reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › EMERGENCY SERVICES › Section 4210.43 - Telephone consultation-emergency service

Current through Register Vol. 54, No. 28, July 13, 2024
Twenty-hour telephone consultation may be organized in
						the same manner as emergency service and may be furnished by the same
						facilities.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › OUTPATIENT SERVICES › Section 4210.51 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
Outpatient services consist of the following: diagnosis,
						evaluation and treatment of persons with a mental disability who live outside
						of a mental health or intellectual disability institution while receiving
						services. This includes working with the patient, his family and significant
						other persons, utilizing such personnel and modalities as are appropriate to
						the needs of the patient. As one of the services in the continuum of care
						established by the county program, outpatient services may precede or follow
						inpatient care for some individuals and for others may continue while they
						receive rehabilitative services including sheltered workshop or training
						services.
The provisions of this §
													4210.51 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › OUTPATIENT SERVICES › Section 4210.52 - Where services may be provided

Current through Register Vol. 54, No. 28, July 13, 2024
Outpatient services may be furnished under the county
						program by the base service unit, by community mental health and intellectual
						disability providers, by community clinics or by clinics conducted by hospitals
						or by institutions for persons with a mental disability. Facilities providing
						outpatient services must be licensed as mental health/intellectual disability
						(MH/ID) establishments to give outpatient services or, if operated by the
						State, meet the standards for these services.
The provisions of this §
													4210.52 amended under section
						  201(2) of the Human Services Code (62 P.S. §
														201(2)); and sections 201(2)
						  and (8) and 202 of the Mental Health and Intellectual Disability Act of 1966
						  (50
						  P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › PARTIAL HOSPITALIZATION › Section 4210.61 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
Partial hospitalization consists of inpatient services
						which are distinguished from short term inpatient services as described in
						§
											4210.31 (relating to description)
						in that this inpatient care is provided on a planned and regularly scheduled
						basis for parts of days or nights or parts of a week.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › PARTIAL HOSPITALIZATION › Section 4210.62 - Where services may be provided

Current through Register Vol. 54, No. 28, July 13, 2024
Partial hospitalization services may be furnished by
						mental health/intellectual disability (MH/ID) establishments licensed by the
						Department to give partial hospitalization care, or by State general hospitals
						approved to furnish services.
The provisions of this §
													4210.62 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › REHABILITATIVE AND TRAINING SERVICES › Section 4210.71 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Rehabilitative
					 and training services are ancillary to mental health and intellectual
					 disability care provided on an inpatient or outpatient basis.
(b) These services consist of vocational
					 evaluation, work adjustment training, job placement and group living
					 experiences to assist an individual handicapped by mental disability, who may
					 or may not have a physical disability, to reach his best level of social and
					 vocational adaptation. According to the capacity of each individual, services
					 may be successful if they result in competitive employment, transitional or
					 indefinite employment in a sheltered workshop or work activity center, ability
					 to maintain a home, or in enabling the client to achieve his maximum possible
					 level or independent living.
(c)
					 These services consist of group programs for teaching or improving self care,
					 personal behavior and social adjustment for persons with a mental disability.
					 Through group training, day care centers may prepare children with a mental
					 disability to attend special classes in the public schools. For other children
					 and for adults these services make continued community living possible by
					 raising the level of social competency and by decreasing the necessity of
					 constant supervision given by their families and others. The services shall
					 include extended work activity programs in sheltered workshops or work activity
					 centers.
The provisions of this §
													4210.71 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › REHABILITATIVE AND TRAINING SERVICES › Section 4210.72 - How services may be provided

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Where the base service unit determines in a case that rehabilitative or
					 training services are needed, it shall secure these services through the Bureau
					 of Vocational Rehabilitation of the Department of Labor and Industry or, in the
					 case of patients who have a visual loss of 30% or more, through the Office of
					 Family Services of the Department. Where rehabilitative or training services
					 are secured in this manner, payment shall not be made under the county
					 program.
(b) Where the services
					 cannot be provided as stated in subsection (a), the base service unit shall
					 arrange for the services to be provided, under the county program, by approved
					 voluntary agencies.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › AFTERCARE SERVICES › Section 4210.81 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
Aftercare services consist of the services prescribed by
						a base service unit when furnished to persons who have been inpatients and may
						also entail appropriate community placement for those who have no homes or for
						whom immediate return home is inadvisable. Before an inpatient is released from
						a facility, arrangements will be made for whatever care he needs by the base
						service unit.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › INTERIM CARE OF INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › Section 4210.91 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
(a) All of the
					 patient services described previously shall be available to persons with an
					 intellectual disability. In addition, interim care is exclusively for those
					 persons with an intellectual disability.
(b) Inpatient care of persons with an
					 intellectual disability is the responsibility of State operated institutions.
					 The final determination as to whether a person is in need of inpatient care is
					 the responsibility of the Department. When the Department determines that a
					 person is eligible for care in a State operated facility, but that there is no
					 room for him at the time of that determination, the Department will place the
					 person on a waiting list. Interim care is intended for a person who, having
					 been removed from his home, is on a waiting list.
The provisions of this §
													4210.91 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › INTERIM CARE OF INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › Section 4210.92 - Where interim care may be provided

Current through Register Vol. 54, No. 28, July 13, 2024
The Department will approve interim care placement in an
						appropriate licensed mental health/intellectual disability establishment.
						Placements may be made in institutions similarly licensed by neighboring states
						when the placement brings services closer to the person's home and when equally
						appropriate facilities are not available in this Commonwealth.
The provisions of this §
													4210.92 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › INTERIM CARE OF INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › Section 4210.93 - Application to State institution

Current through Register Vol. 54, No. 28, July 13, 2024
When the base service unit determines in a case that a
						person appears to be in need of inpatient care for individuals with an
						intellectual disability it shall forward a completed Preliminary Application,
						ID-71, to the appropriate State school and hospital.
The provisions of this §
													4210.93 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › INTERIM CARE OF INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › Section 4210.94 - Acceptance under county program for interim care

Current through Register Vol. 54, No. 28, July 13, 2024
When the base service unit receives notification from the
						Department that a person's name has been placed on the waiting list, and when
						the person has been removed from his home, the base service unit shall arrange
						interim care for the person with the approval of the Department. The Department
						shall be notified when the interim care placement has been
						accomplished.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › INTERIM CARE OF INDIVIDUALS WITH AN INTELLECTUAL DISABILITY › Section 4210.95 - Review of interim care

Current through Register Vol. 54, No. 28, July 13, 2024
The base service unit shall monitor the condition of each
						person in interim care and assess the current available resources from which he
						could benefit as alternatives to residential care. When appropriate, the base
						service unit arranges for the use of alternative resources and so notifies the
						Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › INTAKE PROCEDURES › Section 4210.101a - Clarification of eligibility, determinations-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The essential
					 feature of mental retardation is significantly subaverage general intellectual
					 functioning that is accompanied by significant limitations in adaptive
					 functioning in at least two of the following skill areas: communication,
					 self-care, home living, social/interpersonal skills, use of community
					 resources, self-direction, functional academic skills, work, leisure, health,
					 and safety. The onset must occur before the individual's 22nd birthday.
(1) Except as specified in subsection (b)(2),
					 significantly subaverage general intellectual functioning shall be determined
					 by a standardized, individually administered, intelligence test in which the
					 overall full scale IQ score of the test and of the verbal/performance scale IQ
					 scores are at least two standard deviations below the mean taking into
					 consideration the standard error of measurement for the test. The full scale IQ
					 shall be determined by the verbal and performance IQ scores (See Appendix A-DSM
					 IV).
(2) Diagnosis of mental
					 retardation is made by using the IQ score, adaptive functioning scores and
					 clinical judgment when necessary. Clinical judgment is defined as reviewing the
					 person's test scores, social and medical history, overall functional abilities,
					 and any related factors to make an eligibility determination. Clinical judgment
					 is used when test results alone cannot clearly determine eligibility. The
					 factors considered in making an eligibility determination based on clinical
					 judgment shall be decided and documented by a licensed psychologist, a
					 certified school psychologist, a physician or a psychiatrist. In cases when
					 individuals display widely disparate skills or achieve an IQ score close to 70,
					 clinical judgment should be exercised to determine eligibility for mental
					 retardation services.
(3) If
					 eligibility cannot be determined through a review of the individual's record
					 and social history, necessary testing (for example, adaptive functioning) shall
					 be completed by a licensed psychologist, a certified school psychologist, a
					 physician or a psychiatrist. This includes determining the eligibility for an
					 individual who is 22 years of age or older, has never been served in the mental
					 retardation service system and has no prior records of testing. Clinical
					 judgment may be used to determine whether the age of onset of mental
					 retardation occurred prior to the individual's 22nd birthday.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › LIABILITY › Section 4210.111 - Determination of liability

Current through Register Vol. 54, No. 28, July 13, 2024
Liability is determined under the provisions of section
						504 of the act (50 P.S. §
												4504), and
						decisions may be appealed under section 606 of the act (50 P.S. §
												4606).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › LIABILITY › Section 4210.112 - Utilization of resources other than the county program

Current through Register Vol. 54, No. 28, July 13, 2024
State funds shall not be expended under the county
						program on behalf of a patient until the patient shall have exhausted his
						available resources. As part of the determination of the patient's financial
						liability for services under the county program, the base service unit shall
						determine the resources available to the patient and his family for payment of
						the cost of the patient's care. The base service unit shall assist the patient
						and his family in making application for benefits available to them for payment
						of the cost of the patient's care. These benefits include but are not limited
						to those provided by:
(1) Private
					 health insurance plans.
(2)
					 Programs of State rehabilitation agencies.
(3) The Veterans Administration.
(4) Medicare.
(5) The medical assistance program.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › LIABILITY › Section 4210.113 - Client liability

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When
					 the patient is not eligible for payment of a portion of the cost of his care
					 through a benefit, he and his legally responsible relatives are liable for
					 payment of that portion of the cost of his care not covered by payment through
					 a benefit. The extent of this liability shall be determined according to the
					 procedure described in Chapter 4305 (relating to liability for community mental
					 health and intellectual disability services).
(b) The extent of liability so determined is
					 the total liability of the patient and his legally responsible relatives for
					 all services rendered during the specified time and as such includes
					 drugs.
The provisions of this §
													4210.113 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › RECORDS › Section 4210.121 - Patient service accountability system

Current through Register Vol. 54, No. 28, July 13, 2024
Essential to a modern public service program is the type
						of data necessary for planning, evaluation, and the assuring of program
						accountability. The system described here attempts to provide that information
						for use at all levels concerning one element of the total program, such as,
						patient services. It is felt that the indirect services can better be evaluated
						through budget documents, analysis of contracts, narrative reports, and other
						means at the county level. The assumption is made that the feedback provided by
						analysis of the data will result in program self-audit and review by all
						echelons toward the end of always meeting more effectively the objectives of
						the act and that other types of administrative controls are both unnecessary
						and undesirable.
This section cited in 55 Pa. Code §
													4210.101 (relating to services
						  provided by a base service unit).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › RECORDS › Section 4210.122 - Patient records and reports

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For administrative and epidemiological
					 purposes, the base service unit shall maintain a central file for each patient
					 in its area. This record will include as a minimum:
(1) A history of all movement of the patient
					 through services provided directly by the base service unit as well as all
					 other services provided to him through the county program.
(2) Brief progress notes prepared as services
					 are provided reporting the status of the patient's treatment either by the base
					 service unit or by other providers of service.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › RECORDS › Section 4210.123 - Report of services provided

Current through Register Vol. 54, No. 28, July 13, 2024
(a) All services provided are reported on
					 Service Rendered Report, Form MH/ID 13. Regardless of where services are
					 provided, this form must be processed through the base service unit which
					 serves the area in which the patient resides so that the base service unit can
					 continue to monitor the services provided. Where the service is on a continuing
					 basis, the service rendered report may be a monthly summary. If the base
					 service unit certifies Form MH/ID 13 indicating that the report is in keeping
					 with the proposed service plan, Form MH/ID 13 shall be forwarded to the
					 administrator for payment.
(b) At
					 all times, there must be due respect for confidentiality. Service rendered
					 reports should include only basic data concerning the course of service to the
					 patient and his progress in general, and must not contain therapy notes or
					 information communicated by the patient which could be considered
					 confidential.
The provisions of this §
													4210.123 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › REFERRAL AND INFORMATION SERVICES › Section 4210.131 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
These services acquaint inquiring persons with the
						care-giving resources available in the community. Assistance is given in
						applying to appropriate resources, and referrals are made to the base service
						unit when indicated.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › REFERRAL AND INFORMATION SERVICES › Section 4210.132 - Where services may be provided

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The act requires the local authorities to
					 provide one or more central places for referral and information services. If
					 the administrator's office is easily accessible, close to public transportation
					 and permits necessary privacy, it is a preferred location for the referral and
					 information services; otherwise they must be located where these conditions can
					 be met.
(b) Referral and
					 information services given under the county program augment, but do not
					 supplant, similar services traditionally provided by every agency in the health
					 and welfare field.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › CONSULTATION AND EDUCATION SERVICES › Section 4210.141 - General requirements

Current through Register Vol. 54, No. 28, July 13, 2024
For the county program to be effective, consultation and
						education services are essential. The administrator shall arrange for the
						consultation and education services as are necessary to carry out the functions
						described in §
											4210.6 (relating to scope of the
						program), by developing a county-wide program for these services. This program
						shall reflect:
(1) The requests
					 received by the administrator from community agencies and groups for
					 consultation and education services.
(2) Consultation and education services which
					 the administrator plans to provide.
(3) Consultation and education services which
					 the administrator has arranged to be provided by community mental health or
					 intellectual disability centers, by other facilities serving persons with a
					 mental disability and by individual practitioners in the fields of mental
					 health and intellectual disability.
The provisions of this §
													4210.141 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › CONSULTATION AND EDUCATION SERVICES › Section 4210.142 - Consultation service

Current through Register Vol. 54, No. 28, July 13, 2024
Consultation service is an organized method by which
						professional advice is given by a practitioner in the mental health or
						intellectual disability fields to a practitioner of another discipline or field
						regarding the mental health or intellectual disability aspects of a problem and
						the most effective way of dealing with these aspects. The problem may be that
						of an individual, a specific group or a community. Consultation service by
						extending the expertise of a mental health or intellectual disability
						practitioner enables the consultee to become a more effective care-giving
						person thus making possible a greater use of mental health and intellectual
						disability professionals as well as identifying those persons who are a high
						risk. In addition to dealing with individual care-giving persons, mental health
						and intellectual disability consultation service can also be of great benefit
						in helping a variety of agencies and groups to be aware of the mental health
						and intellectual disability implications of their programs and to develop more
						appropriate and effective services.
The provisions of this §
													4210.142 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › CONSULTATION AND EDUCATION SERVICES › Section 4210.143 - Education service

Current through Register Vol. 54, No. 28, July 13, 2024
Education service is an organized method by which a
						practitioner in the field of mental health or intellectual disability furnishes
						professional groups, community agencies and the general public with information
						about mental health and intellectual disability. By disseminating mental health
						and intellectual disability information, education service facilities both
						primary and secondary prevention by the early identification of those members
						of the population who are at risk. When possible, provisions should be made by
						the administrator through base service units or other contractual facilities
						for sufficient out-reaching personnel with the objective of bringing persons so
						identified into the care-taking network. In the field of tertiary prevention,
						education is important in helping the public accept persons with a mental
						disability, provide employment and in other ways enhance their returning to and
						remaining in the community in useful roles.
The provisions of this §
													4210.143 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › CONSULTATION AND EDUCATION SERVICES › Section 4210.144 - How services may be provided

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The administrator may provide for consultation and education services through
					 the following:
(1) Utilizing his own
					 staff.
(2) Contracting with
					 community mental health and intellectual disability centers and with other
					 facilities serving persons with a mental disability.
(3) Payment of a fee to individual
					 practitioners in the fields of mental health and intellectual
					 disability.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › TRAINING OF PERSONNEL › Section 4210.151 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
Training of personnel may include:
(1) In-service instruction regarding
					 objectives, regulations, procedures and other matters specific to the county
					 program.
(2) Staff development
					 through attendance at State, regional and National meetings in the fields of
					 mental health and intellectual disability.
The provisions of this §
													4210.151 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › TRAINING OF PERSONNEL › Section 4210.152 - In-service instruction

Current through Register Vol. 54, No. 28, July 13, 2024
The Department shares in the cost of in-service
						instruction of staff of the administrator and of facilities furnishing services
						under the county program. Administrators are required to develop training
						programs that include program staff recruited from the low income
						population.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › TRAINING OF PERSONNEL › Section 4210.153 - Staff development

Current through Register Vol. 54, No. 28, July 13, 2024
Expenses for staff development may be authorized by the
						local authorities for the administrator, the program personnel of his staff and
						the program personnel of services provided under contract with the local
						authorities to attend State, regional and National meetings in the fields of
						mental health and intellectual disability.
The provisions of this §
													4210.153 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › RESEARCH › Section 4210.161 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
For the purpose of this chapter, research consists of the
						investigation of epidemiological, clinical and operational data for the purpose
						of:
(1) Finding the causes of mental
					 disability.
(2) Preventing mental
					 disability from developing or progressing.
(3) Identifying successful methods of
					 assisting patients to reach or regain their optimum level of community
					 functioning.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › RESEARCH › Section 4210.162 - Clearance with the Department

Current through Register Vol. 54, No. 28, July 13, 2024
Because research is highly technical in nature and
						because a variety of research programs are always under way in State
						facilities, a proposal for research to be supported by State funds must be
						presented in detail to and cleared by the Department before it is included in
						the annual plan. In developing research programs, facilities should not only
						seek support through the county program but in keeping with the intent of the
						act, shall be urged by the administrator to seek support for research programs
						from both Federal and foundation sources.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › OTHER PREVENTIVE PROGRAMS › Section 4210.171 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
Preventive programs include other services or programs
						designed to prevent mental disability or the necessity of admitting or
						committing persons with a mental disability to an inpatient facility. Although
						counties must discuss with the Department a proposal for a preventive program
						believed to be authorized under the act before including it in their annual
						plans, counties are urged to explore innovative ways of accomplishing this
						objective.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › PROGRAM AND SERVICES EVALUATION › Section 4210.181 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
The purpose of the evaluation is to:
(1) Determine the extent to which the county
					 program has made services available for all persons with a mental disability
					 whose psycho-social functioning is seriously impaired, as described in §
											4210.6 (relating to scope of the
					 program).
(2) Determine whether or
					 not optimum use is being made of the financial and service resources
					 available.
(3) Evalute the
					 efficiency and adequacy of the services furnished by the facilities and the
					 base service units.
(4) Suggest
					 ways of correcting deficiencies.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › PROGRAM AND SERVICES EVALUATION › Section 4210.182 - Responsibility for the program and services evaluation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Under the act, the evaluation is a joint
					 responsibility of the administrator and the Board.
(b) The responsibility of the administrator
					 for the evaluation shall be to:
(1) Review and
					 evaluate facilities, and to cooperate with the Department in the maintenance of
					 established standards.
(2) Analyze
					 and evaluate mental health and intellectual disability needs and services in
					 the county.
(3) Recommend
					 improvements to the Board and local authorities.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › PROGRAM AND SERVICES EVALUATION › Section 4210.183 - Special note on services to the economically, socially and culturally disadvantaged

Current through Register Vol. 54, No. 28, July 13, 2024
As part of the evaluation process, the administrator and
						Board are both responsible for assessing the effectiveness of the various
						elements of the county program in meeting the needs of these groups. Factors to
						be assessed are the accessibility of services to these groups, the proportion
						of the total service effort directed to these groups, and the efforts being
						made to insure service to these members of the community. The evaluation must
						contain a section specifically addressed to this assessment.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › PROGRAM AND SERVICES EVALUATION › Section 4210.184 - Extent and time of evaluation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) As part of the evaluation process
					 developed by the Board and the administrator, the following must be included as
					 a minimum:
(1) Of the seven patient services
					 plus referral and information, an annual evaluation of outpatient services and
					 at least two others, so that at the end of each 4 year period all of these
					 services will have been evaluated once.
(2) A comparison of the administrator's
					 statistical records regarding referrals of patients to State institutions with
					 those regarding referrals to the various services in the community.
(3) A review by the utilization review
					 committee of a significant sample of the records of patients treated by the
					 base service units and by the facilities furnishing the services being
					 evaluated.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4210 - DESCRIPTION OF SERVICES AND SERVICE AREAS › INTERVENTION PRIORITY SCALE › Section 4210.191 - Description

Current through Register Vol. 54, No. 28, July 13, 2024
The base service unit classifies the patient's mental
						disability to reflect the severity of his functional disorders and priority for
						intervention. This is noted on I, II, III or IV on Intake and Proposed Service
						Plan, Form MH/ID 10, under the following Intervention Priority Scale:
(1) The patient is in need of specialized
					 care due to an urgent mental disability requiring immediate intervention
					 because:
(i) He is potentially harmful to
					 others (assaultive, homicidal);
(ii) He is potentially harmful to himself
					 (self-destructive, suicidal); or
(iii) He is socially endangering himself or
					 others (addiction to drugs or alcohol, sexual acting out, promoting or
					 contributing to the delinquency of others, creating a public disturbance,
					 inability to furnish self-care).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL PROVISIONS › Section 4215.1 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
The purpose of this chapter is to specify the
						requirements for submission of an annual plan and estimate of expenditures by
						County Mental Health and Intellectual Disability (MH/ID) Programs to the
						Department.
The provisions of this §
													4215.1 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL PROVISIONS › Section 4215.2 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter applies to county mental health/intellectual
						disability (MH/ID) programs.
The provisions of this §
													4215.2 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL PROVISIONS › Section 4215.3 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal authority for this chapter is section 201(2) of
						the Mental Health and Intellectual Disability Act of 1966 (50 P.S. §
												4201(2)).
The provisions of this §
													4215.3 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL PROVISIONS › Section 4215.4 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates otherwise:
Approve
-Acceptance based upon formal
						compliance with this chapter. The term does not imply the Department's
						agreement with the content of county mental health/intellectual disability
						(MH/ID) annual plan and estimate of expenditures regarding budget priorities.
Board
-A group of persons appointed by
						the local authorities of a county, or two or more counties participating in
						concert in a county mental health and intellectual disability program, to
						review and evaluate the county's MH/ID needs, services, facilities and special
						problems in relation to local health and welfare needs, services and programs.
County administrator
-The administrator
						of the county mental health and intellectual disability program, or the
						administrator's designee.
Department
-The Department of Human
						Services of the Commonwealth.
Local authorities
-The county
						commissioners or county executives of a county, or the city councils and the
						mayors of first class cities, or two or more of these acting in concert.
Secretary
-The Secretary of the
						Department of Human Services.
The provisions of this §
													4215.4 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL REQUIREMENTS › Section 4215.21 - Preparation of annual plan and estimate of expenditures

Current through Register Vol. 54, No. 28, July 13, 2024
The county mental health/intellectual disability (MH/ID)
						administrator and the Board shall prepare an annual plan and estimate of
						expenditures in accordance with written instructions specified by the
						Department, including, but not limited to, instructions on budget estimates,
						needs assessments, and goal statements. The annual plan and estimate of
						expenditure shall describe how the services specified in Chapter 4210 (relating
						to description of services and service areas) are to be made available and
						shall estimate the anticipated expenditures for the services.
The provisions of this §
													4215.21 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL REQUIREMENTS › Section 4215.22 - Public hearing

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 county mental health/intellectual disability (MH/ID) administrator and the
					 Board shall hold a public hearing to consider the annual plan and estimate of
					 expenditures, prior to submission of the annual plan and estimate of
					 expenditures to the Department.
(b)
					 The county MH/ID administrator shall give adequate notice of the date, time and
					 location of the public hearing to persons affected by the annual plan and
					 estimate of expenditures.
(c) The
					 county MH/ID administrator shall provide notification of the public hearing
					 through a widely distributed local newspaper, prior to the public
					 hearing.
The provisions of this §
													4215.22 amended under section
						  201(2) of the Human Services Code (62 P.S. §
														201(2)); sections 201(2) and
						  (8) and 202 of the Mental Health and Intellectual Disability Act of 1966
						  (50
						  P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL REQUIREMENTS › Section 4215.23 - Report of the public hearing

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The county mental health/intellectual disability (MH/ID) administrator shall
					 prepare and maintain a summary report of the public hearing, including a list
					 of people who testified and written comments received.
(b) The county MH/ID administrator shall
					 provide copies of the summary report of the public hearing to the Department
					 upon request.
The provisions of this §
													4215.23 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL REQUIREMENTS › Section 4215.24 - Review and approval by local authorities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county mental health/intellectual
					 disability (MH/ID) administrator and the Board shall submit the annual plan and
					 estimate of expenditures to the local authorities for review and
					 approval.
(b) Local authorities
					 shall indicate their approval by signing and dating the annual plan and
					 estimate of expenditures.
The provisions of this §
													4215.24 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).