Section 11-175-14 - Service elements, Standards and minimum levels(a) Elements of the mental health and substance abuse System shall include, but are not limited to the following Services and each service area shall ensure adherence to the following Standards and availability of the specific minimum levels of Service to persons eligible for Services in that service area.(b) Information Services shall: (1) Be publicized annually through brochures, newspapers, telephone directories, and one other medium(2) Include special efforts such as auxiliary aids and bilingual resources to ensure that ethnic minority groups and other special populations are provided knowledge of and easy access to the service area center's Services.(c) Educational Services shall: (1) Increase understanding of the nature of mental illness and substance abuse;(2) Impart knowledge and skills to prevent, treat, or ameliorate the effects of mental illness and substance abuse;(3) Provide knowledge to reduce the stigma of mental illness and substance abuse;(4) Impart knowledge to the general public regarding problems of vulnerable, high risk persons, the need for Community involvement in programs designed to address the problems outside of institutional settings, and the resources available or needed to help such programs succeed;(5) Be provided to lay and to professional groups at least annually and upon request and shall include: (A) At least one contact per year with each public school and police Station in the service area to assess mental health and substance abuse education needs;(B) Offering one educational program responsive to identified needs to each school district and police Station in the service area;(6) Be provided by trained and qualified individuals.(d) Consultation Services shall: (1) Be announced each year to the judiciary, health, welfare and educational agencies in each service area;(2) Be provided at least monthly, on request, to a judiciary agency, a health agency, a welfare agency, and to public schools;(3) Be provided by trained and qualified personnel as required by the respective disciplines;(4) Be provided by a mutually agreed upon Consultant.(e) Training Services shall: (1) Be provided for each staff person of the service area center and contract Providers;(2) Total at least 12 hours per year for each staff person providing clinical Services;(3) Include orientation for all few service area center personnel, including volunteers and advisory board members;(4) Be recorded individually for each person trained including the date of training, subject of training, and total time involved with an outcome evaluation on the education and training received.(f) Outreach Services shall: (1) Include aggressive and persistent efforts to invoice resistant individuals in other needed Services;(2) Provide easily understandable Communications to individuals and target populations about the available Services and their locations;(3) Identify and be systematically offered to at least one target population each year;(4) Involve as many organizations, agencies, and individuals as may be in contact with the target population, and alert relevant agencies and individuals to the importance of early problem detection and to their role as case finders.(g) Evaluation determination Services shall: (1) Be performed by a professional mental health worker;(2) Determine eligibility for: (A) Crisis Services, which are limited to 5 days after initiation of those Services;(B) Disaster Services, which are limited to 60 days after initiation of those Services; or(C) Continuing support, which are not limited in duration, but may be found ineligible after resolution of qualifying criteria;(3) Consider the eligible population for crisis Services for adults in need of emergent (within 24 hours) or urgent (within 24-72 hours) Intervention who are exhibiting Symptoms of a mental health crisis, or individuals suspected of having a primary mental illness with an associated situational crisis;(4) Consider the eligible population for disaster Services for adults who have experienced a disaster and for whom a disaster has been officially declared by the State of Hawaii of the AMHD chief after having received and approved a request for disaster Services from legitimate Community leadership, such as a school administrator, State or county official, or religious, social or business Organization;(5) Consider the eligible population for continuing support for adults who have been diagnosed with a qualifying diagnosis, who have co-occurring mental and substance use disorders, and those who are legally encumbered;(6) Determine eligible for crisis Services adults who: (A) Have had a brief telephone or face-to-face assessment to determine immediacy of needs;(B) In the assessment are found to be exhibiting Symptoms of significant degree of functional impairment in the areas of self protection, impulse control, or social judgment, or high risk of harm to self or others or both; or(C) In the assessment are suspected of having a primary mental illness and exhibiting Symptoms of significant clinical distress and some degree of functional impairment expected to worsen because of the Situation;(7) Determine eligible for disaster Services adults who: (A) Have had a Screening completed that indicates the individual is a member of the identified and designated Community or social System that has suffered from a disaster; and(B) Need not have a mental health diagnosis, but is assessed to have the presence or risk of significant distress or dysfunction.(8) Determine eligible for continuing support adults who: (A) Have participated in an approved clinical eligibility assessment sufficient to establish a qualifying diagnosis and severe functional impairment; and(B) In the eligibility assessment are found to have a qualifying diagnosis; have demonstrated the presence of the disorder for the last 12 months, or will be expected to demonstrate the disorder for the next 12 months; and have demonstrated functional impairment that seriously limits the person's ability to function independently in an appropriate and effective manner, as evidenced by a GAF score of 50 or lower at the time of the eligibility; and(C) In the eligibility assessment are found to live in Hawaii and be a Citizen of, or have permanent resident Status in the United States of America; and(D) In the eligibility assessment are found not to have access to mental health Services through health plan benefits, or have financial means or resources to obtain mental health Services privately; or(E) Have been found to be detained by Hawaii courts for forensic examination, or committed to certain Psychiatric facilities under the care and custody of the director for appropriate placement by the family courts, district courts, or circuit courts; placed on conditional release or released on conditions by a judge in Hawaii courts; or are involved in mental health court or a jail diversion program.(9) Be conducted: (A) At least once every two calendar years from the initial determination of eligibility; or(B) Upon the discovery of credible Information that calls into question the continuing eligibility of the person.(h) Referral Services shall: (1) Be provided to every person who has been evaluated for Services, and who has been found not to be eligible for Services at the Service area center or contract agencies;(2) Include at least one contact to determine if a service linkage has been made.(i) Treatment shall: (1) Be provided by, or under the supervision of professional or certified personnel;(2) Be provided to every person screened, admitted, and evaluated who has been determined to be in need of treatment at the service area center or contract agencies, unless lack of service area center resources or the unavailability of a service needed by a consumer prevent provision of the service.(j) Rehabilitation shall: (1) Be provided through activities intended to reduce the residual effects of mental, emotional, and substance abuse disabilities;(2) Be provided to every person screened, admitted, and evaluated who has been determined to be in need of rehabilitation at the service area center or contract agencies, unless lack of Service area center resources or the unavailability of a service needed by a consumer prevent Provision of the service;(3) Enhance the capacity of the consumer for self-sufficiency and productive Community living;(4) Provide opportunities to learn about paid and volunteer work;(5) Develop the attitudes required of workers and volunteers.(k) Case management Services shall: (1) Be provided to every person evaluated who has been determined to need case management Services and who has been found eligible for crisis Services, disaster Services, or continuing support;(2) Be provided to enhance the natural support System and to ensure continuity of care, continuing service responsibility, overall coordination and Integration of all relevant Services and linkages to applicable agencies:(3) Be the responsibility of a professional mental health worker or a certified individual:(4) Be provided by non-professional staff or non-certified personnel only under the supervision of professional or certified personnel.[Eff. and comp DEC 30 1988; comp DEC 16 2010] (Auth: HRS § 334-9) (Imp: HRS § 334-3)