reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5200 - PSYCHIATRIC OUTPATIENT CLINICS › MISCELLANEOUS PROVISIONS › Section 5200.47 - Other applicable regulations

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter does not supplant other applicable
						regulations which apply to mental health facilities in the Commonwealth such as
						34 Pa. Code Chapter 49-59 (relating to administration; general requirement; A-1
						assembly group; division A-2 assembly; division A-3 assembly; group B
						educational; division C-2 hotels, motels, apartment buildings, etc.; division
						C-3 small group habitation; divisions C-4 single exit apartments; division D-O
						ordinary commercial, industrial, office; and D-H hazardous commercial,
						industrial, office), §§
											5100.31-5100.39 (relating to
						confidentiality of mental health records), and §§
											5100.51-5100.56 (relating to patient
						rights).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5200 - PSYCHIATRIC OUTPATIENT CLINICS › MISCELLANEOUS PROVISIONS › Section 5200.48 - Waiver of standards

Current through Register Vol. 54, No. 28, July 13, 2024
In instances where the development of specialty
						psychiatric outpatient clinic services is severely limited by these standards,
						such as rural clinics or specialty clinics, a waiver may be granted. Waivers
						may be applied only in areas where the need for these services and the attempts
						to meet the standards are adequately documented. Waivers are to be considered
						only in exceptional circumstances and are subject to approval by the
						Department.
The provisions of this §
													5200.48 amended under section 1021
						  of the Human Services Code (62 P.S. §
														1021); sections 105 and 112 of the Mental
						  Health Procedures Act (50 P.S. §§
														7105 and
						  7112); and section 201(2) of
						  the Mental Health and Intellectual Disability Act of 1966 (50 P.S. §
														4201(2)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5200 - PSYCHIATRIC OUTPATIENT CLINICS › MOBILE MENTAL HEALTH TREATMENT › Section 5200.51 - Provider service description

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prior to the delivery of MMHT services, a
					 psychiatric outpatient clinic shall submit to the Department for approval a
					 MMHT service description that includes the information required under
					 subsection (b). A psychiatric outpatient clinic shall submit a revised service
					 description to the Department if there are changes to the information required
					 under subsection (b).
(b) A service
					 description must include all of the following:
(1) The population to be served, including
					 all of the following:
(i) Expected number of
					 individuals to be served.
(ii) The
					 age ranges of the individuals to be served.
(iii) The presenting problems and other
					 characteristics supporting the need for MMHT services.
(iv) The location of the provision of the
					 services, whether in the home or community or both.
(v) The goals, objectives and expected
					 outcomes of the MMHT services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5200 - PSYCHIATRIC OUTPATIENT CLINICS › MOBILE MENTAL HEALTH TREATMENT › Section 5200.52 - Treatment planning

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Treatment planning shall be completed in accordance with §
											5200.31 (relating to treatment
					 planning) and shall include all of the following:
(1) Services to be provided.
(2) Treatment goals.
(3) Duration of service.
(4) Supports and interventions necessary to
					 alleviate barriers to receiving services at a psychiatric outpatient
					 clinic.
(5) Identification of the
					 professional providing each service.
(6) Location of service provision.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › GENERAL PROVISIONS › Section 5210.1 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal authority for this chapter is sections 105 and
						112 of the Mental Health Procedures Act (50 P. S.
						§§
												7105 and
						7112); section 201(2) of the
						Mental Health and Mental Retardation Act of 1966 (50 P. S. §
												4201(2)); and section 1021
						of the Public Welfare Code (62 P. S. §
												1021).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › GENERAL PROVISIONS › Section 5210.2 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter
					 provides standards for the licensing of free-standing partial hospitalization
					 facilities under 1021 of the Public Welfare Code (62 P. S. §
												1021), and approval of partial
					 hospitalization facilities which are part of a health care facility as defined
					 in section
					 802.1 of the Health Care
					 Facilities Act (35 P. S. 448.802a) under
					 sections 105 and 112 of the Mental Health Procedures Act (50 P. S. §§
												7105 and
					 7112).
(b) This chapter applies to private,
					 nonprofit or for-profit facilities which provide mental examination, diagnosis,
					 care and treatment to the mentally ill or emotionally disturbed for a period of
					 more than 3 hours but not less than 24 hours during the day, evening or night,
					 and which participate in the public mental health program.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › GENERAL PROVISIONS › Section 5210.4 - Service providers

Current through Register Vol. 54, No. 28, July 13, 2024
Partial hospitalization services for the mentally and
						emotionally disturbed shall be provided only by a facility which complies with
						this chapter and is certified by the Department to provide a
						program.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › GENERAL PROVISIONS › Section 5210.5 - Application review process

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Any facility intending to provide partial hospitalization services shall file
					 an application for a certificate of compliance with the Department under
					 Chapter 20 (relating to licensure or approval of facilities and agencies). A
					 facility shall meet both the requirements of Chapter 20 and this chapter to
					 obtain a certificate. Submission of an application does not constitute a
					 certificate to operate pending Departmental approval. Facilities shall be
					 inspected a minimum of once per year, but are subject to visit by the
					 Department's designee at other times to ensure continuing conformance of the
					 operations of the facility with these regulations. The Department may request
					 the facility to provide information concerning programs and fiscal operations
					 at the Department's discretion.
(b) Programs currently operating under
					 preexisting approval shall have 3 months after the effective date of this
					 chapter to meet the requirements found in this chapter. Programs requesting a
					 certificate under this chapter have 6 months to meet the minimum size of
					 program section of these standards. Other program requirements as set forth in
					 this chapter shall be met before a certificate can be granted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › GENERAL PROVISIONS › Section 5210.6 - Goal and objectives

Current through Register Vol. 54, No. 28, July 13, 2024
The goal of partial hospitalization is to increase the
						level of patient functioning. The service may be provided to clients with
						chronic or acute mental disorders who require active treatment. Its objectives
						include the following:
(1) The
					 diversion of patients from acute psychiatric inpatient units or to shorten the
					 length of stay.
(2) Crisis
					 stabilization and treatment of chronically ill patients currently in treatment
					 who require more intensive service for some period of time than is provided in
					 outpatient or aftercare programs.
(3) The return to the community of
					 intermediate or long-term patients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › GENERAL PROVISIONS › Section 5210.7 - Program standards

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Accreditation.
These standards must be met by any facility
					 seeking licensure or approval. For-profit facilities must also have the Joint
					 Commission on Accreditation of Hospital (JCAH) accreditation in order to be
					 licensed or approved under this chapter.
(b)
General description.
(1) Partial hospitalization services may be
					 directed towards different patient populations. Therefore, two different types
					 of partial hospitalization programs are delineated. Adult partial
					 hospitalization is a program designed for the treatment of adults with acute
					 psychiatric illness, or an acute exacerbation of chronic psychiatric illness,
					 or the treatment and rehabilitation of adults who are chronically ill and
					 marginally functional and who require a more intensive and supervised treatment
					 program than that which is afforded by various types of outpatient or aftercare
					 programs. Children and youth partial hospitalization programs are designed for
					 the treatment of adolescents and children 14 years of age or under as either
					 alternatives to inpatient care or as more intensive treatment programs than are
					 afforded by outpatient settings.
(2) Adult partial hospitalization programs
					 may treat adolescents under the age of 14 years when clinically appropriate,
					 and where specialized children and youth partial hospitalization programs are
					 not available. The treatment plan shall specify the appropriateness of this
					 procedure. When adolescents are treated in the adult program, a specialized
					 program appropriate to their needs shall be developed including arrangements
					 for education. Children and youth partial hospitalization programs may treat
					 adolescents 14 years of age and older when clinically appropriate.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › ORGANIZATION › Section 5210.11 - Organization and structure

Current through Register Vol. 54, No. 28, July 13, 2024
The partial hospitalization unit shall be as a separate,
						identifiable organizational unit with its own director, or supervisor, and
						staffing pattern. When the unit is a portion of a larger organizational
						structure, the director or supervisor of the unit shall be identified and his
						responsibilities clearly defined. The organizational structure of the unit
						shall be described in an organizational chart. A written description of all
						services provided by the unit shall be on file and available to the Department.
						The Department shall be notified of any major change in the organizational
						structure or services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › ORGANIZATION › Section 5210.12 - Linkages with other parts of the service system

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Partial hospitalization program requires
					 a close relationship with an acute psychiatric inpatient service. A written
					 statement as to the availability of these services to patients is required and
					 shall be maintained on file at the facility.
(b) Partial hospitalization program shall
					 also assure linkages with other appropriate treatment and rehabilitative
					 services including emergency services, outpatient services, and vocational
					 rehabilitation programs. A written statement documenting such linkages shall be
					 maintained on file at the facility.
(c) The partial hospitalization program shall
					 participate in the overall system of care as defined in the County Mental
					 Health/Mental Retardation (MH/MR) plan. A letter of agreement with the county
					 program is required specifying the relationship of the partial program with the
					 county program case management system and shall be included in its application
					 for a certificate of compliance.
(d) New partial hospitalizaton programs or
					 new sites of existing programs established after the effective date of this
					 chapter shall document the need in the proposed service area for the expansion
					 of partial hospitalization services. County MH/MR authorities shall review this
					 documentation and make recommendation to the Department. The Department may
					 deny approval of such expansion where inadequate justification is
					 provided.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.21 - Staffing and personnel

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Program director.
The program director shall be a mental
					 health professional and have a minimum of 2 years of post-graduate clinical
					 experience.
(b)
Staff/patient ratio.
Adult partial hospitalization programs
					 shall have a minimum of one full-time equivalent (FTE) clinical staff member to
					 every six patients. Staff/patient ratio is to be determined on the basis of the
					 designed program capacity, such as, a program with a program capacity of 30
					 would require five FTE staff. When there are changes in the program capacity,
					 appropriate staffing changes shall be made as required. Staff should be of
					 appropriate disciplines and shall include at least one member, other than
					 program director, who is a mental health professional or one member who is a
					 psychiatric nurse. All clinical staff time devoted specifically to the partial
					 program including that of the program director and medical staff shall be
					 included when calculating patient/staff ratio.
(c)
Psychiatric staff.
Adult
					 partial hospitalization programs shall have a minimum of 2 hours of assigned
					 psychiatric time per week for every five patients of program capacity. This is
					 to ensure adequate care and supervision for patients in the partial
					 hospitalization program.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.22 - Psychiatric supervision

Current through Register Vol. 54, No. 28, July 13, 2024
At a minimum, the psychiatric supervision of an adult
						partial hospitalization program shall be a psychiatrist who shall monitor each
						treatment plan on a regular basis as defined in §
											5210.23 (relating to treatment
						planning and records) and clinically supervise the treatment of
						patients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.23 - Treatment planning and records

Current through Register Vol. 54, No. 28, July 13, 2024
An individualized treatment plan shall be formulated for
						patients in adult partial hospitalization programs by the patient's treatment
						team. A treatment team shall consist of a treatment team leader, a psychiatrist
						when the treatment team leader is not a psychiatrist and other appropriate
						staff. The treatment team leader shall be a mental health professional. For
						patients undergoing involuntary treatment, the treatment team leader shall be a
						physician or psychologist.
This section cited in 55 Pa. Code §
													5210.22 (relating to psychiatric
						  supervision).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.24 - Treatment team

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 treatment team leader shall assure that staff trained and experienced in the
					 use of the modalities proposed in the treatment plan shall participate in its
					 development, implementation and review.
(b) The treatment team leader is responsible
					 for the implementation and review of the individualized treatment plan, for the
					 coordination of service delivery from other service providers and for the
					 review of progress notes and discharge summary.
(c) The treatment team leader shall ensure
					 that the person in treatment is encouraged to become involved in the treatment
					 planning process.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.25 - Contents and review of a comprehensive treatment plan

Current through Register Vol. 54, No. 28, July 13, 2024
The treatment plan shall include the following:
(1) Be formulated to the extent possible,
					 with the cooperation and consent of the patient, or a person acting on his
					 behalf.
(2) Be based upon
					 diagnostic evaluation which includes examination of the medical, psychological,
					 social, cultural, behavioral, familial, educational, vocational and
					 developmental aspects of the patient's situation.
(3) Set forth treatment objectives and
					 prescribe an integrated program of therapies, activities, experiences and
					 appropriate education designed to meet these objectives.
(4) Be maintained and updated with signed
					 daily notes, and be kept in the patient's medical record or a form developed by
					 the facility.
(5) Be developed
					 within the first 5 days of service and reviewed by the treatment team a minimum
					 of once every 20 days of service to the individual patient and modified as
					 appropriate.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.26 - Records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Under section
					 602 of the Mental Health and Mental Retardation Act of 1966 (50 P. S. §
												4602) and in accordance with recognized and
					 acceptable principles of patient recordkeeping, the record shall include the
					 following:
(1) Patient identifying
					 information.
(2) Referral
					 source.
(3) Presenting
					 problem.
(4) Consent
					 forms.
(5) Medical, social and
					 developmental history.
(6)
					 Diagnosis and evaluation.
(7)
					 Treatment plan.
(8) Treatment
					 progress notes for each contact.
(9) Medication orders.
(10) Discharge summary.
(11) Referrals to other agencies, when
					 indicated.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.27 - Treatment policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each facility shall have a written plan
					 describing the policies and procedures of the partial hospitalization program.
					 The plan shall provide for:
(1) The services
					 to be provided and the scope of such services.
(2) Intake policy and procedures.
(3) Admissions and discharge
					 policies.
(4) Policies providing
					 for continuity care for patients.
(5) There shall be a planned regular, ongoing
					 program for staff development.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-ADULT › Section 5210.28 - Size of program

Current through Register Vol. 54, No. 28, July 13, 2024
Adult partial programs shall operate a minimum of 3 full
						days a week and shall have a minimum program capacity of 15
						patients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.31 - Staffing and personnel

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Program director
. The program director shall be a mental
					 health professional with a minimum of 3 years of relevant post-graduate
					 clinical experience including one year experience or training with children and
					 youth mental health programs.
(b)
Staff/patient ratio.
Children and youth partial
					 hospitalization programs require a minimum of one FTE clinical staff member for
					 every five patients, such as, a program with an average daily capacity of 20
					 would require four FTE staff. Staff/patient ratio shall be prorated on the
					 basis of capacity of the program. When there are changes in program capacity,
					 appropriate staffing changes shall be made as required. Staff shall be of
					 appropriate professional disciplines and shall include at least one member,
					 other than the program director, who is a mental health professional or one
					 member who is a psychiatric nurse. Any clinical staff time devoted specifically
					 to the partial program including that of program director and medical staff
					 shall be calculated in the patient/staff ratio.
(c)
Psychiatric staff.
Children and youth partial hospitalization programs shall have a minimum of 2
					 hours of assigned psychiatric time per week for every five patients of program
					 capacity.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.32 - Psychiatric supervision

Current through Register Vol. 54, No. 28, July 13, 2024
At a minimum, the psychiatric supervision of a children
						and youth partial hospitalization program shall be by a psychiatrist who shall
						monitor each treatment plan on a regular basis as defined in §
											5210.33 (relating to treatment
						planning and records) and clinically supervise the treatment of all
						patients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.33 - Treatment planning and records

Current through Register Vol. 54, No. 28, July 13, 2024
An individual treatment plan shall be formulated for all
						patients in children and youth partial hospitalization programs by the
						patient's treatment team. A treatment team shall consist of a treatment team
						leader, a psychiatrist and other appropriate staff of the treatment program.
						The treatment team leader shall be a mental health professional. For patients
						undergoing involuntary treatment, the treatment team leader shall be a
						physician or psychologist. Treatment plans shall be reviewed with parents or
						guardians of persons in children and youth partial programs if appropriate.
This section cited in 55 Pa. Code §
													5210.32 (relating to psychiatric
						  supervision).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.34 - Treatment team

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 treatment team leader shall ensure that staff trained and experienced in the
					 use of the modalities proposed in the treatment plan shall participate in its
					 development, implementation and review.
(b) The treatment team leader is responsible
					 for the implementation and review of the individualized treatment plan, for the
					 coordination of service delivery from other service providers, and for the
					 review of progress notes and discharge summary.
(c) The treatment team leader shall ensure
					 that the child or youth in treatment is encouraged to become increasingly
					 involved in the treatment planning process.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.35 - Contents and review of a comprehensive treatment plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The treatment plan shall:
(1) Be formulated to the extent possible,
					 with the cooperation and consent of the patient or a person acting on his
					 behalf.
(2) Be based upon
					 diagnostic evaluation which includes examination of the medical, psychological,
					 social, cultural, behavioral, familial, educational, vocational, and
					 developmental aspects of the patient's situation.
(3) Set forth treatment objectives and
					 prescribe an integrated program of therapies, activities, experiences and
					 appropriate education designed to meet these objectives and staff
					 assignments.
(4) Be maintained and
					 updated with signed daily notes, and be kept in the patient's medical record on
					 a form developed by the facility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.36 - Treatment policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Each facility shall have a written plan describing the
						policies and procedures of the partial hospitalization program. The plan shall
						provide for:
(1) The services to be
					 provided and the scope of such services.
(2) Intake policy and procedures.
(3) Admissions and discharge
					 policies.
(4) Policies providing
					 for continuity of care for patients.
(5) There shall be a regular ongoing program
					 for staff development.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.37 - Linkages with educational programs

Current through Register Vol. 54, No. 28, July 13, 2024
Basic education and, in particular, special education are
						an essential and required part of service for emotionally disturbed children
						and youth. By law, such education is to be provided by the Department of
						Education or its agent. The education program may be provided at the same site
						as the partial hospitalization program, but is considered a separate, though
						complimentary, program and shall not be included as part of the partial
						hospitalization program for reimbursement purposes.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.38 - Size of program

Current through Register Vol. 54, No. 28, July 13, 2024
Children and youth partial hospitalization programs shall
						operate a minimum of 3½ days a week and shall have a minimum program
						capacity of 10 patients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › PARTIAL HOSPITALIZATION-CHILDREN AND YOUTH › Section 5210.39 - Patient program

Current through Register Vol. 54, No. 28, July 13, 2024
Patients in partial hospitalization programs shall
						receive a minimum of 3 hours of planned treatment programs per hospitalization
						day. These programs shall emphasize a therapeutic milieu, and include
						therapeutic, recreational, social and vocational activities, individual, group,
						or family psychotherapy, psychiatric, psychological and social evaluations,
						medication evaluations and other activities as determined by the treatment
						team.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.51 - Fee schedule

Current through Register Vol. 54, No. 28, July 13, 2024
Each partial hospitalization program shall maintain a
						schedule of uniform basic charges for services which is available to all
						patients. Fee schedules shall be submitted to the Department for information
						purposes.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.52 - Quality assurance

Current through Register Vol. 54, No. 28, July 13, 2024
All partial hospitalization programs shall have a
						utilization review and clinical audit process designed to ensure that the most
						appropriate treatment is delivered to the patient. Patients shall be discharged
						when the identified benefit, as reflected in the initial evaluation, goals,
						objectives, and treatment plan has been received.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.53 - Physical facility

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Adequate space, equipment and supplies shall be provided in order that the
					 partial hospitalization services can be provided effectively and efficiently.
					 Functional surroundings shall be readily accessible to the patient and
					 community served.
(b) All space and
					 equipment shall be well maintained and shall meet applicable Federal, State and
					 local requirements for safety, fire and health.
(c) A waiting room which is neat, cheerful
					 and comfortably furnished shall be provided.
(d) There shall be office space for the
					 clinical staff suitably equipped with chairs, desks, tables and other necessary
					 equipment.
(e) There shall be an
					 adequate number of suitably equipped conference rooms to provide for staff
					 conferences and therapy.
(f) There
					 shall be adequate provisions for the privacy of the patient in interview
					 rooms.
(g) The facility shall be
					 appropriate to the age and developmental needs of the persons served.
(h) A partial hospitalization program is
					 defined by its staff and organizational structure rather than by a specific
					 building or facility. It may operate at more than one site if the respective
					 sites meet all physical facility standards and the sites operate as a portion
					 of a total partial hospitalization program. The Department will issue a single
					 certificate of compliance to the parent organization which will list all
					 operational sites.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.54 - Combined programs

Current through Register Vol. 54, No. 28, July 13, 2024
Facilities may be certified for different types of
						programs at the same location; however, such facilities shall have clearly
						separate programs and shall meet all the staffing and other requirements for
						the projected program capacity of each program.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.55 - Notices of nondiscrimination

Current through Register Vol. 54, No. 28, July 13, 2024
Programs may not discriminate against staff or clients on
						the basis of age, race, sex, ethnic origin, economic status, sexual preference,
						or religion and must observe all applicable State and Federal laws and
						regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.56 - Other applicable regulations

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter does not supplant other applicable
						regulations which apply to mental health facilities in the Commonwealth of
						Pennsylvania such as 34 Pa. Code Chapters 49-59 and §§
											5100.31-5100.39 and
						5100.51-5100.56 (relating to
						confidentiality of mental health records; and patient
						rights).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.57 - Waiver of standards

Current through Register Vol. 54, No. 28, July 13, 2024
In instances where the development of specialty partial
						hospitalizaton program services is severely limited by these standards, such
						as, rural clinics, a waiver may be granted to a particular standard for a
						period of 6 months and may be renewed up to 3 times. The waivers can be applied
						only in areas where the need for the services and the attempts to meet the
						standards are adequately documented. The waivers are to be considered only in
						exceptional circumstances and are subject to approval by the Office of Mental
						Health.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.58 - Drugs and medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If
					 medication is prescribed or dispensed by the facility, the requirements of
					 applicable Federal and State drug statutes and regulations shall be
					 met.
(b) Written policies and
					 procedures providing for the safe dispensing and administration of drugs by the
					 medical and nursing staff shall be in writing and on file. The policies shall
					 include the following:
(1) Prescriptions
					 shall be written only by the physician.
(2) Drugs shall be dispensed only on the
					 order of a physician.
(3) Drugs
					 shall be kept in a secure place.
(4) Each dose of medication administered by
					 the facility shall be properly recorded in the patient's medical
					 record.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.58a - Medication prescription-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
Prescriptions for medications may be written by and
						dispensed on the order of a certified registered nurse practitioner in partial
						hospitalization facilities as authorized under 49 Pa. Code Chapter 18,
						Subchapter C (relating to certified registered nurse practitioners) and Chapter
						21, Subchapter C (relating to certified registered nurse practitioners).
This section cited in 55 Pa. Code §
													5210.58b (relating to
						  clarification of the term "written"-statement of
						  policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5210 - PARTIAL HOSPITALIZATION › MISCELLANEOUS PROVISIONS › Section 5210.58b - Clarification of the term "written"-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The term "written" in §§
											5210.58(b)(1) and
					 (2) and
					 5210.58a (relating to drugs and
					 medications; and medication prescription-statement of policy) includes
					 prescriptions and orders that are handwritten or recorded and transmitted by
					 electronic means.
(b) Written
					 prescriptions transmitted by electronic means must be electronically encrypted
					 or transmitted by other technological means designed to protect and prevent
					 access, alteration, manipulation or use by an unauthorized person.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › GENERAL PROVISIONS › Section 5221.1 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter establishes minimum standards for the
						provision of intensive case management for targeted adults with serious and
						persistent mental illness and children with a serious mental illness or
						emotional disorder. It is applicable to county administrators and to providers
						approved by the Office of Mental Health to provide intensive case management
						services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › GENERAL PROVISIONS › Section 5221.2 - Objective

Current through Register Vol. 54, No. 28, July 13, 2024
Intensive case management is established as a primary,
						direct service to the targeted population. It is designed to insure access to
						community agencies, services and people whose functions are to provide the
						support, training and assistance required for a stable, safe and health
						community life. Services will be offered within the parameters imposed by
						funding and other resources.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › GENERAL REQUIREMENTS › Section 5221.11 - Provider participation

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 County MH/MR programs and public and private agencies are eligible to enroll as
					 intensive case management providers if they are specifically designated as
					 providers in an approved county plan. The Department reserves the right to
					 limit providers to those it considers best able to serve the targeted
					 population.
(b) County MH/MR
					 programs and public and private agencies seeking to provide intensive case
					 management shall apply to the county administrator to be included in the county
					 plan.
(c) Providers approved by the
					 Department shall sign a provider agreement, as specified in Chapter 1101
					 (relating to general provisions), to participate as providers of intensive case
					 management.
(d) Enrolled providers
					 shall complete a Multi-Category Enrollment Information Packet which will permit
					 Federal share reimbursements through Medical Assistance.
(e) Enrolled providers shall abide by Chapter
					 1101, to the extent that the compliance is consistent with compliance with this
					 chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › GENERAL REQUIREMENTS › Section 5221.12 - Consumer eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Persons eligible for intensive case management are:
(1) Adults, 18 years of age or older, who
					 have a serious and persistent mental illness. A person shall be considered to
					 have a serious and persistent mental illness when two of the following criteria
					 are met:
(i)
Diagnosis
-Schizophrenia or chronic major mood disorder
					 (diagnosis codes 295 and 296 in the DSM III-R).
(ii)
Treatment history
-One
					 of the following:
(A) Admission to State
					 mental hospitals totaling 60 days within the past 2 years.
(B) Two admissions to community inpatient
					 psychiatric units totaling 20 or more days within the past 2 years.
(C) Five or more face-to-face encounters with
					 emergency services personnel within the past 2 years.
(D) Three or more years of continuous
					 attendance in a community mental health service, at least one unit of service
					 per quarter.
(E) History of
					 sporadic course of treatment as evidenced by at least three missed appointments
					 within the past 6 months, inability to or unwillingness to maintain medication
					 regimen or involuntary commitment to outpatient treatment.
(iii)
Functioning level
. One
					 of the following:
(A) Global Assessment of
					 Functioning Scale (DSM-III-R, pages 12, and 20) ratings of 40 and
					 below.
(B) A rating of 60 and below
					 if the person is 35 years of age or younger or has a history of aggressive or
					 violent behaviors.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › STRUCTURE AND ORGANIZATION › Section 5221.21 - Organizational requirements

Current through Register Vol. 54, No. 28, July 13, 2024
Intensive case management providers shall ensure that the
						following organizational requirements are met:
(1) The intensive case management program
					 shall be organized or identified as a separate unit within the organization of
					 the enrolled provider.
(2) Overall
					 supervision of the intensive case management unit, as well as individual
					 supervision of intensive case managers, shall be carried out only by mental
					 health professionals. To qualify as a mental health professional under this
					 chapter, an individual shall have at least one of the following:
(i) A master's degree in social work,
					 psychology, rehabilitation, activity therapies, counseling or education and 3
					 years mental health direct care experience.
(ii) A bachelor's degree in sociology, social
					 work, psychology, gerontology, anthropology, political science, history,
					 criminal justice, theology, counseling, education, or be a registered nurse,
					 and 5 years mental health direct care experience, 2 of which shall include
					 supervisory experience.
(iii) A
					 bachelor's degree in nursing and 3 years mental health direct care
					 experience.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › STRUCTURE AND ORGANIZATION › Section 5221.22 - Relationship to other parts of the system

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The intensive case manager shall work
					 closely with the consumer's mental health therapist or psychiatrist and provide
					 consultation in crisis situations as well as in the overall treatment and
					 management of the consumer's mental illness, including discharge
					 planning.
(b) The intensive case
					 manager shall be involved in treatment planning for consumers on his caseload
					 who are hospitalized.
(c) The
					 intensive case manager or supervisor shall be present when an involuntary
					 commitment of a consumer on his caseload is being considered to ensure that all
					 appropriate alternatives to hospitalization are considered. When attendance is
					 impossible because of road conditions, emergency situations or other causes,
					 this shall be documented and an effort made to have other informed case
					 managers present or to establish telephone contact.
(d) Enrolled providers shall establish formal
					 and informal links with other service providers as needed to carry out
					 intensive case management activities. Written agreements shall be made with
					 frequently used contacts including the county MH/MR program, psychiatric
					 inpatient facilities, partial hospitalization programs, psychiatric clinics,
					 residential programs, drug and alcohol programs, social and vocational programs
					 and other agencies as needed. For children and their families, linkages shall
					 also be established with child welfare, education, juvenile justice and other
					 child serving agencies.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › STRUCTURE AND ORGANIZATION › Section 5221.23 - Staffing patterns and limits

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider shall have a written policy
					 showing how 24-hour, 7-day per week coverage for intensive case management
					 services is provided. This policy shall be made available to the Department
					 upon request.
(b) The number of
					 cases in a caseload shall be based on the intensity of the need for service but
					 may not exceed 30.
(c) Team
					 assignments to provide intensive case management services are not precluded as
					 long as a single intensive case manager can be held accountable for the
					 services provided to each case.
(d)
					 A supervisor may supervise no more than seven intensive case managers. A
					 supervisor shall maintain a minimum of three contacts one meeting per week with
					 intensive case managers with additional supervision depending upon the
					 performance of the case manager, the activity of the caseload and
					 administrative judgment.
(e) If
					 there are less than seven intensive case managers providing intensive case
					 management, supervisory staff time shall be at least proportionate to the ratio
					 of one full-time supervisor to seven intensive case managers.
(f) Intensive case managers shall be employed
					 as full time staff unless an exception is approved by the county administrator
					 and the area office of mental health.
(1) When
					 a part-time case manager has been approved, the case manager may not provide
					 mental health service except intensive case management to a person on his
					 caseload.
(2) When there is not a
					 sufficient number of eligible persons to constitute a full-time caseload,
					 part-time case management and supervisory staff shall be proportionate to the
					 caseload and supervisory ratios stated in subsections (a), (d) and (e) and
					 organized and operated in a manner that clearly records and identifies time
					 spent on intensive case management.