Operational Standards For Mental Health, Intellectual ...

Operational Standards For

Mental Health, Intellectual/Developmental Disabilities, And Substance Use Community Service Providers

Effective September 1, 2020

Mississippi Department of Mental Health Diana S. Mikula Executive Director

1101 Robert E. Lee Building Jackson, Mississippi (601) 359-1288

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Contents

Title 24: Mental Health

11

Part 2: Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and

Substance Use Community Service Providers

11

Part 2: Chapter 1: Certification Responsibilities of the Mississippi Department of Mental Health 11

Rule 1.1 Repeal of Prior Rules

11

Rule 1.2 Legal Authority

11

Part 2: Chapter 2: Certification

13

Rule 2.1 DMH Agency Provider Certification Types

13

Rule 2.2 Fees

14

Rule 2.3 DMH Interested Agency Provider Certification

15

Rule 2.4 DMH Agency Provider Certification of New or Additional Services and/or Service

Locations

18

Rule 2.5 DMH Certification Criteria

18

Rule 2.6 Certification Reviews

19

Rule 2.7 DMH Written Reports of Findings

20

Rule 2.8 Plan of Compliance

20

Rule 2.9 Administrative Suspensions or Termination of Certification

21

Part 2: Chapter 3: Service Options

23

Rule 3.1 Core Services for DMH/C and DMH/P Providers

23

Rule 3.2 Intellectual/Developmental Disabilities Services

24

Part 2: Chapter 4: Certificates of Operation

27

Rule 4.1 Certificates of Operation

27

Part 2: Chapter 5: Waivers

29

Rule 5.1 Waivers of DMH Standards

29

Part 2: Chapter 6: Appeals

31

Rule 6.1 Appeals Related to Certification

31

Rule 6.2 Procedures for Appeal

31

Part 2: Chapter 7: General Information Related to Certification

35

Rule 7.1 Access

35

Rule 7.2 Technical Assistance

35

Rule 7.3 Changes to be Reported to DMH

35

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Part 2: Chapter 8: Organization and Management

37

Rule 8.1 Governing Authority

37

Rule 8.2 Annual Review by Governing Authority

37

Rule 8.3 Regional MH/IDD Commissions

38

Rule 8.4 Policies and Procedures Manual

39

Rule 8.5 Annual Operational Plans

40

Part 2: Chapter 9: Quality Assurance

43

Part 2: Chapter 10: Fiscal Management

45

Rule 10.1 Compliance

45

Rule 10.2 Annual Budget

45

Rule 10.3 Fiscal Management System

45

Rule 10.4 Financial Statements

45

Rule 10.5 Accounting Systems

46

Rule 10.6 Purchasing

47

Rule 10.7 Policies

48

Rule 10.8 Community Mental Health Centers (DMH/C Providers)

49

Rule 10.9 Generated Income

49

Part 2: Chapter 11: Human Resources

51

Rule 11.1 Personnel Policies and Procedures

51

Rule 11.2 Personnel Records

52

Rule 11.3 General Qualifications

53

Rule 11.4 Qualifications for Behavior Support, Crisis Intervention and Behavioral

Supervised Living Provided through the ID/DD Waiver

57

Rule 11.5 Qualifications for Agency Providers of Substance Use Services

59

Rule 11.6 Qualifications for Program of Assertive Community Treatment (PACT)

60

Rule 11.7 Qualifications for Intensive Community Outreach and Recovery Team (I-CORT) 61

Rule 11.8 Qualifications for Intensive Community Outreach and Recovery Team (I-CORT)

for Children/Youth with SED

61

Rule 11.9 Multidisciplinary Personnel at DMH/C and DMH/P Providers

62

Part 2: Chapter 12: Training/Employee Development

65

Rule 12.1 General Orientation

65

Rule 12.2 Employee Training Plans

66

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Rule 12.3 Continuing Education Plans

66

Rule 12.4 Required Components of Employee Training Plans and Continuing Education

Plans

67

Rule 12.5 Skills and Competencies

68

Part 2: Chapter 13: Health and Safety

69

Rule 13.1 Compliance

69

Rule 13.2 Local Fire, Health and Safety Codes

69

Rule 13.3 Exits

71

Rule 13.4 Safe and Sanitary Conditions

72

Rule 13.5 Accessibility

74

Rule 13.6 Stairs

75

Rule 13.7 Transportation of People Receiving Services

75

Rule 13.8 Medication and First Aid Kits

76

Rule 13.9 Disaster Preparedness and Response

79

Part 2: Chapter 14: Rights of People Receiving Services

81

Rule 14.1 Rights of People Receiving Services

81

Rule 14.2 Employee Roles in Protecting Rights of People Receiving Services

82

Rule 14.3 Ethical Conduct

83

Rule 14.4 Limited English Proficiency Services and Cultural Competency

84

Rule 14.5 Local Grievance Policies and Procedures

85

Rule 14.6 Use of Restraints

86

Rule 14.7 Search and Seizure

86

Part 2: Chapter 15: Incident Reporting

89

Rule 15.1 Incident Reporting Process

89

Rule 15.2 Incidents to Report to DMH Within Eight (8) Hours of Discovery or Notification

of Incident

89

Rule 15.3 Incidents to Report to DMH Within Twenty-Four (24) Hours of Incident

90

Rule 15.4 Policies and Procedures for Incidents Reporting

90

Rule 15.5 Written Analyses of All Reportable Incidents

91

Part 2: Chapter 16: Service Organization

93

Rule 16.1 Determinations of Serious Emotional Disturbance (SED), Serious Mental Illness

(SMI), and/or Intellectual/Developmental Disability (IDD)

93

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Rule 16.2 Admission to Services

94

Rule 16.3 Discharge and Termination

96

Rule 16.4 Service Location Postings

97

Rule 16.5 Service and Service Location Design

97

Rule 16.6 Confidentiality

99

Rule 16.7 Record Management

101

Rule 16.8 Assessment

101

Part 2: Chapter 17: Individual Planning of Treatment, Services and Supports

105

Rule 17.1 Individual Plans

105

Rule 17.2 Development of Individual Plans

105

Part 2: Chapter 18: Mental Health Targeted Case Management Services

109

Rule 18.1 Mental Health Targeted Case Management Activities

109

Rule 18.2 Provision of Mental Health Targeted Case Management Services

109

Part 2: Chapter 19: Crisis Services

111

Rule 19.1 Crisis Response Services

111

Rule 19.2 Crisis Response Services Documentation Requirements

113

Rule 19.3 Mobile Crisis Response Teams

113

Rule 19.4 Mobile Crisis Response Team Staffing Requirements

115

Rule 19.5 Mobile Crisis Response Services Coordination

115

Rule 19.6 Crisis Residential Services ? Crisis Residential Units

116

Rule 19.7 Environment and Safety for Crisis Residential Units

120

Rule 19.8 Crisis Residential Unit Orientation

122

Rule 19.9 ID/DD Waiver Crisis Intervention Services

125

Rule 19.10 ID/DD Waiver Crisis Support Services

127

Part 2: Chapter 20: Mental Health Community Support Services

131

Rule 20.1 Mental Health Community Support Services ? General

131

Rule 20.2 Community Supports for Adults with SMI

133

Rule 20.3 Community Support Services for Children/Youth with SED

133

Part 2: Chapter 21: Psychiatric/Physician Services

135

Rule 21.1 Psychiatric/Physician Services

135

Part 2: Chapter 22: Outpatient Therapy Services

137

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