Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-41 › Section 5122-41-01 - Purpose, definitions and general standards

Current through all regulations passed and filed through July 1, 2024
(A)
								The purpose of
			 this chapter is to describe the standards for a psychiatric residential
			 treatment facility (PRTF).
(B)
								Definitions:
(1)
									"Ancillary services" means services that supplement and
			 support the clinical services provided by the PRTF staff and are not considered
			 direct care. An example of an ancillary service in the context of the PRTF
			 setting would be time set aside for personal meditation or
			 reflection.
(2)
									"Caregiver" means the person identified in the
			 individual plan of care that will ultimately support the timely and effective
			 transition of the youth into the community.
(3)
									"CMS" means the
			 centers for medicare and medicaid services.
(4)
									"Department"
			 means the Ohio department of mental health and addiction
			 services.
(5)
									"Discharge" means a youth is leaving the PRTF without
			 meeting treatment goals.
(6)
									"Home-like environment" or "home-like" means a living
			 environment that provides for positive, nurturing interactions between
			 caregivers and youth which may reduce the tensions of living in a group
			 setting. Home-like environments provide softness and challenge, stability and
			 flexibility, space for shared living and for private moments. Furnishings
			 should be chosen for comfort as well as for durability. The home-like
			 environment should include items such as artwork, artifacts, plants, pillows,
			 and area rugs to add softness. The selection of wall colors, lighting fixtures,
			 furniture, window treatments, floor coverings, and decorative accessories
			 should also enhance the home-like environment. The home-like environment should
			 not compromise the health and safety considerations of the youth residing in
			 the PRTF.
(7)
									"Provider agreement" means a contract between the Ohio
			 department of medicaid and an operator of a PRTF for the provision of PRTF
			 services under the medicaid program, pursuant to rule
			 5160-1-17.2 of the
			 Administrative Code. The signature of the operator or the operator's authorized
			 agent binds the operator to the terms of the Agreement.
(8)
									"PRTF" means a
			 psychiatric residential treatment facility as defined by
			 42 C.F.R.
			 483.354, as authorized under section 1905
			 (a)(16) and (h) of the Social Security Act.
(9)
									"Sensory room"
			 means a designated therapeutic space that provides a safe and controlled
			 environment designed to stimulate the senses and promote self-regulation. The
			 room is equipped with various sensory equipment and materials, such as soft
			 lighting, comfortable seating, tactile objects, and calming music, to help
			 individuals manage sensory processing difficulties, reduce stress, and promote
			 relaxation. A sensory room cannot be used for seclusion or
			 restraint.
(10)
									"Serious injury" means any significant impairment of
			 the physical condition of the youth as determined by qualified medical
			 personnel. This includes, but is not limited to burns, lacerations, bone
			 fractures, substantial hematoma, and injuries to internal organs, whether
			 self-inflicted or inflicted by someone else.
(11)
									"Transition"
			 means a youth has met their treatment goals and is transitioning to a community
			 setting or a lower level of residential care including a group
			 home.
(12)
									"Youth" means a person under the age of
			 twenty-one.