Rule 24-2-19.8 - Crisis Residential Unit OrientationA. In addition to information contained in the agency provider's policies and procedures manual, providers of Crisis Residential Services must develop an orientation package which includes policies and procedures for the provision of Crisis Residential Services. The orientation package is to be provided to the person/parent(s)/legal representative(s) during orientation. Orientation may need to be delayed until the person is stable enough to comprehend the information being provided.B. All agency providers of Crisis Residential Services must document that each person (and/or parent[s]/legal representative[s]) being served is provided with an orientation as soon as it is appropriate based on the functioning of the person.C. The service and site-specific orientation package must be written in a person-first, person-friendly manner that can be readily understood by the person/parent(s)/legal representative(s).D. Crisis Residential Service providers must have a written plan for providing the orientation package information in a person's language of choice when necessary.E. The orientation package must include the expectations of Crisis Residential Services and how the person can be successful in the service.F. At a minimum, the Crisis Residential Services orientation package must address the following:1. A person-friendly, person-first definition and description of the service being provided.2. The philosophy, purpose, and overall goals of the service.3. A description of how Crisis Residential Services addresses the following items, to include but not limited to:(a) Visitation guidelines (as applied to family, significant others, friends, and other visitors). Visitation rights must not be withheld as punishment and may not be limited in ways that unreasonably infringe on the person's stated rights.(b) Private communication (phone, mail, email, etc.) without hindrance unless clinically contraindicated. (1) Any restrictions on private telephone use must be reviewed daily.(2) All actions regarding restrictions of outside communication must be documented in the person's record.(3) Communication rights must not be withheld as punishment and may not be limited in ways that unreasonably infringe on the person's stated rights.(e) Use of alcohol, tobacco, and other drugs.(f) Respecting the rights of other people's privacy, safety, health, and choices.4. Policy regarding the search of the person's room, person and/or possessions in alignment with Rule 14.4.A.5. Policy regarding screening for prohibited/illegal substances in alignment with Rule 14.4.B.G. Methods for assisting people in arranging and accessing emergency medical and dental care, include: 1. Agreements with local physicians, hospitals, and dentists to provide emergency care; and2. Process for gaining permission from parent(s)/legal representative(s), if necessary.H. Description of the employee's responsibility for implementing the protection of the person and their personal property and rights.I. Determination of the need for and development, implementation, and supervision of behavior change/management services.J. Description of how risks to health and safety of people in the services are assessed and the mitigation strategies put in place as a result of assessment.K. Criteria for admission, denial (based on guidelines and protocol issued by DMH), and termination/discharge from Crisis Residential Services.L. Providers of Crisis Residential Services must also address: 1. A description of the meals, which must be provided at least three (3) times per day, and snacks to be provided. This must include development of a menu that includes varied, nutritious meals and snacks and a description of how/when meals and snacks will be prepared.2. Personal hygiene care and grooming, including any assistance that might be needed.3. Medication management (including storing and dispensing).4. Prevention of and protection from infection, including communicable diseases.