Md. Code Regs. 10.21.26.04

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.21.26.04 - Program Model

A. A provider of RCS shall assure that services are:

(1) Therapeutic;

(2) Provided by staff who, as determined by the program, are appropriately credentialed and privileged;

(3) Available:

(a) 24 hours per day, 7 days per week;

(b) On a short-term basis, as needed to resolve an immediate crisis; and

(c) At a location in the community, unless given a written exemption from the core service agency (CSA).

B. A provider of RCS shall assure that services are adequate to support one or more of the following levels of service:

(1) Inpatient admission prevention, which provides:

(a) Services to an individual who, based on the individual's history, as evaluated by a physician or a mental health professional, has a mental disorder and, without RCS, is at risk for inpatient admission or cannot be discharged from an inpatient facility; and

(b) Staff adequate to support the services under §B(1)(a) of this regulation, as outlined under Regulations .08 and .09 of this chapter;

(2) Inpatient admission alternative, which provides:

(a) Services to an individual who, based on an evaluation by a physician or a mental health professional, has a mental disorder, presents a danger to self or others, and would, without RCS, be admitted to or could not be discharged from an inpatient facility; and

(b) Staff adequate to support the services under §B(2)(a) of this regulation, as outlined under Regulations .08 and .10 of this chapter, including access to a psychiatrist 24 hours per day, 7 days per week; or

(3) Treatment foster care, which provides:

(a) Services to an individual who, based on an evaluation by a physician or mental health professional, has a mental disorder, and is in need of a high level of treatment intervention in a family setting; and

(b) Staff adequate to support services under §B(3)(a) of this regulation, as outlined under Regulations .08 and .11 of this chapter.

C. A provider of RCS shall assure that services are designed to:

(1) Avert or shorten the length of inpatient admissions;

(2) Defuse a current crisis, evaluate the nature of the crisis, stabilize the individual to the pre-crisis level of functioning, and intervene to reduce the likelihood of crisis recurrence;

(3) Assist the individual and members of the individual's natural support system to recognize and take preventive action to resolve situations that lead to crisis;

(4) Provide counseling, training, and support for crisis prevention, identification, and intervention for individuals and, if appropriate, their families;

(5) Link individuals with services and supports in the community including, but not limited to, financial, educational, social, medical, and mental health resources that will enable the individual to:

(a) Return to the individual's previous living situation; or

(b) Secure an alternative living situation; and

(6) Offer a home-like environment that provides goal-directed services to facilitate safe discharge from residential crisis services.

D. A provider of RCS shall assure that services are coordinated with, when appropriate:

(1) An individual's custodial agents;

(2) Designated psychiatric emergency facilities;

(3) Psychiatric inpatient facilities;

(4) Psychiatric rehabilitation programs;

(5) Outpatient mental health clinics;

(6) Somatic care providers;

(7) Schools;

(8) Other agencies involved with the individual, including, but not limited to:

(a) Local departments of social services;

(b) Department of Juvenile Services;

(c) The local education authority;

(d) The local coordinating council (LCC);

(e) The local management board; and

(f) Criminal justice agencies; and

(9) Other public and private providers of mental health services to an individual.

Md. Code Regs. 10.21.26.04