Mich. Admin. Code R. 330.2006

Current through Vol. 24-19, November 1, 2024
Section R. 330.2006 - Emergency intervention services

Rule 2006.

( 1) "Emergency intervention services" means those outpatient services provided to a person suffering from an acute problem of disturbed thought, behavior, mood, or social relationship which requires immediate intervention as defined by the client or the clients family or social unit.
( 2) Emergency intervention services include all the following:
(a) A telephone that is answered 24 hours a day for dealing with mental health emergencies. The number for this telephone shall be advertised through the telephone book, public information efforts, and by notifying the appropriate agencies of the telephone number and the services provided.
(b) Provision for face-to-face services to persons in the areas of crisis evaluation, intervention, and disposition.
(c) A manual on emergency care protocols for use by the emergency services unit staff.
( 3) The community mental health services provider shall assign mental health professionals or trained mental health workers for telephone and walk-in services.
( 4) Emergency care includes all the following:
(a) Evaluation, which means arrangements for determining the client's mental status, medical status and need for treatment, and, when indicated, medication status and family, job, or housing situations.
(b) Intervention, which means face-to-face counseling and initiation and monitoring of medication when indicated.
(c) Disposition, which means the ability to provide or make referral for all the following:
(i) Hospital emergency department services.
(ii) Psychiatric inpatient services.
(iii) Specific community-based services, such as the following examples:
(A) Respite care placement.
(B) Outpatient care.
(C) Home visits.
(D) Aftercare.
(E) Day treatment/care.
(F) Drug or alcohol programming.
(G) Problem pregnancy help.
(H) Spouse and child abuse help.
(I) Children's services.
(J) Adolescent services.
(K) Geriatric services.
(L) Services for persons with intellectual and developmental disabilities.
(M) Social services.
( 5) For the disposition of emergency intervention matters, the community mental health services provider shall provide all the following:
(a) Written referral procedures, available to the staff, for emergency care and voluntary and involuntary psychiatric hospitalization.
(b) Documented efforts to arrange for the transportation of the client, when necessary.
(c) A list of available dispositions within the community mental health area of service with special notations for those dispositions having 24-hour accessibility.
( 6) In the administration of the emergency services, the community mental health services provider shall provide evidence of all of the following:
(a) Periodic testing with regard to the accessibility, availability, and effectiveness, of those emergency intervention services.
(b) Regular meetings of staff involved in emergency services to discuss administrative, supervisory, training, programmatic, and client management issues.
(c) Confidential records of all mental health emergency contacts, whether the contacts are by telephone or walk-in contact.
(d) Training or experience of the emergency intervention staff using such factors as professional credentials, licensure, descriptions of training experiences, in-service orientation, in-service education, and continuing education.

Mich. Admin. Code R. 330.2006

1979 AC; 1983 AACS; 2018 MR 16, Eff. 9/6/2018