reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.3 - Services to be provided

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The principles
				of wellness and recovery shall be applied to the full range of engagement,
				intervention, treatment, rehabilitation and supportive services that a person
				may need.
1. The environment in which STCF
				services are delivered shall encourage hope and emphasize individual dignity
				and respect.
2. The STCF system
				shall help the patient achieve an improved sense of mastery over his or her
				condition and shall assist the patient in regaining a meaningful, constructive
				sense of membership in the community.
3. The STCF shall respect the cultural and
				language preferences of the patient.
4. Where clinically appropriate, STCF staff
				shall include the patient in treatment planning activities, including treatment
				team meetings.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.4 - Termination, transfer, and referral of patients

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Procedures for termination, transfer and referral of patients shall be
				documented in a STCF policy and shall ensure that the continuing service needs
				of patients are met.
(b) STCF staff
				shall develop a written discharge and aftercare plan for each patient. With the
				appropriate consent, the STCF shall assertively engage the patient's family
				member, other relative, a close personal friend of the patient, or any other
				person identified by the patient. The STCF shall assertively engage the
				community program in which the patient will be receiving services, in an effort
				to jointly develop the appropriate discharge and aftercare plan for that
				patient. The STCF shall document all attempts to engage the family member,
				other relative, a close personal friend of the patient, or any other person
				identified by the patient.
(c) STCF
				staff shall develop appropriate mechanisms to ensure linkage with other needed
				services if clinically appropriate, including, but not limited to, local
				self-help and other community support services and continuity of care for
				patients at time of discharge.
(d)
				Affiliation agreements between STCFs and the State and county psychiatric
				hospitals shall include criteria and procedures for:
1. STCF staff to transfer patients who meet
				the standard for commitment to the State or county psychiatric hospital,
				including compliance with the provision at
				30:4-27.1 0(i) prohibiting the
				transfer of an STCF patient less than five days prior to the scheduled date of
				a commitment hearing, unless such change is dictated by a change in the
				person's clinical condition and requiring 24 hours advance notice of the
				pending transfer to the patient, his or her family and his or her
				attorney;
2. The determination of
				which patients may be transferred to other facilities prior to the STCF's
				average length of stay; and
3. STCF
				staff to obtain patient consent whenever possible and to notify the patient's
				family as appropriate regarding further in-patient treatment.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.5 - Administration and staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The STCF shall
				be sufficiently staffed with qualified personnel to provide STCF 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 treatment
				needs of the patients.
(b) If it
				has fewer than seven beds, the STCF may employ a manager on a half-time basis.
				If it has seven or more beds, the STCF shall employ the equivalent of a
				full-time manager. The manager shall be given the responsibility and authority
				for day-to-day operation of the STCF and shall be charged with assuring that
				the STCF functions as part of a continuum of care. The manager of the STCF or
				designee shall be required to actively participate in System Review Committee
				meetings in the geographic area in which the STCF is located.
(c) In addition to employing a manager, the
				STCF shall, at a minimum, meet the following staffing requirements:
1. The STCF shall have policies and
				procedures ensuring that total staffing equals a minimum of two full-time
				direct care positions in appropriate disciplines for each designated bed. The
				equivalent of up to one full-time clerical position per 10 beds may be included
				in this category;
2. There shall be
				a minimum of two full-time nursing staff on the STCF unit on every
				shift;
3. There shall be no less
				than one full-time nursing staff for every three patients on day and evening
				shifts and no less than one full-time nursing staff for every five patients on
				the night shift, with a minimum of one full-time registered nurse per shift on
				the STCF unit;
4. A medical
				director shall be employed no less than half time. The medical director shall
				be responsible for oversight of the treatment provided at the STCF, supervision
				of other physicians and education of STCF staff; and
5. STCF staff shall develop and implement a
				written policy which requires a staffing pattern that includes a
				multi-disciplinary approach to address the diverse clinical needs of
				patients.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.6 - Continuous quality improvement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) STCF staff
				shall conduct continuous quality improvement to monitor efforts toward
				incorporating patients' recovery and wellness goals in assessment and treatment
				planning activities. These activities shall address the following areas:
1. STCF staff shall monitor the quality and
				appropriateness of clinical performance;
i.
				Clinical interventions shall have empirical support either as evidence-based,
				promising or preferred practices (for example, medication algorithms,
				motivation-based interviewing) and be disorder-specific and relevant to the
				patient population being served (for example, dialectical behavior therapy for
				persons with Borderline Personality Disorder, Cognitive Behavioral Therapy for
				psychosis, etc.).
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.8 - Change in the number of STCF beds

Current through Register Vol. 56, No. 14, July 15, 2024
Before effecting a change in the number of STCF beds, STCF
				  staff shall send written notice to the Division, no later than 60 days prior to
				  such a change.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 2 - OPERATIONAL STANDARDS › Section 10:37G-2.9 - Waiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Division may grant a time-limited
				waiver of staff requirements described in this section, provided that the
				following conditions are satisfied:
1. The
				provider agency shall submit a written request for a waiver of staffing
				requirements to the Assistant Commissioner for Mental Health and Addiction
				Services , or his or her designee , at the following address:
Assistant Commissioner
Division of Mental Health and Addiction Services
5 Commerce Way, Suite 100, PO Box 362
Trenton, New Jersey 08625;
2. The waiver request shall include all
				documentation justifying issuance of a waiver, including, but not limited to,
				the type or degree of hardship that would result to the program if a waiver
				were not granted, and clear clinical or programmatic justification for such a
				waiver;
3. The Assistant
				Commissioner for Mental Health and Addiction Services reserves the right to
				request additional information before processing a waiver request;
4. Waivers of specific staffing standards
				shall be granted at the discretion of the Assistant Commissioner for Mental
				Health and Addiction Services provided that the waiver does not adversely
				affect the health, safety, welfare, or rights of patients;
5. All waiver requests must be reviewed and
				approved by the Assistant Commissioner for Mental Health and Addiction
				Services;
6. Each grant of a waiver
				may be for a maximum time period of one year or for a period of time specified
				at the discretion of the Assistant Commissioner for Mental Health and Addiction
				Services, subject to renewal upon request; and
7. The Division shall communicate in writing
				to the provider agency indicating which requirements have been waived, the
				expiration date of the waiver and any conditions or limitations that have been
				placed on the waiver.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 3 - CONFIDENTIALITY OF PATIENT RECORDS › Section 10:37G-3.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
This subchapter shall apply to the confidentiality of
				  patient records in all Department designated short-term care facilities for
				  adults.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 3 - CONFIDENTIALITY OF PATIENT RECORDS › Section 10:37G-3.2 - Confidentiality of patient records held by STCFs

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patient records held by STCFs are
				confidential protected health information.
(b) STCF staff shall comply with all State
				and Federal confidentiality laws to maintain the confidentiality of patient
				PHI, including, but not limited to, the protections mandated by
30:4-24.3
and
26:5C-7
; the Federal privacy rules of the Health Insurance
				Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164,
				as they apply to the release of and access to patient PHI; 42 CFR Part 2,
				Confidentiality of Alcohol and Drug Abuse Patient Records;
34 CFR
				361.38
, Vocational Rehabilitation
				Protection, Use and Release of Patient Information; and the Federal Fair
				Housing Amendments of 1988,
42 U.S.C. §§
											3601
et seq.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 3 - CONFIDENTIALITY OF PATIENT RECORDS › Section 10:37G-3.3 - Disclosure upon the patient's written authorization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patient protected health information may
				be disclosed to the extent permitted by a valid, written, unrevoked
				authorization, signed by the patient or the patient's legal guardian or mental
				health care representative.
(b) The
				authorization must conform to the requirements of the HIPAA privacy rule at
45 CFR
				164.508(a)
.
(c) Authorizations for
				the release of psychotherapy notes, HIV/AIDS information, and individual drug
				and alcohol abuse information must specifically identify those records as being
				subject to release.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 3 - CONFIDENTIALITY OF PATIENT RECORDS › Section 10:37G-3.4 - Disclosure upon court order

Current through Register Vol. 56, No. 14, July 15, 2024
Patient protected health information may be disclosed
				  pursuant to a court order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37G - SHORT TERM CARE FACILITY STANDARDS › Subchapter 3 - CONFIDENTIALITY OF PATIENT RECORDS › Section 10:37G-3.6 - Denials of access to patient protected health information

Current through Register Vol. 56, No. 14, July 15, 2024
(a) STCF staff shall comply with the
				following procedures and standards in the event that a patient request to
				review the patient's own patient PHI is denied:
1. The STCF service's decision to deny a
				patient access to his or her own patient PHI shall be in writing and given to
				the patient. The written denial shall state the reason for the denial and shall
				describe the patient's right to a review of the denial and how the review can
				be obtained. The written denial shall comply with the additional requirements
				of the HIPAA privacy rule set forth in
45 CFR
				164.524
.
2. Patients shall be given access to the
				patient PHI that is not part of the denial.
3. Upon the patient's request, the denial
				decision shall be reviewed by a supervisory licensed health care professional
				who was not directly involved in the initial denial decision.
4. The reviewing official shall uphold the
				denial decision if:
i. The requested
				information was obtained from someone other than a health care provider under a
				promise of confidentiality, and where the access requested would be reasonably
				likely to reveal the source of the information;
ii. Disclosure of the requested information,
				in the professional judgment of a licensed health care professional, is
				reasonably likely to endanger the life or physical safety of the patient or
				another person; or
iii. The
				requested information makes reference to another person (unless such other
				person is a health care provider), and in the professional judgment of a
				licensed health care professional, access is reasonably likely to cause
				substantial harm to such other person.
5. STCF staff shall provide written notice to
				the patient of the reviewing official's determination and shall perform
				whatever other action is necessary to carry out the reviewing official's
				determination.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 1 - GENERAL PROVISIONS › Section 10:37I-1.1 - Purpose; authority

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Pursuant to P.L. 1995, c. 314, The
				Division of Mental Health and Addiction Services of the Department of Human
				Services shall establish a program of family support services designed to
				strengthen and promote families who provide care in the community for a family
				member with a serious mental illness.
(b) A Statewide family support policy for
				persons with a serious mental illness shall acknowledge that families
				themselves are able to define their own needs and select their own services;
				these family supports shall be chosen by families, controlled by families and
				monitored by families.
(c) The
				system of family support shall vary in scope and intensity based upon the needs
				of a particular family unit and shall include, but not be limited to, the
				following:
1. Service coordination;
2. Estate and transition planning;
3. Housing assistance;
4. Homemaker assistance;
5. Accessing vocational and employment
				services;
6. After-school
				care;
7. Transportation;
8. Respite care;
9. Family education and training;
10. Medication education;
11. Self-advocacy training;
12. Entitlement training; and
13. Other services as identified by the
				family.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 1 - GENERAL PROVISIONS › Section 10:37I-1.2 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The provisions of this chapter shall apply to all families
				  who reside in the State of New Jersey and who are actively involved in caring
				  for, or supporting, an adult family member with a serious mental
				  illness.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 2 - ELIGIBILITY CRITERIA › Section 10:37I-2.1 - General eligibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A family is
				eligible to participate in the program if the family resides in the State and
				is actively involved in caring for, or supporting, a family member with a
				serious mental illness.
(b) The
				services provided pursuant to this chapter shall not supplant any existing
				rights, entitlements or services for which the family or family member with a
				serious mental illness may be eligible.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 3 - FAMILY SUPPORT COORDINATOR › Section 10:37I-3.1 - Role of the coordinator

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The family
				support program shall be monitored by the Division and administered by a Family
				Support Coordinator working under the direction of a Statewide family advocacy
				organization designated by the Division to administer the program. The
				Statewide family advocacy organization shall not be under contract with the
				Division to provide Intensive Family Support Services.
(b) The Family Support Coordinator shall be
				qualified by training and experience to perform the duties of this position,
				pursuant to
				30:4-177.4 7, as demonstrated by
				the following:
1. A master's level degree in
				social work, psychology, public health or other similar advanced
				degrees.
2. Five years experience
				in the planning, coordination and implementation of services for people with
				serious mental illness and their families.
3. Experience in the development of needs
				assessments.
4. Experience in the
				development of family support services.
5. Ability to facilitate workgroups
				consisting of family members.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 4 - FAMILY SUPPORT WORKING GROUPS › Section 10:37I-4.1 - Responsibilities of regional family support working groups

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				three regional working groups, corresponding to regions established by the
				Division.
(b) The regional family
				working groups shall assess regional needs for family support services and make
				recommendations to the Statewide family working group.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 4 - FAMILY SUPPORT WORKING GROUPS › Section 10:37I-4.2 - Membership of regional family support working groups

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Members of the
				three regional working groups shall be designated by the Family Support
				Coordinator in conjunction with the Statewide family advocacy
				organization.
(b) Members shall
				serve without compensation and shall include a family member of a person with a
				serious mental illness, a person with a serious mental illness or other
				representative of a group interested in advocating for persons with serious
				mental illness and their families.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 4 - FAMILY SUPPORT WORKING GROUPS › Section 10:37I-4.3 - Responsibilities of Statewide family working group

Current through Register Vol. 56, No. 14, July 15, 2024
The Statewide family working group shall monitor the support
				  services from the three regions and provide recommendations to the coordinator
				  regarding family support services.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 4 - FAMILY SUPPORT WORKING GROUPS › Section 10:37I-4.4 - Membership of the Statewide family working group

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Members of the
				Statewide family working groups shall consist of three members from each of the
				regional family working groups in the State.
(b) Members shall be designated by the
				respective regional family working groups and shall serve without
				compensation.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules in
				this subchapter shall apply to all provider agencies (PAs) of intensive family
				support services funded by the Division.
(b) The purpose of intensive family support
				services is to improve the overall functioning and quality of life of families
				with a relative with a serious mental illness. Family members and professionals
				work collaboratively to provide each family with the knowledge, skills and
				supports, which they identify as useful to a family's overall functioning and
				sense of control. This purpose shall be achieved through reaching out to
				relatives and others closely involved in and concerned about their family
				member's daily functioning and offering them a choice of supportive activities,
				which are family-driven, accessible, and flexible in frequency, location and
				hours of delivery.
1. IFSS enhance family
				functioning by providing the family with a greater knowledge about mental
				illness, treatment options, the mental health system and skills useful in
				managing and reducing symptomatic behaviors of the family member with a serious
				mental illness. Families also learn patterns of communication and levels of
				environmental stimulation, which have been demonstrated to reduce the number of
				psychiatric crises and hospitalizations. Families are encouraged to attend to
				their own needs for time off and social activities and are provided the
				supports to make it possible. Education and support activities may include
				psychoeducation groups, single family consultations, respite, family support
				groups, systems advocacy, referral/service linkage, and medication education.
				Services shall be delivered in the family home, at the agency or at other sites
				in the community convenient to individual family members. Families choose from
				an array of services those that are most relevant to their circumstances, which
				may change over time.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.2 - Written policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				develop and implement written policies and procedures to ensure that the
				services provided comply with the rules in this chapter. The PA shall have
				written and implemented policies and procedures, which:
1. Support the concept and delivery of
				flexible and individualized educational and supportive activities designed to
				improve the overall functioning and quality of life of families with a mentally
				ill relative;
2. Define and
				prioritize the target population for IFSS and the PA's methods to identify
				potential families and offer them services;
3. Require individual family assessment and
				service needs. Assessments shall include, but not be limited to, the
				administration of a family concerns survey approved by the Division, after
				submission and review of scientific testing documentation. Such assessments
				shall continue throughout the entire length of stay and shall be used to plan
				IFSS with family members;
4.
				Describe how IFSS are monitored and how these monitoring activities are
				integrated with an overall quality assurance plan. Policies and procedures
				shall incorporate regular family feedback as to the quality, impact,
				accessibility and relevance of IFSS. Policies and procedures also shall include
				how the administration of Division approved instruments to measure family
				satisfaction with services and level of family concern shall occur, who shall
				administer them, and how findings will be incorporated into their overall
				quality assurance plan;
5. Assure
				that there is family input into all aspects of the program;
6. Assure that all families shall have access
				to the full range of IFSS regardless of ability to pay and that any fees
				imposed by the PA will not serve as a barrier to engaging families into
				services;
7. Assure that respite
				workers are oriented to individual families and their family member with a
				serious mental illness. Orientation shall include specific information about
				the family and a meeting with the family member with a serious mental illness
				prior to respite activities;
8.
				Assure that services are culturally and linguistically accessible to all
				eligible families;
9. Monitor each
				family's wait for service and the prioritization of families for service;
				and
10. Relate to IFSS access to
				and use of family assistance funds.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.3 - Population priorities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Services shall
				be offered to parents, spouses, siblings, and children of adults with a serious
				mental illness. Others who may use such services include relatives who are
				closely involved in and concerned about the daily functioning of the family
				member with a serious mental illness, or significant others and non-relatives
				who are the primary caregivers for the family member with a serious mental
				illness.
1. For the purposes of the IFSS
				program priorities, serious mental illness shall be defined, using the
				Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5),
				incorporated herein by reference, as amended and supplemented, incorporated
				herein by reference. Copies of the DSM may be obtained from the American
				Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA
				22209-3901. Serious mental illness is a primary psychiatric diagnosis or
				exhibiting symptoms of:
i. Schizophrenia or
				other psychotic disorders;
ii.
				Major depressive disorders;
iii.
				Bipolar disorders;
iv. Delusional
				disorders;
v. Schizoaffective
				disorder; or
vi.
				Obsessive-compulsive disorder in the severe range.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.4 - Admission criteria

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A family shall
				be considered a participant with an open IFSS case file once an initial intake,
				assessment of the family's needs and description of services has occurred and
				the family agrees to further service.
1. IFSS
				staff shall perform the assessment in a face-to-face setting with the family,
				unless the family chooses otherwise. In the event that a family chooses not to
				meet for a face-to-face assessment but wishes to receive services, this fact
				shall be documented in the record and the case shall be opened.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.5 - Criteria for termination of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Termination
				from IFSS shall take place when one of the following occurs:
1. The family indicates that they no longer
				want services; or
2. The family
				moves out of the geographic area served by the PA and the PA's services are no
				longer accessible to the family. If the family moves to another county with an
				IFSS program, the PA shall inform the family and provide a contact name and
				telephone number.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.6 - Service planning and services to be provided

Current through Register Vol. 56, No. 14, July 15, 2024
(a) IFSS PAs shall
				include single family consultations in the service package they offer to
				families.
1. Single family consultations
				shall be scheduled in the family home or other sites and at times convenient to
				the family.
2. Single family
				consultations shall include, but not be limited to, individualized strategies
				for coping, problem solving, support, education, direct assistance, referral
				and advocacy.
3. IFSS staff shall
				provide the type of information related to the goals of the IFSS program, as
				delineated in
				10:37I-5.1(b)  to
				family members according to their individual needs.
4. IFSS PAs shall have mechanisms in place to
				respond to a family in crisis during off-hours including evenings and
				weekends.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.7 - Service coordination

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				coordinate services with other mental health family support organizations and
				programs. Evidence of service coordination shall be reflected in the clinical
				record.
(b) In order to identify
				the target population, IFSS staff shall develop collaborative relationships
				with the social work staff at State and county psychiatric hospitals, screening
				services, Acute Care Family Support programs, designated short-term care
				facilities, and local inpatient units and jails in order to reach out to
				families from their service area who are experiencing a crisis with their
				family member who has a serious mental illness.
1. The PA shall develop an IFSS brochure that
				shall be circulated widely in the community (for example, in visiting
				rooms/bulletin boards of local hospitals; offices of private practitioners and
				clergy; community bulletin boards in local libraries, supermarkets, and
				newspapers).
2. If an Acute Care
				Family Support program does not exist in the county, IFSS staff shall educate
				psychiatric inpatient and screening services staff on the needs of families in
				crisis and establish referral protocols.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.8 - Assessment, service preferences, and record documentation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				PA shall maintain individualized and complete records for all families for whom
				an assessment is completed and service preferences are documented and cosigned
				by the family.
(b) The assessment
				process shall continue throughout the entire length of service and the
				documents related to the assessment process shall be revised whenever there is
				a significant change.
(c) The
				records shall be maintained in an up-to-date, organized manner in a secure
				location at the PA.
(d) The records
				shall contain all relevant information and shall be maintained to preserve
				confidentiality. At a minimum, the records shall contain the following:
1. The original IFSS family intake
				information, which identifies, at a minimum:
i. The names of involved family
				members;
ii. Referral date and
				source;
iii. Presenting needs;
				and
iv. Whether or not the family
				is dealing with an emergent crisis.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.9 - Staffing requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				employ staff with demonstrated attitudinal qualities, skills and competencies
				in knowledge areas, such as, but not limited to:
1. Ability to provide up-to-date information
				about bioneurological aspects of major mental illnesses and the medications
				used to treat these illnesses;
2.
				Ability to provide information on the impact of substance use and abuse on the
				course of mental illnesses; risks associated with mixing various psychotropic
				medications with other mood altering substances and knowledge of Al-Anon
				resources geographically accessible to the family when needed;
3. Knowledge of diathesis-stress research on
				communication patterns and environmental stimulation as it relates to relapse
				rates and symptomology;
4.
				Knowledge of mental health and social resources in the county and the ability
				to draw upon local expertise as needed;
5. Knowledge of principles of adult education
				and group process;
6. A genuine
				regard for families of persons with mental illnesses, who have not caused their
				relative's illness, who have valuable insights and who can have a strong
				positive influence on their ill member's recovery;
7. Able to design and deliver workshops and
				presentations;
8. Responsive to the
				feelings and concerns of family members;
9. Ability to reach out to minority families
				and serve them effectively;
10.
				Ability to teach families new skills and coach them in using their skills in
				multiple environments as circumstances require;
11. Ability to provide assertiveness training
				to family members on how to present themselves to professionals in the mental
				health system;
12. Experienced and
				comfortable with providing services in the family home and other off-site
				service provision;
13. Flexible
				with regard to time and place in order to accommodate the individual needs and
				preferences of family members;
14.
				Ability to establish a referral network and to provide technical assistance to
				professionals within the mental health system and other community groups
				regarding the value of seeing the person with a serious mental illness as part
				of a family unit deserving attention and support (for example, religious
				groups; health care providers); and
15. An understanding of how to provide
				respite in a family home and to train respite workers as necessary;
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.10 - Training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				develop and implement an individualized training plan for each IFSS staff
				member, including the Family Support Specialist.
(b) Training plans and documentation of
				training received shall be made a part of the personnel file of each IFSS staff
				member.
(c) The PA shall provide
				IFSS staff the time and resources it needs to remain up-to-date with the latest
				published research on the etiology and treatment of brain disorders.
(d) The PA shall document specific training
				to respite workers. Training shall include, but not be limited to, the
				following topics:
1. Crisis/emergency
				response;
2. Medications and
				medication observation;
3. Overview
				of serious mental illness;
4.
				Mission of IFSS;
5. Basic etiquette
				for being in a family home;
6.
				Confidentiality requirements;
7.
				Orientation to local mental health services and community resources;
				and
8. Professional
				conduct.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37I - FAMILY SUPPORT SERVICES › Subchapter 5 - INTENSIVE FAMILY SUPPORT SERVICES STANDARDS › Section 10:37I-5.11 - Quality assurance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall comply with the quality
				assurance and licensure requirements as promulgated at
				N.J.A.C.
				10:37-9 and 8:121, Licensure Standards for
				Mental Health Programs, respectively.
(b) The PA shall comply with the client
				complaint/agency ombuds procedure as promulgated in 10:37-4.6.
(c) The PA shall collect information on
				family satisfaction with services.
1. The PA
				shall attempt to collect information on satisfaction with services annually for
				all families who have received IFSS services in the past year, and at the
				closing of a family's case file. The PA shall document these attempts in the
				family record.
2. The PA shall use
				a Division approved instrument.
3.
				The PA shall assure that findings from satisfaction with services surveys
				remain confidential and separate from the family's treatment record.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 1 - GENERAL PROVISIONS › Section 10:37J-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 Programs of Assertive Community Treatment
				(PACT).
(b) The purpose of PACT is
				to provide comprehensive, integrated rehabilitation, treatment and support
				services to individuals with serious and persistent mental illness, who have
				had repeated psychiatric hospitalizations, and who are at serious risk for
				psychiatric hospitalization. PACT, provided in vivo by a multi-disciplinary
				service delivery team, is the most intensive program element in the continuum
				of ambulatory community mental health care. Services to an individual may vary
				in type and intensity. Treatment has no predetermined end point. These rules
				provide a description of the consumers for whom the services are targeted, the
				range of services to be provided, the requirements and responsibilities of the
				provider agencies and their staff, and the procedures required to provide the
				services.
(c) PACT teams shall be
				guided by the following principles:
1. It is
				possible for adults with a severe and persistent mental illness to achieve
				wellness, engage in the process of recovery and live successfully in normal
				community settings when adequate supports and services are provided.
2. PACT services shall be delivered with high
				regard for the dignity and autonomy of each consumer.
3. PACT services shall be delivered with an
				attitude of optimism that fully considers each consumer's strengths and
				abilities.
4. PACT services shall
				be highly individualized. All facets of PACT service delivery shall be
				intentionally tailored to the unique needs and choices of individual
				consumers.
5. PACT shall function
				as a self-contained clinical program that is the fixed point of responsibility
				for providing treatment, rehabilitation, and support services. Accordingly,
				there will be minimal referral of consumers to other program entities for
				specialized treatment, rehabilitation, and support services.
6. Treatment interventions and rehabilitation
				services shall be based on the goal of each consumer developing the specific
				skills that are necessary for achieving consumer-defined recovery
				outcomes.
7. PACT services shall be
				delivered in a manner that respects the cultural and language preferences of
				the consumer.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 2 - PROGRAM OPERATION › Section 10:37J-2.1 - Policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall
				develop and implement written policies and procedures to:
1. Ensure that the services provided comply
				with the rules in this chapter;
2.
				Support its responsibility to coordinate, participate in and ensure the
				provision of all services necessary to integrate each consumer into the
				community on a continuing basis;
3.
				Assure that consumers have input into all aspects of the program;
4. Describe how PACT services are monitored
				and how these monitoring activities are integrated with the overall agency
				continuous quality improvement plan; and
5. Require and delineate clinical supervision
				of all staff providing treatment, rehabilitation, and support services,
				consistent with
				10:37J-2.8(c)1 
				and conduct employee evaluations; and
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 2 - PROGRAM OPERATION › Section 10:37J-2.2 - Licensing

Current through Register Vol. 56, No. 14, July 15, 2024
In accordance with Department of Health licensing rules
				  applicable to community mental health programs (N.J.A.C. 8:121), each PA shall
				  obtain a license before implementing a PACT program.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 2 - PROGRAM OPERATION › Section 10:37J-2.3 - Eligibility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The PA shall provide PACT services to
				eligible consumers.
(b) The PA
				shall consider as eligible any consumer who meets all of the following
				criteria:
1. Has a serious and persistent
				mental illness of at least 12 months duration;
2. Poses a high clinical risk of
				hospitalization, as evidenced by a recent history of psychiatric hospital
				admission in the following priority order:
i.
				Two or more State psychiatric hospital admissions within the past 18
				months;
ii. One State psychiatric
				hospitalization within the past 18 months, in addition to one or more other
				psychiatric hospital admissions (including voluntary admissions) within the
				past 18 months;
iii. One State
				psychiatric hospital admission within the past 18 months, in addition to
				multiple (two or more) screening center admissions within the past 18
				months;
iv. Two short-term care
				facility (STCF) admissions, or two county psychiatric hospital admissions, or a
				combined total of two, within the past 18 months;
v. One STCF admission or one county
				psychiatric hospital admission, in addition to one or more other psychiatric
				hospital admissions (including voluntary admissions) within the past 18
				months;
vi. One STCF admission or
				one county psychiatric hospital admission, in addition to multiple (two or
				more) screening center admissions within the past 18 months; or
vii. Multiple (two or more) involuntary
				psychiatric hospital admissions to private psychiatric hospitals within the
				past 18 months;
3. Has
				at least one of the following primary DSM 5 diagnoses:
i. Schizophrenia or Other Psychotic Disorders
				(298.9);
ii. Major Depressive
				Disorders (296.xx);
iii. Bipolar
				Disorders (296.xx, 296.89);
iv.
				Delusional Disorder (297. ); or
v.
				Schizoaffective Disorder (295.7);
4. Has impaired functioning in at least one
				of the following domains on a continuing or intermittent basis for at least one
				year:
i. Personal self-care;
ii. Interpersonal relationships;
iii. Work; or
iv. Ability to acquire and maintain safe,
				affordable housing and at risk of requiring a more restrictive living
				situation; and
5. Has
				demonstrated lack of benefit from, or refusal to participate in, ICMS and/or
				another intensive ambulatory or residential mental health services for a period
				of at least six months.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 2 - PROGRAM OPERATION › Section 10:37J-2.4 - Program intensity

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All of the standards delineated in this
				section, except that in (c) below, relate to program intensity and shall be
				considered Level I standards
(b)
				The PACT team shall be available to provide treatment, rehabilitation and
				support services 24 hours a day, seven days a week, 365 days a year.
1. PACT staff work schedules shall be
				responsive to consumer need, permitting the team to operate on evenings and
				weekends.
2. During all off-hours
				periods, PACT staff shall assume on-call coverage on a rotating basis and shall
				be available to respond immediately to consumers by telephone or in person, as
				needed. Psychiatric backup/on-call shall be available during all off-hours
				periods.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 2 - PROGRAM OPERATION › Section 10:37J-2.5 - Services to be provided and service coordination

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				This section delineates the services, which PACT teams must provide to eligible
				consumers and also sets requirements for service coordination among PACT teams
				and other service providers.
(b) In
				order to help the consumer cope with and gain mastery over symptoms, overcome
				barriers, achieve wellness and recovery in the context of daily living, the
				PACT team shall be available to provide symptom assessment, management, and
				supportive counseling. These services shall include, but not necessarily be
				limited to:
1. Ongoing assessment of the
				consumer's mental illness symptoms, behaviors, and concerns (that is, the
				consumer's unique experience with the mental illness), and the consumer's
				response to treatment;
2. Ongoing
				assessment of the consumer's response to treatment, including the team's
				strategies for engaging the consumer in PACT services;
3. Education of the consumer regarding his or
				her illness and the effects and side effects of prescribed
				medications;
4. Symptom management
				efforts directed to helping each consumer identify the symptoms and occurrence
				patterns of his or her mental illness and develop methods (internal,
				behavioral, or adaptive) to help lessen their effects;
5. Provision, both on a planned and "as
				needed" basis, of such psychological support as is necessary to help consumers
				accomplish their recovery goals and to cope with the stresses of day-to-day
				living;
6. For any interested
				consumer, an evidence-based program, such as an Illness Management and Recovery
				Program, which involves regular sessions between PACT team staff and the
				consumer, aimed at assisting the consumer to identify and pursue personally
				meaningful recovery goals and is founded upon a core set of interventions that,
				at a minimum, include: psycho-education, social skills training,
				cognitive-behavioral techniques, motivational interviewing, and relapse
				prevention planning;
7. Education
				of and, where applicable, assistance to the consumer regarding psychiatric
				advance directives (in accordance with N.J.A.C. 10:37); and
8. Education of and, where applicable,
				assistance to the consumer regarding Wellness Recovery Action Plans (WRAP),
				and/or other crisis planning tools.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 2 - PROGRAM OPERATION › Section 10:37J-2.6 - Assessment; recovery planning; progress notes

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each
				clinical record shall document the initial and comprehensive assessment.
1. The initial assessment shall be conducted
				at the time of the consumer's admission (also the date of the first
				face-to-face contact documented on the USTF) to the PACT program. The initial
				assessment shall include:
i. The referral
				source;
ii. The reason for referral
				to PACT; and
iii. The rationale for
				admission to PACT.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 37J - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT › Subchapter 2 - PROGRAM OPERATION › Section 10:37J-2.7 - Termination and discharges

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All of the
				standards in this section shall be considered Level II standards.
(b) The PA shall submit a written request to
				the appropriate Division Regional Office to terminate or discharge a PACT
				consumer from the PACT program.
(c)
				The PA may terminate consumers from the PACT program based on the following
				criteria:
1. Hospitalization in a State or
				county psychiatric hospital in New Jersey for six continuous months with no
				discharge date projected by the treatment team;
2. Incarceration in a jail or prison for six
				continuous months;
3. Placement in
				a nursing home or similar institution with no projected discharge date;
				or
4. Death.