reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.98 - Requirements for group services in school settings

Current through Register Vol. 54, No. 28, July 13, 2024
A licensed IBHS agency that provides group services and
						identified a school as a location where services will be provided in its
						approved service description shall meet the following requirements:
(1) Have a written agreement with the
					 authorized representative for each school location in which it provides group
					 services that includes the following:
(i)
					 Identification of the IBHS agency's and the school's lead contacts and their
					 contact information.
(ii)
					 Delineation of roles and responsibilities of the school and the IBHS agency
					 staff.
(iii) Description of how the
					 school and IBHS agency staff will collaborate during the provision of group
					 services in the school.
(iv) A
					 requirement for a meeting at least every 6 months between IBHS agency staff and
					 school administration to review performance, collaboration issues and the
					 written agreement.
(v) Crisis
					 management protocols.
(vi)
					 Procedures for school staff to refer students for group services.
(vii) Identification of the space and
					 equipment allocated for use by IBHS agency staff.
(viii) Process for revising or updating the
					 written agreement.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › EVIDENCE-BASED THERAPY › Section 5240.101 - EBT initiation requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency shall use individual
					 services, ABA services or group services to provide EBT to a child, youth or
					 young adult in accordance with a written order under §
											1155.35(a)(1)
					 (relating to payment conditions for EBT delivered through individual services,
					 ABA services or group services).
(b) Prior to the initiation of EBT, the IBHS
					 agency shall obtain written consent to receive the EBT identified in the
					 written order from the youth, young adult or parent or legal guardian of a
					 child or youth.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › EVIDENCE-BASED THERAPY › Section 5240.102 - Assessment and individual treatment plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A face-to-face assessment shall be
					 completed by staff with the qualifications required by the EBT for a child,
					 youth or young adult within 15 days of the initiation of the service in
					 accordance with §§
											5240.21(b)-(d) and
					 (f),
					 5240.85(b)-(d) and
					 (f) or 5240.95(a) (relating to assessment)
					 and prior to completing the ITP.
(b) The assessment shall be reviewed and
					 updated in accordance with §§ 5240.21(e) and (f), 5240.85(e) and (f)
					 or 5240.95(b).
(c) A written ITP
					 shall be completed, reviewed and updated in accordance with §§
											5240.22,
					 5240.86 or 5240.96 (relating to
					 individual treatment plan).
This section cited in 55 Pa. Code §
													1155.35 (relating to payment
						  conditions for EBT delivered through individual services, ABA services or group
						  services); and 55 Pa. Code §
													5240.41 (relating to individual
						  records)
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › EVIDENCE-BASED THERAPY › Section 5240.103 - Requirements for EBT delivered through individual services, ABA services or group services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 IBHS agency or the individual providing the EBT shall have a certification or
					 licensure from the National certification organization or entity that developed
					 or owns the EBT.
(b) An IBHS agency
					 shall ensure that EBT is provided by staff that meet the qualifications and
					 receive supervision as set forth in the EBT.
(c) An IBHS agency that is using an EBT shall
					 have written policies and procedures to measure the following:
(1) Adherence to the implementation of the
					 specific EBT.
(2) Outcomes of the
					 EBT that incorporate review standards associated with the EBT.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › WAIVERS › Section 5240.111 - Waivers

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency
					 may submit a written request to the Department for a waiver of a specific
					 requirement in this chapter.
(b)
					 The Department may grant a waiver unconditionally or subject to conditions that
					 shall be met. The Department may revoke a waiver if conditions required by the
					 waiver are not met.
(c) A waiver
					 request will be granted only in exceptional circumstances and if the following
					 are met:
(1) The waiver does not jeopardize
					 the health and safety of the children, youth or young adults served by the IBHS
					 agency.
(2) The waiver will not
					 adversely affect the quality of services provided by the IBHS agency.
(3) The intent of the requirement to be
					 waived will still be met.
(4)
					 Children, youth or young adults will benefit from the wavier of the
					 requirement.
(5) The waiver does
					 not violate a Federal or State statute or regulation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5300 - PRIVATE PSYCHIATRIC HOSPITALS › Section 5300.1 - Accreditation

Current through Register Vol. 54, No. 28, July 13, 2024
The Department will accept, as sufficient for licensure,
					 accreditation by the Joint Commission on Accreditation of Hospitals (JCAH),
					 Medicare Certification or approval by other national accreditation bodies which
					 are designated as acceptable by the Secretary, if the hospital is also in
					 compliance with the applicable sections of Chapter 5100 (relating to mental
					 health procedures).
This section cited in 55 Pa. Code §
												5300.2 (relating to not Nationally
						accredited or certified).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5300 - PRIVATE PSYCHIATRIC HOSPITALS › Section 5300.2 - Not Nationally accredited or certified

Current through Register Vol. 54, No. 28, July 13, 2024
If a private psychiatric hospital is not nationally
					 accredited or certified under §
										5300.1 (relating to
					 accreditation), the Department will apply the JCAH standards which are in
					 effect on the date the application or re-application for a license is made, as
					 well as applicable sections of Chapter 5100 (relating to mental health
					 procedures).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter A - GENERAL PROVISIONS › Section 5310.1 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal base for this chapter is Article IX of the
						Public Welfare Code (62 P. S. §§
												901-922).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter A - GENERAL PROVISIONS › Section 5310.2 - Policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Community
					 Residential Rehabilitation Services (CRRS) are specifically designed and
					 operated to assist persons with chronic psychiatric disability to live as
					 independently as possible through the provision of training and assistance in
					 the skills of community living and by serving as an integrating focus for the
					 person's rehabilitation. CRRS are defined, regulated and operated to implement
					 the principle of least restrictive service alternative. An individual shall be
					 served by CRRS only for so long as the services are consistent with his need
					 for services.
(b) The CRRS can
					 exist only in a system of services for their clientele and cannot function
					 without ties to other service providers. Rehabilitation of severely
					 psychiatrically disabled individuals requires many and diverse services: CRRS
					 have as their part in the process the development of the clients' skills for
					 independent living and for community participation while more general social
					 and vocational skills are developed and treatment occurs. CRRS' have an
					 obligation to work cooperatively with other service agencies and with local
					 coordinating and planning groups toward the development and operation of a
					 comprehensive service system which can meet the needs of chronically mentally
					 ill persons in a continuous, timely and coordinated manner.
(c) The CRRS have the following essential
					 characteristics:
(1) A homelike,
					 noninstitutional environment providing maximum opportunity to learn the skills
					 necessary for more independent living.
(2) A residential setting providing each
					 client with maximum possible autonomy, independence and
					 self-determination.
(3) A program
					 which constantly strives to enable clients to move to less restrictive living
					 settings.
(4) Responsible staff to
					 support and assist the client as needed in his movement to
					 independence.
(5) Well-developed
					 cooperative efforts with other agencies in the service delivery system to
					 ensure coordinated, continuous and effective services for the rehabilitation of
					 clients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter A - GENERAL PROVISIONS › Section 5310.3 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter
					 applies to providers of full-care or partial-care community residential
					 rehabilitation services, or both, as defined in §
											5310.6 (relating to
					 definitions).
(b) This chapter does
					 not apply to child residential facilities which serve exclusively children,
					 which are governed by Chapter 3800 (relating to child residential and day
					 treatment facilities).
(c) This
					 chapter applies to host homes serving one or more children.
The provisions of this §
													5310.3 amended under Articles IX
						  and X of the Human Services Code (62 P.S. §§
														901-922 and
						  1001-1080).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter A - GENERAL PROVISIONS › Section 5310.4 - Certification of compliance

Current through Register Vol. 54, No. 28, July 13, 2024
Each provider of community residential rehabilitation
						services (CRRS) shall apply for a certificate of compliance in accordance with
						Chapter 20 (relating to licensure or approval of facilities and agencies). The
						certificate of compliance specifies the level of care for which the provider is
						approved.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter A - GENERAL PROVISIONS › Section 5310.5 - Waiver of standards

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Where
					 the development of community residential rehabilitation services (CRRS) is
					 severely limited by this chapter, a waiver may be granted for a particular
					 section for a period of 6 months and may be renewed three times. Waivers will
					 be applied only in areas where the need for the services and the attempts to
					 meet the standards of this chapter are adequately documented. Waivers are
					 granted by the Office of Mental Health only in exceptional
					 circumstances.
(b) In the case of
					 CRRS sites in operation prior to the adoption of this chapter a permanent
					 waiver may be granted to the requirements of §
											5310.73(e)(2)-(7)
					 (relating to physical plant requirements), provided the application in writing
					 is made within 90 days of the effective date of these standards.
(c) A waiver request must meet all three
					 conditions:
(1) The request with adequate
					 justification is submitted as required by Chapter 20 (relating to licensure or
					 approval of facilities and agencies).
(2) The request does not represent a danger
					 to the health, safety or well-being of the client.
(3) The request complies with the intent of
					 the provision to be waived.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › GENERAL PROVISIONS › Section 5310.11 - Governing body

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Community
						residential rehabilitation services (CRRS) shall be provided by corporations or
						governmental entities.
(b) CRRS
						providers shall establish a governing body which has legal responsibility for
						the CRRS.
(c) The governing body
						shall adopt written policies for its own operation which include:
(1) Qualifications and methods of selection
						for governing body membership.
(2)
						Frequency of governing body meetings.
(3) Procedures for conducting governing body
						business.
(4) Provisions for
						disclosure by governing body members of all conditions which may create a
						conflict of interest and procedures for dealing with conflict of interest
						situations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › GENERAL PROVISIONS › Section 5310.12 - Policies and procedures manual

Current through Register Vol. 54, No. 28, July 13, 2024
The director shall assure that a manual of community
						  residential rehabilitation service (CRRS) policies and procedures is compiled
						  and updated. The manual must provide an operations guide for the CRRS in
						  implementing policies established by the governing body and this chapter.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › GENERAL PROVISIONS › Section 5310.13 - Administrative records and reports

Current through Register Vol. 54, No. 28, July 13, 2024
The director shall assure that administrative records
						  and reports are established, maintained, and retained to guide the operations
						  and reflect the programs of the community residential rehabilitation service
						  (CRRS) and to demonstrate compliance with this chapter and other applicable
						  statutes.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › GENERAL PROVISIONS › Section 5310.14 - Personnel management

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must establish and
						implement written personnel policies and procedures which cover:
(1) Recruitment, selection, and promotion of
						staff.
(2) Utilization of
						volunteers and students, if applicable.
(3) Wage and salary administration.
(4) Employe benefits.
(5) Working hours.
(6) Disciplinary procedures.
(7) Table of organization.
(8) Performance evaluation.
(9) Employe accidents and safety.
(10) Agency mechanisms for staff development
						through in-service and out-service training and professional
						consultation.
(11) Assurance of
						nondiscrimination in personnel practice on the basis of age, race, color,
						religious creed, sex, national origin, ancestry, handicap, union membership, or
						high school equivalency.
(12) A
						civil rights complaint procedure.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT CHARACTERISTICS › Section 5310.21 - Client characteristics

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						client placed in community residential rehabilitation service (CRRS) must:
(1) Be 18 years or older, or be an
						emancipated minor, unless the CRRS is operated under Subchapter C (relating to
						children services).
(2) Be
						psychiatrically disabled; as specified in §
													5310.32(c)(1)
						(relating to intake).
(3) Have
						demonstrated, over a period of time, social maladjustment which prevents the
						client from living independently in the community.
(4) Have difficulties in social or personal
						adjustment associated with psychiatric disability, as demonstrated in reduced,
						lost or underdeveloped capacity for establishing and sustaining appropriate
						interpersonal relationships or for making and implementing decisions necessary
						for self-care and independent living.
(5) Be capable of self-preservation,
						according to the criteria established in §
													5310.32(e).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.31 - Program description

Current through Register Vol. 54, No. 28, July 13, 2024
The community residential rehabilitation service (CRRS)
						  must have a written program description which includes the following items:
(1) Written functional criteria for
						client enrollment and termination.
(2) Services to be provided in the
						residential program including:
(i)
						Housing.
(ii) Personal assistance,
						such as arrangements for meeting the nutritional needs of clients, assistance
						with medication, and developing self-care skills.
(iii) Psychosocial rehabilitation services to
						develop inter-personal and community living skills.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.32 - Intake

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There must be
						written policies and procedures for intake and all intake must be accomplished
						in accordance with those policies and procedures.
(b) The community residential rehabilitation
						service (CRRS) staff, during intake, shall review with the client the criteria
						for program enrollment and program termination, the services offered by the
						CRRS and the responsibilities of the client and the CRRS.
(c) The CRRS staff shall obtain the following
						information about each client prior to the client's enrollment in the CRRS.
(1) Mental health information, including
						mental health history and evidence of psychiatric disability which is a
						certification of mental disorder dated not more than 1 year prior to client's
						planned enrollment.
(2) A health
						appraisal signed by a licensed physician, which includes:
(i) A review of health history.
(ii) A complete physical examination dated
						not more than 6 months prior to client's enrollment.
(iii) Drug or alcohol history.
(iv) Recommendations pertaining to medication
						and limitations of the client's activities or diet.
(v) Recommendations for follow-up by the CRRS
						in helping the client maintain on-going health
						care.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.33 - Residential service plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) staff shall develop with
						each client an individualized written client residential service plan upon the
						client's enrollment in the CRRS.
(b) The individual residential service plan
						must be based on the client's psychosocial evaluation which is a functional
						assessment of the client's strengths and needs in the major areas related to
						independence in residential and community functioning and addresses the
						client's:
(1) Self-care skills.
(2) Health care, including medication
						management.
(3) Housekeeping
						skills.
(4) Ability to meet
						nutritional needs.
(5)
						Mobility.
(6) Money management
						skills.
(7) Interpersonal
						skills.
(8) Vocational/educational
						pursuits.
(9) Use of leisure
						time.
(10) Time
						structuring.
(11) Community
						participation such as social networking and utilization of services and
						resources.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.34 - Service agreement

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There
						must be a written agreement between the CRRS provider and the client, which:
(1) Is negotiated during the intake
						process.
(2) Is signed by both
						parties.
(3) Specifies the
						arrangements and charges for housing and food.
(4) Specifies the goals to be achieved and
						services to be provided.
(5)
						Specifies the rights and responsibilities of the client.
(6) Includes a copy of the CRRS house rules,
						client rights, client grievance procedures, and termination policy.
(7) Specifies any liability for the cost of
						services other than room and board.
(8) Is updated and signed again whenever any
						of the terms change.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.35 - Termination from program

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must establish written
						termination criteria and procedures which must address the following two types
						of termination:
(1)
Planned
						termination of services.
The client, CRRS staff and, if appropriate,
						others responsible for the client's welfare agree that the client should leave
						the program and have planned and prepared for the move.
(2)
Unplanned termination of
						services.
The client drops out, requires hospital or nursing care, or
						demonstrates behavior that requires immediate removal.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.37 - Program closure

Current through Register Vol. 54, No. 28, July 13, 2024
When the community residential rehabilitation service
						  (CRRS) intends to cease operation, the governing body shall provide at least 30
						  days written notice to that effect to each client, to all case
						  management/treatment agencies, to the County Mental Health/Mental Retardation
						  (MH/MR) Office, and to the Office of Mental Health. The notice must contain the
						  projected closing date. The Director shall ensure that CRRS staff actively
						  participate in the establishment and implementation of relocation plans for the
						  clients.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children); and 55 Pa. Code §
														5310.127 (relating to program
							 closure).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.38 - Notification in case of client emergency

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In case of an emergency, serious illness
						or injury, the unplanned termination, or the death or impending death of a
						client, the Director or the Director's designee shall notify as soon as
						possible but within 24 hours:
(1) The person
						or persons designated by the client to be notified in such a case.
(2) Any case management/treatment agency
						responsible for the client.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › SERVICES MANAGEMENT › Section 5310.39 - Service linkages

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must establish:
(1) Arrangements for emergency psychiatric
						care for clients, confirmed by a letter of agreement.
(2) Arrangements with the persons or agencies
						responsible for the client's mental health treatment to ensure ongoing care and
						coordination between the treatment service and the CRRS.
(3) Arrangements for emergency medical care
						for clients.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › STAFFING › Section 5310.41 - Staffing and training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) must have staff sufficient
						in number and qualifications to carry out the functions of CRRS which include
						supervision, personal assistance, and psychosocial rehabilitation services as
						indicated in the CRRS program description.
(b) Full-care CRRS must have staff onsite
						whenever a client is in the residence. Clients designated capable of
						self-preservation with minimal assistance, shall be served only in a Full-care
						CRRS.
(c) Partial-care CRRS must
						have staff onsite in a regularly scheduled staffing pattern including evenings
						and weekends. All CRRS where staff are on-call but not onsite for a portion of
						the time clients are in the residence are Partial-care CRRS.
(d) CRRS staff must have work experience or
						training relevant to performing the tasks and carrying out the responsibilities
						specified in their job descriptions.
(e) Clerical and other nonprogram staff must
						be employed as required to provide efficient program operations and to carry
						out the requirements of this chapter.
(f) A mental health professional shall
						supervise the client service plan process and shall sign each individual
						residential service plan and service plan review.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children); and 55 Pa. Code §
														5310.131 (relating to
							 staffing).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT RECORDS › Section 5310.51 - Case record

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A case
						record must be initiated at intake for each client, be maintained through the
						service period, and retained at least 5 years after the client leaves the
						program.
(b) Each case record must
						include the following information:
(1) The
						following client identifying information must be in the case record:
(i) Name.
(ii) Date of birth.
(iii) Sex.
(iv) Social security number.
(v) Religious affiliation, if client chooses
						to state the affiliation.
(vi) Date
						of entry into the CRRS.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT RECORDS › Section 5310.52 - Confidentiality

Current through Register Vol. 54, No. 28, July 13, 2024
(a) All client
						records and information are confidential and may not be disclosed directly or
						indirectly without the written consent of the client except:
(1) To those persons actively engaged in
						implementing the client's residential or overall treatment plan.
(2) To persons using material from client
						records for teaching, training or research purposes, provided the use and
						dissemination of such data does not identify individual clients and a specific,
						written request stating the purpose for the disclosure is approved by the
						Director.
(3) To any governmental
						or third party payor which funds in whole or in part the cost of the client's
						care.
(4) To reviewers and
						inspectors when necessary to obtain certification as an eligible provider of
						services.
(5) Under court
						order.
(6) In accordance with other
						applicable Federal and State regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT RIGHTS › Section 5310.61 - Nondiscrimination

Current through Register Vol. 54, No. 28, July 13, 2024
The community residential rehabilitation service (CRRS)
						  must have written policies and procedures to assure non-discrimination in the
						  provision of services on the basis of age, race, color, religious creed, sex,
						  national origin, ancestry or handicap.
This section cited in 55 Pa. Code §
														5310.91 (relating to community
							 residential rehabilitation service (CRRS) serving children) and 55 Pa. Code
							 §
														5310.151 (relating to client
							 rights).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT RIGHTS › Section 5310.62 - Client rights in residence

Current through Register Vol. 54, No. 28, July 13, 2024
The community residential rehabilitation service (CRRS)
						  must insure that each client:
(1) Is
						free to communicate, associate, and meet privately with persons of the client's
						choice.
(2) Has access in
						reasonable privacy to a telephone in the building in which the client resides.
						A standard pay telephone may be used. Arrangements must be made by the CRRS
						with the clients for payment of long-distance calls.
(3) Has access to the United States mails,
						may write and send uncensored mail at the client's own expense and may receive,
						unopened, mail addressed to the client.
(4) Has the right to privacy of self and
						possessions.
(5) Has the right to
						confidentiality concerning information about the client.
(6) Is able to keep in the client's room
						personal possessions and items of furniture.
(7) Is encouraged to exercise the client's
						rights as a citizen, for example, voting.
(8) Is free to voice grievances and recommend
						changes in the policies and services of the CRRS in accordance with the client
						grievance procedure specified in §
												5310.11(d)(4)
						(relating to governing body).
(9)
						Is not required to participate in research projects.
(10) Has the right to manage personal
						financial affairs.
(11) Has the
						right to practice the religion or faith of the client's choice.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT RIGHTS › Section 5310.63 - Violation of client rights

Current through Register Vol. 54, No. 28, July 13, 2024
No client may be subject to neglect, abuse,
						  exploitation, or maltreatment by employes or other clients. The community
						  residential rehabilitation service (CRRS) must have a written policy which
						  prohibits such practices and which provides procedures for investigating,
						  reporting and taking action on alleged violations of client rights. This
						  procedure shall include review by the governing body of all reported instances
						  of violations of client rights in the CRRS and reporting the results of the
						  review to the County Mental Health/Mental Retardation (MH/MR) Office.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT RIGHTS › Section 5310.64 - Client right to inspect client record

Current through Register Vol. 54, No. 28, July 13, 2024
The community residential rehabilitation service (CRRS)
						  must have written policy and procedures to assure that clients have the right
						  to inspect their records. Clients must be informed of this right at program
						  enrollment and provided information on the procedure for requesting to inspect
						  their own record. Clients may be denied access to inspect portions of the
						  record under the following conditions:
(1) The Director shall determine that:
(i) Disclosure of specific information would
						be a substantial detriment to the client; or
(ii) Disclosure of specific information would
						identify and breach the confidentiality of other persons.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › CLIENT RIGHTS › Section 5310.65 - Client right to compensation for work

Current through Register Vol. 54, No. 28, July 13, 2024
The governing body shall assure that clients are paid
						  in accordance with CFR Part 529 of the Federal Wage and Hours Regulations for
						  all work performed that is of consequential economic benefit to the community
						  residential rehabilitation service (CRRS) except:
(1) Personal housekeeping tasks related
						directly to the client's personal space or possessions.
(2) Shared responsibilities for regular
						household chores among a small group of residents.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children); and 55 Pa. Code §
														5310.151 (relating to client
							 rights).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › PHYSICAL FACILITIES STANDARDS › Section 5310.71 - Site control

Current through Register Vol. 54, No. 28, July 13, 2024
Each site used by a community residential
						  rehabilitation service (CRRS) to house clients must be owned, held, leased, or
						  otherwise controlled by the provider or a provider-affiliate.
This section cited in 55 Pa. Code §
														5310.91 (relating to special
							 requirements for community residential rehabilitation service (CRRS) serving
							 children); and 55 Pa. Code §
														5310.162 (relating to host
							 homes).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › PHYSICAL FACILITIES STANDARDS › Section 5310.72 - Safety procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						community residential rehabilitation service (CRRS) staff shall arrange for the
						local fire department or another outside safety consultant to inspect and
						approve each physical site for fire safety and to determine the number,
						location and type of fire extinguishers and smoke detectors. This fire safety
						inspection shall be done for initial occupancy and then at least every 2 years
						thereafter. All inspections must be documented.
(b) At each CRRS site, emergency telephone
						numbers for the fire department, local police and on-call staff must be posted
						by the telephone.
(c) The CRRS
						staff providing onsite client supervision must be instructed in the operation
						of the fire extinguishers.
(d) Fire
						drills at each CRRS site must be:
(1) Held
						every 2 months.
(2) Held during the
						night at least semiannually.
(3)
						Recorded, including date, time, time required for evacuation, and number of
						persons taking part.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › PHYSICAL FACILITIES STANDARDS › Section 5310.73 - Physical plant requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each
						community residential rehabilitation service (CRRS) must have at least one
						furnished room available for the purpose of counseling and meetings. The room
						must assure privacy for participants in the counseling sessions or meetings,
						but may be a room generally used for other purposes. The room may not be a
						client or staff bedroom.
(b) Each
						CRRS site must be in compliance with the requirements of the Department of
						Labor and Industry under act of April 27, 1927 (P. L. 465) (35 P. S.
						§§
													1221-1235), and The Fire &
						Panic Act, except in first class, second class and second class A cities in
						which case the CRRS site shall be in compliance with the local fire
						codes.
(c) The sewage from each
						CRRS site must be disposed of in a manner that is in accordance with The Clean
						Streams Law (35 P. S. §§
													691.1-691.1001), the Pennsylvania Sewage
						Facilities Act (35 P. S. §§
													750.1-750.20), and the regulations of the
						Department of Environmental Resources.
(d) Each CRRS site shall meet the following
						physical requirements:
(1) There shall be an
						adequate supply of piped hot and cold water to each lavatory, bathtub, shower,
						kitchen sink and to dishwasher and laundry equipment.
(2) Heating in rooms used by client must be
						maintained at a temperature not less than 65°F or, where there are clients
						65 years of age and older, not less than 70°F.
(3) Portable space heaters may not be used.
						Space heaters may be used if they are adequately vented, mounted in an exterior
						wall, installed with permanent connections and protectors and have been
						inspected and approved by the local fire department.
(4) Woodburning and coal burning stoves must
						meet all applicable local enforcement codes and shall be inspected and approved
						by the local fire department.
(5)
						In facilities where interior temperatures exceed 85° F a fan shall be
						provided in rooms where temperatures are over 85°F. Fans shall be contained
						within a protective housing.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › DIET AND MEDICATION › Section 5310.81 - Medication

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Self-medication
						shall be a goal for community residential rehabilitation service (CRRS)
						clients.
(b) CRRS programs shall
						establish and implement written policies and procedures regarding medications
						which meet legal restrictions regarding administration of medication.
						Medication policies and procedures shall include:
(1) How the goal of self-medication for
						clients is to be achieved.
(2) How
						clients who need assistance with medication prescribed for self-administration
						will receive it. For CRRS clients who need assistance, the least assistance
						necessary should be provided within the context of a planned program toward
						self-medication.
(3) The
						cirumstances under which the CRRS stores medications for clients. Storing
						medications is subject to the following limitations:
(i) Only medications which are prescribed for
						self-administration may be stored by the CRRS on site.
(ii) Medications stored by the CRRS must be
						kept in a locked container or a container in a locked room.
(iii) Medications shall be kept in their
						original prescription containers.
(4) Training of direct service staff about
						medications used by their clients, their purposes and function, major side
						effects and contraindications and recognition of signs that medication is not
						being taken or is being misused.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter B - ADULT SERVICES › DIET AND MEDICATION › Section 5310.82 - Nutrition

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Self-sufficiency in meal planning, shopping and food preparation must be a goal
						for community residential rehabilitation service (CRRS) clients.
(b) The CRRS shall assure that arrangements
						are made to enable the client to have three well-balanced nutritious meals or
						their equivalent daily. The psychosocial evaluation at intake includes an
						assessment of the client's ability to meet his nutritional needs. The client's
						residential services plan must include goals and training in the nutritional
						area as needed.
(c) In the unusual
						circumstance where CRRS staff rather than clients purchase and prepare the
						food, the following additional requirements apply:
(1) Each client shall be involved in the meal
						planning, shopping, food preparation, service and kitchen chores as evidenced
						in task schedules and in the client's individual service plan.
(2) Meals may be no more than 5 hours nor
						less than 4 hours apart in each day. There may be no more than 15 hours between
						evening meal and first meal of the next day.
(3) When a client misses a meal, food
						adequate to meet daily nutritional requirements shall be available to the
						client.
(4) Dietary restrictions
						prescribed by the client's physician shall be followed. Religious and
						philosophical dietary preferences must be followed.
(5) Menus shall be prepared for 1 week in
						advance and must be retained on file for at least 8 weeks.
(6) Food stored, prepared or served shall be
						clean and safe for human consumption.
(7) Food returned from individual plates may
						not be used in the preparation of other food dishes or served again.
(8) Unpasteurized milk may not be served or
						used in food preparation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › GENERAL PROVISIONS › Section 5310.91 - Special requirements for community residential rehabilitation services (CRRS) serving children

Current through Register Vol. 54, No. 28, July 13, 2024
This subchapter contains the requirements for community
						  residential rehabilitation services (CRRS) for children and is supplemental to,
						  or if in conflict with, supersede §§ 5310.12-5310.14, 5310.21,
						  5310.31-5310.39, 5310.51-5310.52, 5310.71-5310.72 and
						  5310.81-5310.82.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 5310 - COMMUNITY RESIDENTIAL REHABILITATION SERVICES FOR THE MENTALLY ILL › Subchapter C - CHILDREN SERVICES › GENERAL PROVISIONS › Section 5310.92 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This subchapter
						applies to all CRRS that provide full-care for children in host home settings.
						Persons under 18 years of age, with the exception of emancipated minors, may
						not be cared for in a partial-care CRRS nor in a CRRS site in which adults are
						served.
(b) When a CRRS accepts a
						child who is in the legal custody of the county children and youth agency or a
						public or private social service agency for placement in CRRS group home or
						host home, the requirements of Chapter 3800 (relating to child residential and
						day treatment facilities) apply. These requirements are additional to the
						requirements in this chapter.
The provisions of this §
														5310.92 amended under Articles IX
							 and X of the Public Welfare Code (62 P.S. §§
															901-922 and
							 1001-1080).