reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0300 - MEDICAL STAFF BYLAWS OF NORTH CAROLINA REGIONAL MENTAL HOSPITALS › Section 28F .0308 - MEDICAL STAFF BYLAWS FORM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Preamble
(1) Recognizing that the medical and dental
				  staff is responsible for the quality of medical care in the hospital and must
				  take steps to assume this responsibility, and that the best interests of the
				  patient are protected by concerned effort, subject to the authority of the
				  Division of Mental Health Services, the physicians and dentists practicing in
				  (fill in name) hospital hereby organize themselves in conformity with the
				  bylaws, rules, and regulations hereinafter stated.
(2) For the purpose of these bylaws the words
				  "medical staff" shall be interpreted to include all physicians and dentists who
				  are privileged to attend to patients in (fill in name) hospital.
(3) The term "governing body" means the
				  Director of the Division of Mental Health Services.
(4) Whenever the term "director" appears, it
				  shall be interpreted to refer to the Director of (fill in name) hospital as
				  duly appointed by the Director of the Division of Mental Health Services, North
				  Carolina Department of Human Resources.
(5) Whenever the term "Director of Clinical
				  Services" appears, it shall be interpreted to mean that person responsible for
				  all medical and clinical services where the Director is a non-medical
				  administrator.
(6) Whenever the
				  term "paramedical staff" appears, it shall be interpreted to include the
				  professional members of the Department of vocational rehabilitation,
				  rehabilitation services, departments of physical therapy, psychology, nursing,
				  social services, pharmacy, medical records, physicians' assistants, and nurse
				  practitioners.
(7) These bylaws,
				  rules, and regulations of the medical staff shall state the policies under
				  which the medical staff regulates itself, creating and defining an atmosphere
				  and framework within which members of the medical staff act with a reasonable
				  degree of freedom and confidence. These medical staff bylaws, rules, and
				  regulations shall provide for an effective formal means by which the medical
				  staff may participate in the development of facility policy relative both to
				  facility management and patient care not inconsistent with the North Carolina
				  statutes and policies of the Division of Mental Health Services.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0400 - HOSPITAL BEHAVIOR THERAPY PROGRAMS › Section 28F .0401 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The purpose of Rules .0401 through .0406
				  of this Section shall be to set forth the requirements and general framework
				  for behavior therapy programs used in the treatment of mental
				  illness.
(b) The rules in this
				  Section shall apply to behavior therapy programs in the regional psychiatric
				  hospitals of the Division.
Authority
					 G.S.
					 143B-147;
Eff. October 8,
					 1980;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0400 - HOSPITAL BEHAVIOR THERAPY PROGRAMS › Section 28F .0402 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
For the purposes of the rules in this Section the following
					 terms shall have the meaning indicated:
(1) Behavior therapy shall be defined as the
				  systematic application of principles of conditioning and learning for the
				  purpose of changing or remediating human behavior. In addition, behavior
				  therapy shall meet the expanded definition set forth in Division publication
				  HOSPITAL BEHAVIOR THERAPY PROGRAMS, APSR 115-2 (09/08/80), adopted pursuant to
				  G.S.
				  150B-14(c).
(2) Hospital shall mean one of the regional
				  psychiatric hospitals of the Division.
Authority
					 G.S.
					 143B-147;
Eff. October 8,
					 1980;
Amended Eff. March 1, 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0400 - HOSPITAL BEHAVIOR THERAPY PROGRAMS › Section 28F .0403 - IDENTIFICATION OF BEHAVIOR THERAPY PROGRAMS

Current through Register Vol. 39, No. 2, July 15, 2024
The Director of each hospital shall be responsible for the
					 identification of treatment programs in the hospital that qualify as behavior
					 therapy according to the definition given in Rule .0402(1) of this Section
					 including the referenced definition in APSR 115-2 of the Division's
					 administration publications system.
Authority
					 G.S.
					 143B-147;
Eff. October 8,
					 1980;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0400 - HOSPITAL BEHAVIOR THERAPY PROGRAMS › Section 28F .0404 - REQUIRED FACILITY MANUALS

Current through Register Vol. 39, No. 2, July 15, 2024
The Director of each hospital shall be responsible for the
					 development of a manual which shall establish the framework and general
					 operating procedures for behavior therapy programs in the hospital. The manual
					 shall not be overly constraining on the behavior therapy programs but shall
					 serve as a general guide to clinical practice, within the legal and ethical
					 constraints relating to client rights and accepted professional practice. The
					 manual shall be available for information and inspection by hospital clients,
					 staff, and the general public. Each manual shall address the following:
(1) definition of key terms
				  employed;
(2) patients rights
				  including but need not be limited to:
(a)
				  consent; and
(b) disallowed
				  procedures;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0400 - HOSPITAL BEHAVIOR THERAPY PROGRAMS › Section 28F .0405 - REQUIRED PROGRAM MANUAL

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Director of
				  each behavior therapy program of a regional psychiatric hospital shall be
				  responsible for the development of an operations manual which shall communicate
				  the purpose and operating procedures of the program. The manual shall be
				  available for information and inspection by hospital clients, staff, and the
				  general public.
(b) The manual
				  shall contain, but need not be limited to, the following:
(1) definition of key terms
				  employed;
(2) the target
				  populations and behaviors;
(3) the
				  choice of treatment methods and techniques;
(4) goals of treatment;
(5) voluntary participation of the client;
				  and
(6) evaluation of
				  treatment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0400 - HOSPITAL BEHAVIOR THERAPY PROGRAMS › Section 28F .0406 - INSTITUTIONAL BEHAVIOR THERAPY COMMITTEE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  Director of each hospital shall establish an institutional behavior therapy
				  committee to:
(1) review, at least annually,
				  program-wide applications of behavior therapy (e.g., Behavior Therapy
				  Ward);
(2) be available for
				  consultation to unit or program directors; and
(3) investigate an established program or an
				  individual application of behavior therapy upon request of the hospital
				  director.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0500 - DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0501 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
The rules in this Section establish procedures by which a
					 regional psychiatric hospital may be designated as a facility where adults who
					 are not otherwise admissible as clients, because of an absence of mental
					 illness, may be voluntarily admitted for the purposes of
					 research.
Authority
					 G.S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 December 1, 1988;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0500 - DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0502 - APPLICATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Application for
				  designation shall be made to the Director of the Division of Mental Health,
				  Developmental Disabilities and Substance Abuse Services, 3001 Mail Service
				  Center, Raleigh, NC 27699-3001.
(b)
				  The application for designation shall be in letter form and shall include the
				  following:
(1) name and address of
				  facility;
(2) description of the
				  organization of research within the facility;
(3) description of the types of research
				  currently conducted at the facility;
(4) description of the types of research for
				  which designation is requested;
(5)
				  description of the conditions under which individuals, admitted under this
				  designation, would be housed and maintained;
(6) assurance of an active Human Rights
				  Committee including its operating rules; and
(7) description of the procedures by which
				  the medical records and statistics would be maintained for the individuals who
				  would be admitted under terms of
				  G.S.
				  122C-210.2.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0500 - DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0503 - REVIEW PROCESS

Current through Register Vol. 39, No. 2, July 15, 2024
Upon receipt of the application and prior to granting
					 designation, the Division director shall evaluate the application according to
					 the following criteria:
(1)
				  consistency of the research, currently conducted and proposed, with division
				  goals and priorities;
(2) adequacy
				  of procedures by which medical records and statistics would be maintained
				  separate from those kept for regularly admitted clients;
(3) existence of an active Human Rights
				  Committee with adequate operating rules which give the committee the authority
				  to monitor the care of individuals admitted for research;
(4) adequacy of the facility's capacity to
				  house and maintain persons admitted under this designation in a safe manner;
				  and
(5) any other criteria deemed
				  relevant by the Division director.
Authority
					 G. S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 December 1, 1988;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0500 - DESIGNATION OF RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0504 - DESIGNATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Division
				  director shall notify the applicant of his decision in writing within 60 days
				  of receipt of a complete application.
(b) Designation shall be for a specified
				  period of time, not to exceed two years, and stated in the written
				  decision.
(c) The Division director
				  shall terminate the designation upon finding that the facility no longer meets
				  the qualifications for designation or upon request by the facility director
				  that designation be terminated.
Authority
					 G.S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 December 1, 1988;
Amended Eff. March 1, 1990;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0601 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
The rules in this Section establish standard procedures and
					 uniform criteria for voluntary admissions of adults to regional psychiatric
					 hospitals designated as research facilities within the provisions of Part I of
					 Article 5 of Chapter 122C of the General Statutes. These individuals would not
					 otherwise be admissible as clients under
					 G.S.
					 122C-211 because of an absence of mental
					 illness. Their reason for being admitted is to serve in approved research
					 projects.
Authority
					 G.S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 January 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0602 - EXPLANATION OF TERMS

Current through Register Vol. 39, No. 2, July 15, 2024
For the purposes of the rules in this Section the following
					 terms shall have the meanings indicated:
(1) "Hospital" means one of the regional
				  psychiatric hospitals of the Division.
(2) "Designated research facility" means a
				  regional psychiatric hospital which has met the requirements of
				  10A NCAC
				  28F,
				  28F .0500.
(3) "Principal investigator" means the
				  person, or his designee, who has overall responsibility for the conduct for the
				  proposed research.
Authority
					 G.S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 January 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0603 - APPLICATION FOR ADMISSION

Current through Register Vol. 39, No. 2, July 15, 2024
The application for admission to participate in a specific
					 research program shall be in writing and signed by the individual requesting
					 admission to a designated research facility.
Authority
					 G.S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 January 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0604 - GENERAL CRITERIA FOR VOLUNTARY ADMISSION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) When an
				  individual request admission to a designated research facility the admission
				  staff shall determine from the principal investigator that admission to the
				  hospital is for a specific research project that has been approved by the
				  facility's Human Rights Committee and the designated Institutional Research
				  Committee.
(b) Upon admission to
				  the designated research facility, the admission staff shall:
(1) verify that the individual has been
				  informed by the principal investigator of the nature of the procedures which
				  will be employed as part of the research protocol; and
(2) verify that the individual has signed the
				  informed consent form covering participation in the research project.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0605 - RECORD KEEPING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A client record
				  shall be maintained for each individual and shall include but not be limited
				  to:
(1) application for admission;
(2) signed informed consent form covering
				  participation in the project;
(3)
				  physical examination and review of systems;
(4) description of procedures
				  performed;
(5) special
				  tests;
(6) adverse reactions and
				  incidents; and
(7) termination
				  summary.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0606 - DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An individual
				  who has been admitted under the provisions of these rules shall be kept in the
				  hospital no longer than is indicated by the research protocol under which he
				  was admitted.
(b) An individual who
				  has been admitted under the provisions of these rules shall be discharged upon
				  his own request. The discharge request shall be in writing.
(c) An individual who has been admitted under
				  the provisions of these rules may be discharged by the facility at any
				  time.
Authority
					 G.S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 January 1, 1989;
Amended Eff. March 1, 1990;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS › Section 28F .0607 - PAYMENT FOR PARTICIPATION

Current through Register Vol. 39, No. 2, July 15, 2024
Reasonable compensation may be paid to individuals admitted
					 under the provisions of these rules, for their services in participation in
					 research projects, provided that such compensation is paid from research grant
					 funds.
Authority
					 G.S.
					 122C-112(b)(3);
					 122C-210.2;
Eff.
					 January 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0700 - ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL › Section 28F .0701 - PURPOSE AND SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The purpose of
				  the rules in this Section is to set forth procedures for State psychiatric
				  hospitals when establishing policy for the:
(1) admission of deaf clients to State
				  psychiatric hospitals; and
(2)
				  transfer of deaf clients from State psychiatric hospitals to the Dorothea Dix
				  Hospital Deaf Unit (DDHDU).
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0700 - ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL › Section 28F .0702 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
For the purpose of the rules in this Section, the
					 follow­ing terms shall have the meanings specified:
(1) "Certified interpreter" means an
				  interpreter who is certified by the National Registry of Interpreters for the
				  Deaf (NRID), or has received an A or B degree in the North Carolina Interpreter
				  Classification System.
(2)
				  "Clinical impressions" mean information provided by the Regional Adult
				  Coordinator of Mental Health Services for the Deaf to assist in differentiating
				  psychiatric condi­tions from the cultural norms of deafness.
(3) "Deaf client" means an individual who is
				  admitted to a State psychiatric hospital and:
(a) has a severe to profound hearing
				  loss;
(b) utilizes any modality of
				  sign language as the primary means of communication; or
(c) would benefit from a signing
				  environment.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0700 - ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL › Section 28F .0703 - ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Except for Dorothea Dix Hospital, upon
				  admission of a deaf client to a State psychiatric hospital, the hospital shall
				  adhere to the following procedures:
(1)
				  within 24 hours, the responsible professional designated by the hospital
				  director shall notify the Regional Adult Coordinator of Mental Health Services
				  for the Deaf to arrange an assessment of the deaf client;
(2) within 60 hours of notification by the
				  hospital, the Regional Adult Coordinator shall perform the assessment which
				  shall become part of the primary client record and shall include, but not be
				  limited to:
(A) an evaluation of the deaf
				  client's language and communication abilities;
(B) cultural and social
				  information;
(C) clinical
				  impression; and
(D)
				  recommendations.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0700 - ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL › Section 28F .0704 - TRANSFER OF DEAF CLIENTS TO THE DOROTHEA DIX DEAF UNIT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A voluntarily admitted deaf client, who
				  has been deter­mined by the treatment team to require a hospital stay of
				  15 days or more, shall be eligible for transfer to the DDHDU at the time of
				  such determination.
(b) An
				  involuntarily admitted deaf client who, after the initial court hearing is
				  committed shall be eligible for transfer to the DDHDU after the initial court
				  hearing.
(c) Upon transferring a
				  client to the DDHDU, as determined in Paragraphs (a) or (b) of this Rule, the
				  responsible profes­sional at the sending facility shall:
(1) comply with the transfer requirements set
				  forth in
				  G.S.
				  122C-206 and
				  10A NCAC
				  28F .0200; and
(2) explain and ensure that the process for
				  transfer is interpreted by the Regional Coordinator or a certified
				  interpreter.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0700 - ADMISSION OF DEAF CLIENTS TO STATE PSYCHIATRIC HOSPITALS AND TRANSFER OF DEAF CLIENTS TO DOROTHEA DIX HOSPITAL › Section 28F .0705 - DOROTHEA DIX HOSPITAL DEAF UNIT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The Director of
				  Admissions at Dorothea Dix Hospital shall forward the information required in
				  Rule .0704 of this Section to the Coordinator of the Deaf Unit.
(b) The Director of Admissions, the
				  Coordinator of the Deaf Unit, and the responsible professional at the sending
				  facility shall mutually determine the date of transfer.
(c) The Director of Admissions and the
				  Coordinator of the Deaf Unit may refuse to accept a transfer if the client is
				  determined to be inappropriate for transfer:
(1) the Coordinator of the Deaf Unit shall
				  consult with the State Coordinator of Mental Health Services for the Deaf;
				  and
(2) such refusal of transfer
				  shall be documented by both facilities involved, in order to provide background
				  information should a review of the decision be request­ed.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0800 - GENERAL RULES FOR MR CENTERS › Section 28F .0801 - VOLUNTARY ADMISSIONS TO MR CENTERS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  procedures of this Rule shall apply to all state institutions for the mentally
				  retarded.
(b) Any minor, or parent
				  of any minor, or guardian of any minor may request voluntary admission to a
				  mental retardation facility for such person by signing a standard form
				  requesting voluntary admission. Such forms shall be available at each mental
				  retardation center.
(c) Any adult,
				  or any incompetent adult's guardian may request voluntary admission for the
				  person to any mental retardation center of the Division by signing a standard
				  form requesting admission for the person to the mental retardation center. Such
				  forms shall be available at each mental retardation center.
(d) Admissions shall be considered
				  appropriate when community resources to meet the needs of the individual have
				  been explored and it is determined that community services are not
				  available.
(e) Except in emergency
				  cases, a person shall be admitted only if he has been comprehensively evaluated
				  by an interdisciplinary team of mental retardation specialists.
(f) All admissions to the regional mental
				  retardation centers shall be considered time limited, goal-oriented, and
				  subject to periodic review to determine the appropriateness of continued
				  treatment, training, or discharge.
(g) Parents, guardians, and applicants shall
				  be counseled prior to admission on the relative advantages and disadvantages of
				  institutionalization and the goals of treatment or training.
(h) Any minor resident of a center for the
				  mentally retarded may be removed from the center at any time by the parent or
				  guardian of the minor.
(i) Any
				  adult resident of a center for the mentally retarded who has been voluntarily
				  admitted and has not been judicially declared to be incompetent may leave the
				  center without permission at any time.
(j) Except in emergency cases, children less
				  than six years of age shall not be admitted to a center for the mentally
				  retarded.
Authority
					 G.S.
					 122C-112;
					 122C-114;
					 143B-147;
Eff.
					 February 1, 1976;
Amended Eff. April 1, 1990;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0800 - GENERAL RULES FOR MR CENTERS › Section 28F .0802 - CRITERIA FOR ADMISSION

Current through Register Vol. 39, No. 2, July 15, 2024
Except in cases of admission for respite care persons shall
					 be admitted to a regional mental retardation center of the division only upon
					 the determination by the center that the following criteria are met:
(1) The parent or parents, guardian or
				  guardians, or person or persons standing in loco parentis cannot reasonably
				  provide for the habilitation and maintenance needs of the person due to the
				  person's retardation or the person's mental retardation accompanied by physical
				  handicaps;
(2) There is no
				  community-based program available to the person which can provide for the
				  habilitation and maintenance needs of the person; and
(3) The habilitation and maintenance needs of
				  the person can best be met at the mental retardation center.
Authority
					 G.S.
					 122C-112;
					 122C-181;
					 122C-241;
					 143B-147;
Eff.
					 February 1, 1976;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0800 - GENERAL RULES FOR MR CENTERS › Section 28F .0803 - RESPITE CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Persons may be
				  admitted to the regional mental retardation centers for respite care. Respite
				  care may be afforded a person for one of the following three reasons:
(1) Regular Respite Care. A parent, guardian
				  or other person responsible for the care of a mentally retarded person requires
				  relief from the care of a mentally retarded person for such reasons as a family
				  vacation or the need for home rest.
(2) Respite Care for Behavior Management. A
				  parent, guardian or other person responsible for the care of a mentally
				  retarded person requires relief from the care of a mentally retarded person who
				  is presenting severe behavioral problems which either disrupt or interfere with
				  normal family functioning. Respite care for this purpose is offered to allow
				  the family time to rest as well as to explore local community resources and
				  services, which could be utilized following discharge.
(3) Emergency Respite Care. The death or
				  temporary loss of a parent, guardian or other responsible person, or any other
				  situation leaves the mentally retarded person without supervision or care.
				  Respite care for this purpose is offered to provide temporary care while
				  community resources and services which could be utilized following discharge
				  can be explored by the agency initiating the application.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0800 - GENERAL RULES FOR MR CENTERS › Section 28F .0804 - PRIORITY OF ADMISSION

Current through Register Vol. 39, No. 2, July 15, 2024
Equal priority for admission to a mental retardation center
					 shall be given to all applicants except that first priority shall be given to
					 Willie M. class members according to the provisions of
					 10A NCAC
					 29A .0101 through
					 29A .0106 which are available in
					 division publication APSR 45-8.
Authority
					 G.S.
					 122C-112;
					 122C-181;
					 122C-241;
					 143B-147; S.L. 1981, Ch.
					 859;
Eff. February 1, 1976;
Amended Eff. March 1, 1990;
					 February 1, 1982; September 30, 1981;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0800 - GENERAL RULES FOR MR CENTERS › Section 28F .0805 - REGIONS

Current through Register Vol. 39, No. 2, July 15, 2024
A prospective resident may be admitted only to the regional
					 mental retardation center located in the region in which he is domiciled,
					 except that the Director of the Division of Mental Health, Developmental
					 Disabilities and Substance Abuse Services may permit the admission of a person
					 with special needs to a regional mental retardation center other than that
					 located in the region in which the person is domiciled, when the center to
					 which the person is seeking admission offers a special program not available at
					 the center in the region in which the person is domiciled.
Authority
					 G.S.
					 122C-122;
					 122C-181;
					 122C-241;
					 143B-147;
Eff.
					 February 1, 1976;
Amended Eff. March 1, 1990;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0800 - GENERAL RULES FOR MR CENTERS › Section 28F .0806 - DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
A resident of a mental retardation center of the division
					 shall be discharged if one or more of the following occur:
(1) One or more of the criteria for admission
				  seen in Rule .0802 of this Section is not met;
(2) The resident completes the habilitation
				  program for which he was admitted and the criteria for admission seen in Rule
				  .0802 of this Section are not otherwise met;
(3) The resident requests discharge and the
				  resident is not a minor or judicially declared incompetent;
(4) The resident's parent or guardian
				  requests discharge and the resident is a minor;
(5) The resident's guardian requests
				  discharge and the resident has been judicially declared incompetent;
(6) The director of the mental retardation
				  center determines that it is not in the best interest of the resident or the
				  center for the resident to be retained at the center; and
(7) When the term of a planned contractual
				  agreement with the resident, the resident's parent, the resident's guardian, or
				  the person standing in loco parentis to the resident has expired and agreement
				  has not been reached on a new contract.
Authority
					 G.S.
					 122C-112;
					 122C-181;
					 143B-147;
Eff.
					 February 1, 1976;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0900 - VOLUNTARY ADMISSION AND DISCHARGE TO ALCOHOLIC REHABILITATION CENTERS (ARCS) › Section 28F .0901 - SCOPE

Current through Register Vol. 39, No. 2, July 15, 2024
The rules in this Section apply to voluntary admissions and
					 discharges of all clients to alcoholic rehabilitation centers (ARCs). The
					 criteria and procedures shall be followed by staff of ARCs and by area program
					 staff making referrals to ARCs.
Authority
					 G.S.
					 122C-112;
					 122C-181;
					 122C-211;
					 2C-212;
					 143B-147;
Eff. April
					 1, 1981;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0900 - VOLUNTARY ADMISSION AND DISCHARGE TO ALCOHOLIC REHABILITATION CENTERS (ARCS) › Section 28F .0902 - PROCEDURES FOR VOLUNTARY ADMISSION AND DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Evaluation. Any person voluntarily seeking admission shall receive an
				  evaluation to include a physical examination by a staff physician of the ARC
				  within 24 hours of the time of presentation for admission. Only those persons
				  who have been determined to be in need of treatment or evaluation available at
				  the ARC and who will be able to benefit from the program and services offered
				  at the ARC shall be admitted. In making the decision, consideration shall be
				  given to the effects of any previous treatment efforts in reducing or
				  exacerbating the person's problems.
(b) Evaluation in Writing. The evaluation
				  shall be in writing and shall state whether the person is in need of admission
				  for treatment or further evaluation of alcoholism or drug dependency.
(c) Nonacceptance. If the examining physician
				  at the ARC determines that the person is not in need of admission for treatment
				  or further evaluation, or that another facility to which application for
				  admission is made does not provide the requisite evaluation or indicated
				  treatment services, the person shall not be accepted as a client, but other
				  appropriate suggestions and referrals shall be made as indicated to meet the
				  person's need. If the person is not admitted to the ARC, personnel from the ARC
				  shall notify the referral source and specify reasons for nonacceptance and
				  inform the referral source as to the status of the person's receiving services
				  from another provider. If it is determined the client can be more appropriately
				  served in the community, based on evaluation of the client's needs and
				  consideration of resources available in the community, the client shall be
				  referred to the community program.
(d) Leaving Against Medical Advice. A client,
				  a client's parent if a minor, or a client's guardian, if a minor or
				  incompetent, upon the client's leaving an ARC against the advice of the
				  attending physician will be given the opportunity, though not required, to sign
				  a form relieving the ARC and the staff of the ARC from liability for any
				  consequences of the client's departure from the ARC. Such forms shall be
				  available at every state ARC.
(e)
				  Contracts. There shall be written agreements between area authorities and
				  alcoholic rehabilitation centers specifying policies and procedures in
				  admitting, providing services to, referring and discharging persons.
Authority
					 G.S.
					 122C-112;
					 122C-181;
					 122C-211;
					 122C-212;
					 143B-147;
Eff. April
					 1, 1981;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .0900 - VOLUNTARY ADMISSION AND DISCHARGE TO ALCOHOLIC REHABILITATION CENTERS (ARCS) › Section 28F .0903 - APPOINTMENTS FOR ADMISSION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Arrival
				  at an ARC without an appointment may result in admission being delayed because
				  of lack of bed space. However, if bed space is not available, ARC staff shall
				  contact the appropriate area program or the closest emergency room in order to
				  arrange for placement of the client until bed space is available.
(b) Individuals transporting persons seeking
				  admission to an ARC shall remain with the person until a determination has been
				  made as to the availability of bed space.
Authority
					 G.S.
					 122C-112;
					 122C-181;
					 122C-211;
					 143B-147;
Eff.
					 February 1, 1982;
Amended Eff. March 1, 1990;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .1000 - PROBATION AND DISCHARGE › Section 28F .1001 - PROBATION AND DISCHARGE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A patient at an
				  alcohol and drug abuse treatment center may be placed on probation by the
				  clinical team for failure to adhere to the prescribed treatment plan or any
				  other violation of the rules and regulations of the alcohol and drug abuse
				  treatment center. Persons placed on probation shall be counseled to assure that
				  they understand the rules, including their right to file a grievance as
				  specified in
				  10A NCAC
				  28B .0203 STATE FACILITY GRIEVANCE PROCEDURE
				  AND REPORTS, Division publication HUMAN RIGHTS FOR CLIENTS IN STATE OWNED AND
				  OPERATED FACILITIES, APSM 95-1, 07/01/89, adopted pursuant to
				  G.S.
				  150B-14(c).
(b) Probation shall be for a period of one
				  week from the detection of the violation.
(c) Patients committing one of the violations
				  listed in Part (a) of this Rule while on probation may be discharged by vote of
				  the clinical team, who will ensure the patients' understanding of the right to
				  file a grievance as cited in Paragraph (a) of this Rule.
Authority
					 G.S.
					 122C-181;
					 143B-147;
Eff.
					 February 1, 1976;
Amended Eff. August 1, 1990; March 1,
					 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter F - ADMISSION AND DISCHARGE › Section .1000 - PROBATION AND DISCHARGE › Section 28F .1002 - CENTER RULE VIOLATION

Current through Register Vol. 39, No. 2, July 15, 2024
Any patient who commits one or more of the following acts
					 may be immediately discharged from an alcoholic rehabilitation center:
(1) drinking alcohol,
(2) taking unauthorized drugs,
(3) possession of alcohol,
(4) possession of unauthorized
				  drugs,
(5) unacceptable social
				  behavior,
(6) theft, or
(7) violent behavior.
Persons exhibiting violent behavior as a result of serious
					 emotional or psychiatric problems may be transferred to other institutions of
					 the division better able to treat the emotional or psychiatric
					 problems.
Authority
					 G.S.
					 122C-181;
					 143B-147;
Eff.
					 February 1, 1976;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter G - WHITAKER SCHOOL › Section .0100 - GENERAL RULES › Section 28G .0101 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
For the purposes of the rules in this Subchapter, the
					 following terms shall have the meanings indicated:
(1) The "program" means the Whitaker School.
				  It is a program providing treatment and education for emotionally disturbed
				  children who are either multi-handicapped or chronically impaired. The program
				  emphasizes psychological, social and educational rehabilitation. The treatment
				  model is based on re-education theory rather than traditional psychiatric
				  treatment.
(2) A "group" is a
				  sub-unit of the program consisting of eight children of the same sex. There
				  shall be three groups of children in the program, two groups for males and one
				  group for females.
(3) A "regional
				  placement committee" is a committee in each of the four regions of the state
				  composed of no more than five representatives appointed by the Mental Health,
				  Developmental Disabilities and Substance Abuse Services regional director. Each
				  committee shall have at least three members who are formally licensed or
				  certified to practice their professions and are fully qualified professionals
				  as defined in
				  G.S.
				  122C-3(31). One of the
				  members' area of expertise shall be in mental retardation and at least two of
				  these shall represent different mental health disciplines.
(4) "Seclusion" is the placement of a child
				  alone in a locked room when such placement of the child is neither a part of a
				  systematic behavior change program written in the treatment plan nor a part of
				  the procedural guidelines for at-risk procedures.
(5) The "therapeutic hold" is the act of a
				  staff member physically holding a child to protect the child from hurting
				  himself or herself, from hurting others, or from destroying property.
(6) "Time out" is the use of a designated
				  room which may have a closed door but which shall not be locked, for the
				  purpose of removing the child from a stressful situation.
Authority
					 G.S.
					 143B-147;
Eff. March 24,
					 1981;
Amended Eff. March 1, 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES › Subchapter G - WHITAKER SCHOOL › Section .0100 - GENERAL RULES › Section 28G .0102 - REFERRAL PROCESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Prospective
				  clients for the program shall be referred by any individual or public agency to
				  the local area mental health, mental retardation and substance abuse
				  program.
(b) Any local area program
				  that receives a referral of a prospective client shall conduct a diagnostic
				  evaluation in accordance with
				  10 NCAC
				  18B .1218(8).
(c) If the results of the diagnostic
				  evaluation indicate that such referral is appropriate, the Director of the area
				  program shall refer the prospective client to the appropriate regional
				  placement committee.
Authority
					 G.S.
					 143B-147(a)(2)(a);
Eff. March 24, 1981;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. August 24,
					 2019.