with the Division to provide OP services.
"Psychoeducation services" means a mutual exchange of
				  information and education between the professional and client or the
				  professional and family members in order to increase the likelihood of family
				  and community support to the client and to reduce the probability of client
				  decompensation. Information may address etiology and symptoms characteristic of
				  the client's mental illness, effects of medication, coping skills, daily living
				  skills community resources and supports, and similar mental health
				  service-related matters.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 2 - PROGRAM OPERATION › Section 10:37E-2.1 - Written policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) PA shall
				develop and implement written policies and procedures to ensure that the
				provider complies with the rules in this chapter.
1. The PA shall have a written policy and
				procedure manual which is reviewed at least annually as evidenced by a written
				review date.
2. The PA shall have
				written policies and procedures that reflect the operational standards and
				practices of the PA.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 2 - PROGRAM OPERATION › Section 10:37E-2.2 - Population/admission priorities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				have written policies and procedures describing its admission criteria and
				practices. First priority for admissions into OP services shall be given to
				persons with severe and persistent mental illness in accordance with target
				populations, as defined in
				10:37-5.2.
1. The PA shall have written and implemented
				policies and procedures regarding admission criteria requiring that clients
				referred directly from emergency services by a screening or affiliated
				psychiatric emergency service for medication follow-up be seen within seven
				calendar days of referral and that clients referred from inpatient settings for
				medication monitoring services be seen within fourteen calendar days of
				referral.
2. The PA shall have
				written and implemented policies which establish time frames and procedures for
				completion of the admission process for clients needing services other than
				medication monitoring.
3. The PA
				shall have written policies and procedures which specify the information to be
				obtained and the records to be maintained on all applicants or referrals for
				admission, the procedure for accepting referrals from outside organizations,
				self referrals and other sources, the statistical data to be recorded at the
				intake process, and the procedures to be followed, including alternative
				services, when an applicant is found ineligible for admission.
4. The PA shall have written and implemented
				policies and procedures that require every client receive an initial
				face-to-face assessment by professional staff or by a student in a recognized
				training program who is supervised by a member of the professional staff
				assuming responsibility for the work.
5. The PA shall have written and implemented
				policies and procedures requiring that applicants for service fully understand
				the program characteristics and their rights and responsibilities, including
				the nature and goals of the treatment program, the hours during which services
				are available, the treatment costs to be borne by the client, if any, and any
				other information deemed pertinent by the PA. Documentation of this
				communication shall be maintained in the clinical record.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 2 - PROGRAM OPERATION › Section 10:37E-2.3 - Services to be provided

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The OP program
				shall provide a range of services which address the individual needs of clients
				and shall include, at a minimum, the following:
1. Assessment and evaluation;
2. Referral, linkage and follow-up
				services;
3. Individual, group, and
				family therapy;
4. Psychiatric
				evaluation, medication services and medication monitoring; and
5. Psychoeducational services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 2 - PROGRAM OPERATION › Section 10:37E-2.4 - Service planning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each client
				shall be provided OP services according to a written service plan contained in
				the clinical record.
1. Service plans shall be
				based upon the findings and treatment recommendations of a comprehensive mental
				health assessment. The comprehensive mental health assessment shall identify
				the client's needs and strengths and shall address, at a minimum, the following
				information about the client:
i. Current
				emotional and behavioral functioning;
ii. Previous emotional, behavioral, and
				substance abuse problems and treatment;
iii. Medication history, including medication
				dosage, frequency and side effects;
iv. Previous and current physical health
				problems, and observation of physical appearance as it may relate to the
				client's mental condition;
v.
				Abuse, neglect, and domestic violence history;
vi. Family situation, including the
				constellation of the family group; the current living situation; and social,
				ethnic, cultural, emotional, and health factors;
vii. Educational and work history;
viii. Identification of the community
				resources currently utilized by the client;
ix. Evaluation of the developmental age
				factors of the client in programs serving minors;
x. Psychological assessments, when clinically
				indicated; and
xi. Evaluations of
				any language, self-care, and other areas of functioning which relate to the
				client's mental condition.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 2 - PROGRAM OPERATION › Section 10:37E-2.5 - Termination of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The OP program
				shall establish and implement policies and procedures to address the
				termination of services to clients.
1. When
				it is determined that termination of services to a client is clinically
				appropriate, professional staff shall assess further client needs and make
				appropriate referrals and linkages.
2. Individuals shall not be terminated due to
				non-attendance without prior specific efforts to engage the client which shall
				be documented in the client's clinical record.
3. A termination summary shall be documented
				in the client record within 30 days following termination. This shall include,
				at a minimum, the following:
i. Primary
				presenting problem;
ii. Significant
				findings;
iii. Treatment provided
				and response to treatment;
iv.
				Clinical condition at termination;
v. The recommendations and arrangements for
				further treatment, including prescribed medications, dosage and possible side
				effects and any referrals made; and
vi. The individual's final diagnoses, as
				derived from the most recent edition of the Diagnostic and Statistical Manual
				of Mental Disorders, published by the American Psychiatric Association, 800
				Maine Ave., SW, Ste. 900, Washington, DC, 20024.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 2 - PROGRAM OPERATION › Section 10:37E-2.6 - Staffing requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				employ staff who are licensed, when required, appropriately credentialed and
				sufficiently trained to provide OP services.
1. No counseling or therapy services
				requiring professional training, licensure or certification shall be provided
				by any staff member not appropriately trained, licensed or certified to provide
				such services. Unless licensure or certification provisions permit otherwise,
				counseling or therapy services shall be provided by individuals with at least a
				masters degree in a recognized mental health discipline.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37E - OUTPATIENT SERVICE STANDARDS › Subchapter 2 - PROGRAM OPERATION › Section 10:37E-2.7 - Utilization review

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				meeting the quality assurance requirements as promulgated in N.J.A.C. 10:37-9,
				the PA shall also monitor and evaluate utilization of OP resources.
(b) At a minimum, the following data shall be
				routinely collected and analyzed:
1. Wait for
				service data:
i. The length of time from
				referral to intake interview from a designated screening center or a
				psychiatric emergency service with a written affiliation agreement with a
				designated screening center for medication monitoring; referrals from inpatient
				settings for medication monitoring; and referrals from other sources;
ii. The length of time from intake interview
				to initiation of ongoing therapy, categorized by referrals for medication
				monitoring and referrals from inpatient settings for medication monitoring; and
				referrals from all other sources;
iii. Monthly number of clients on the waiting
				list.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37F-1.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules in
				this chapter shall apply to all providers of partial care services (PC) for
				adults.
(b) The purpose of PC
				services is to assist individuals with severe mental illness to achieve
				community integration through valued living, learning, working, and social
				roles and to prevent hospitalization and relapse. The role of PC is therefore
				to facilitate consumer integration into the community, not to become a
				permanent outcome although it is recognized that some consumers may need the
				support of PC for long periods of time. This balance between recovery and
				clinical services is accomplished through the provision of individualized,
				comprehensive, non-residential, structured programming which provide, but are
				not limited to, counseling, case management, psychoeducation, pre-vocational
				services, social and leisure services, and psychiatric services, and shall be
				available to eligible individuals on an hourly basis for up to five hours per
				day at least five times per week.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37F-1.2 - Guiding principles

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The following concepts of recovery and
				wellness shall serve as the guiding principles in the delivery of partial care
				services:
1. Consumers should have a basis to
				expect that, as a result of their involvement with this program, they will be
				able to better manage their illness and improve the quality of their
				life;
2. Partial care programs
				shall identify and build upon each recovering individual's strengths and areas
				of health in addressing his or her needs;
3. The environment in which partial care
				services are delivered shall encourage hope and emphasize individual dignity
				and respect;
4. As recovery is most
				often a process, not an event, the provider shall address the needs of people
				over time and across different levels of disability;
5. Recovery principles shall be applied to
				the full range of engagement, intervention, treatment, rehabilitation and
				supportive services that a person may need;
6. As a recovery-oriented system, the partial
				care program shall offer a high degree of:
i.
				Accessibility; and
ii. Sustainable
				effectiveness in engaging and retaining persons in care such that they can
				achieve the highest degree of stability and recovery over a long period of
				time;
7. Whenever
				possible, the services shall be provided within the person's own community
				setting, using the person's natural supports; and
8. The service system shall help the person
				achieve an improved sense of mastery over his or her condition and shall assist
				the person in regaining a meaningful, constructive sense of membership in the
				community.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.1 - Admission criteria

Current through Register Vol. 56, No. 14, July 15, 2024
(a) First priority for admissions into PC
				services shall be given to persons with severe and persistent mental illness in
				accordance with target populations, as defined in
				10:37-5.2.
1. The provider agency shall utilize the
				following inclusionary and exclusionary admission criteria, which are designed
				to assure the clinical appropriateness of each admission.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.2 - Intake procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				develop and implement an intake process that provides a basis for assessment of
				an applicant's eligibility for service and the formulation of an initial
				service plan to guide initial services which is mutually developed by the
				consumer and a staff member. All intake procedures shall be guided by a
				consumer's preferences and goals with regard to treatment and community living.
1. The initial contact shall serve to orient
				and engage new consumers in a culturally and linguistically appropriate manner,
				and facilitate continuity of service.
2. Intake procedures shall be designed to
				facilitate program participation at the earliest appropriate opportunity.
				Completion of the formal intake process shall not preclude an otherwise
				eligible consumer from participating in program activities or receiving
				services on a provisional or try-out basis.
3. The PA shall train staff regarding
				appropriate responses to inquiries for service and shall document such
				training.
4. The PA shall maintain
				a system to schedule face-to-face intake appointments within 14 calendar days.
i. The intake process for each consumer shall
				include a minimum of one face-to-face interview, during which the information
				listed at (b) below shall be obtained.
ii. If the consumer cannot be immediately
				scheduled, the PA shall contact the consumer within two working days to arrange
				for an initial intake appointment.
5. The intake process shall include an
				orientation to the program and an explanation of the consumer's rights and
				grievance procedure. The PA shall also post the grievance procedure in a
				prominent location within the agency and make copies of
				10:37-4.5, Client rights, and
				10:37-4.6, client complaint/agency ombuds procedure, available to consumers
				upon request.
6. The PA shall
				develop and implement written procedures that require the PA to maintain
				contact with any consumer who is waiting for service in order to ensure that
				each consumer's emergent needs are identified and met.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.3 - Assessment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) PA staff shall complete a written
				comprehensive assessment for each consumer prior to development of the
				individualized recovery plan. The comprehensive assessment provides the PA and
				consumer with an initial profile of the strengths and barriers related to
				community integration, achievement of chosen valued roles, and which issues or
				problems must be addressed in what priority.
1. The PA's written procedures shall require
				that every comprehensive assessment include at a minimum, the assessment of the
				consumer's skill and resource strengths, and barriers to attainment of the
				consumer's self-expressed goals related to community integration and living,
				learning, working and social role recovery in the following areas:
i. The consumer's interest in and strengths
				and goals related to participation in the program;
ii. Social and leisure functioning including,
				but not limited to, ability to make friendships, communication skills and
				hobbies;
iii. Emotional and
				psychological characteristics including, but not limited to, mental status,
				trauma and abuse history, if applicable, understanding of their own illness,
				and coping mechanisms;
iv. A review
				of medical systems including, but not limited to, applicable allergic and
				adverse medication reactions and screening for current physical, emotional,
				sexual abuse and/or neglect;
v.
				Vocational and educational factors including, but not limited to, job history,
				task concentration and motivation for work;
vi. Activities of daily living including, but
				not limited to, transportation, budgeting, self care and hygiene;
vii. Living arrangements including, but not
				limited to, housing, entitlements and subsidies;
viii. Social supports including, but not
				limited to, family, friends, social and religious organizations;
ix. Substance abuse; and
x. Other important characteristics of the
				individual such as special skills, talents and abilities.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.4 - Recovery planning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				individualized recovery plan is designed to assist the consumer in organizing,
				reviewing and modifying an array of treatment and rehabilitation services which
				supports his or her identified path to recovery. The IRP shall be based on
				specific areas of interest identified by the consumer and urgent problems or
				barriers that have been prioritized from the comprehensive assessment.
1. It shall be formulated and implemented at
				the completion of the comprehensive assessment, but no later than six weeks
				from the consumer's admission to the program.
2. Areas identified in the comprehensive
				assessment, but not initially addressed in the IRP at intake, should be
				reviewed and formulated at subsequent IRP reviews or when re-prioritized by the
				consumer and PA. The IRP shall reflect agreement and mutual understanding
				between the consumer and the program staff on goals to be achieved by the
				consumer and program activities to address these goals.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.6 - Termination, transfer and referral of consumers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Procedures for
				termination, transfer and referral of consumers shall be documented and shall
				ensure that the continuing service needs of consumers are met.
(b) Discharge criteria shall be identified at
				the time of admission and shall include the steps necessary to facilitate
				community integration. The criteria shall be documented in the initial service
				recommendations and individual recovery plans.
(c) For consumers being transferred to
				another service, a brief, succinct transition summary shall be prepared at the
				time of discharge communicating critical information and shall be forwarded to
				the receiving agency.
1. Prior to forwarding
				the transition summary to the receiving agency, the PA shall obtain the
				consumer's consent, unless the receiving agency had been named by the consumer
				in the original written authorization completed at intake or unless transfer is
				for the purpose of treatment and both agencies are funded by the
				Division.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.7 - Management functions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				meeting the management requirements as promulgated in N.J.A.C. 10:37D, the PA
				shall also perform the following management functions:
1. Data on consumer characteristics, such as
				diagnosis, cultural and communication issues and service needs in addition to
				partial care; program utilization; and outcomes shall be collected, analyzed
				and used for program design;
2.
				Consumer input from consumer satisfaction surveys, exit interviews and other
				mechanisms shall be utilized by management;
3. Structured and informal opportunities for
				consumer input and participation, such as consumer management, organization or
				town meetings, shall be provided;
4. Staff input regarding program design,
				development, or changes shall be solicited through supervisory meetings, team
				meetings, and other mechanisms utilized by management;
5. Staff and consumer involvement and
				participation in larger "systems-oriented" activities, such as conferences,
				seminars, workshops, or membership in local, State, or national organizations
				shall be encouraged whenever possible;
6. The PA shall conduct regularly scheduled
				meetings for staff and consumers to discuss program issues; and
7. The PA shall develop written policies and
				procedures regarding the release of confidential consumer information within
				the program and among other consumers and staff. These policies and procedures
				shall comply with all related Federal and State statutes and any Department
				rules.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.8 - Quality assurance activities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				meeting the quality assurance requirements as promulgated in N.J.A.C. 10:37-9,
				the PA shall address the following areas:
1.
				Consumer outcome measures shall be monitored based on consumer-identified and
				program-identified goals; and
2.
				Consumer satisfaction and family satisfaction, and efforts to engage consumers,
				shall be monitored.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.9 - Therapeutic environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				provide a safe environment, normalized to the extent possible, that shall serve
				to enhance interaction among staff and consumers.
1. The PA facility shall conform to all
				Federal, State and local laws and shall provide evidence of satisfactory
				inspections.
2. The PA shall
				document that monitoring and follow-up on all safety and health issues
				identified by inspections or by the PA has occurred.
3. The PA shall document evidence of regular
				cleaning and maintenance of the facility.
4. Staff trained in CPR and first aid shall
				be available during program operation.
5. The PA shall have procedures for
				responding to emergency situations, including assaultive and suicidal behavior
				and ideation, acute decompensation, and medical emergencies.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37F - PARTIAL CARE SERVICES STANDARDS › Subchapter 2 - PARTIAL CARE STANDARDS › Section 10:37F-2.10 - Staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall be
				sufficiently staffed with personnel, who are licensed, when required,
				appropriately credentialed, culturally competent and sufficiently trained to
				provide PC services as set forth in this chapter. Staff may be engaged on a
				full time, part time or consulting basis, provided that services are adequate
				to meet the program needs of participating consumers.
(b) The PA shall, at a minimum, employ the
				following staff titles with the following responsibilities:
1. The program director shall:
i. Have primary responsibility for program
				operation, development and management;
ii. Be available for crisis consultation and
				management and for coordination with outside practitioners; and
iii. Possess a master's degree in a human
				service field and five years experience in mental health services, with two
				years supervisory experience or possess a professional credential, such as:
				licensed clinical social worker, licensed professional counselor, licensed
				associate counselor, licensed rehabilitation counselor, licensed clinical
				alcohol and drug counselor, licensed psychologist, advanced practice nurse or
				master of science in nursing with the requisite number of years of
				experience.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 1 - GENERAL PROVISIONS › Section 10:37G-1.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules in
				this chapter shall apply to all Department designated short-term care
				facilities (STCF) for adults.
(b)
				The Mental Health Screening Law,
				30:4-27.1 et seq., authorizes the
				establishment of STCFs to provide assessment services and short-term, intensive
				psychiatric care to individuals with acute mental illness. Patients are
				admitted to STCFs through a Department-designated screening center, which has
				determined that the patient meets the commitment standard of mentally ill and
				dangerous to self or others, needs intensive treatment, and that appropriate,
				less restrictive services or facilities are not otherwise available for the
				patient. The goal of STCFs is to resolve the psychiatric emergency
				precipitating admission in a location close to the patient's home within an
				acute length of stay. Services are provided to restore the individual as soon
				as possible to a level of functioning, which promotes return to community
				residence and ambulatory treatment, or to ensure further inpatient treatment if
				needed.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.1 - Admission

Current through Register Vol. 56, No. 14, July 15, 2024
(a) As a recovery-oriented system, the STCF
				program shall offer a high degree of accessibility with written procedures that
				shall require the immediate admission of patients who meet the admission
				criteria whenever an STCF bed is available.
(b) STCF policy and procedures shall specify
				patient responsibility and expectations that include that, as a result of their
				involvement with an STCF, patients will be better able to manage their illness
				and improve the quality of their lives.
(c) All patients admitted to the STCF shall
				be referred exclusively through a designated screening service. Prior to
				admission, all patients shall receive a face-to-face assessment, as defined in
N.J.A.C. 10:31
, by both a certified screener and a
				psychiatrist formally affiliated with the screening service to confirm that the
				patient is mentally ill, the mental illness causes the person to be dangerous
				to self or dangerous to others or property and the patient needs care at an
				STCF because other services are not appropriate or available to meet the
				person's mental health care needs.
1. The
				STCF shall maintain written policies and procedures that describe the referral
				function of the designated screening service regarding transfers to the STCF
				from other hospitals or from beds within the same hospital to assure that
				patients meet the criteria noted at (c) above.
2. The STCF policies and procedures shall
				specify that the psychiatrist who treats the patient in the STCF shall not also
				have been the psychiatrist who completed the face-to-face screening evaluation
				to determine commitability or who completed the screening certificate, unless
				and only after reasonable but unsuccessful attempts were made to have another
				psychiatrist conduct the evaluation and execute the certificate.
i. The STCF policies and procedures shall
				stipulate that the "reasonable attempts" referred to in (a)2 above shall
				include but shall not be limited to reassignment, scheduling changes, or any
				other mechanism that may result in another psychiatrist treating the patient in
				the STCF.
ii. The STCF policies and
				procedures shall require the documentation of all reasonable but unsuccessful
				attempts made to avoid the same psychiatrist completing both the screening and
				clinical certificates.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.2 - Assessment and service planning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The STCF's
				written procedures shall require that STCF staff shall inquire as to the
				existence of a Wellness and Recovery Action Plan for each patient and shall
				provide services consistent with that plan.
(b) The STCF's written procedures shall
				require that STCF staff shall complete written diagnostic evaluations of each
				patient. These evaluations shall provide clear descriptions of each patient's
				psychiatric, psychosocial, medical and social service needs, trauma history,
				and other life domains that shall be addressed during their stay in the
				STCF.
(c) The STCF's written
				procedures shall require that, within 24 hours of admission, the following
				evaluations, at a minimum, shall be completed:
1. A psychiatric assessment and mental status
				examination, which includes the patient's psychiatric and trauma history and
				family's psychiatric history and concludes with a diagnosis, and treatment
				recommendations;
2. A physical
				examination, including a medical, alcohol and substance abuse history and
				resulting in a summary with conclusions; and
3. A nursing assessment by a registered
				nurse, concluding with individualized clinical treatment recommendations and
				reflecting nursing staff interventions.