Rule 24-2-28.1 - Supervised Living Services for Serious Mental Illness Service ComponentsA. Supervised Living Services provide individually tailored supports which assist with the acquisition, retention, or improvement in skills related to living in the community. Habilitation, learning, and instruction are coupled with the elements of support, supervision, and engaging participation to reflect the natural flow of learning, practice of skills, and other activities as they occur during the course of a person's day. Activities must support meaningful days for each person. Activities are to be designed to promote independence, yet provide necessary support and assistance.B. Supervised Living Services may be intensive and time-limited for adults with serious mental illness in order to provide readjustment and transitional living services for people discharged from a psychiatric hospital who have demonstrated mental, physical, social, and emotional competency to function more independently in the community. These time-limited services may also be provided for people who need this service as an alternative to a more restrictive treatment setting.C. Supervised Living Services must include the following services as appropriate to each person's support needs: 1. Direct personal care assistance activities such as:2. Instrumental activities of daily living which include:(a) Assistance with planning and preparing meals;(d) Assistance with ambulation and mobility;(e) Supervision of the person's safety and security;(i) Facilitation of the person's participation in community activities;(j) Use of natural supports and typical community services available to everyone;(l) Participation in leisure activities;(m) Development of socially valued behaviors; and(n) Assistance with scheduling and attending appointments.3. Methods for assisting people arranging and accessing routine and emergency medical care and monitoring their health and/or physical condition. Documentation of the following must be maintained in each person's record:(a) Assistance with making doctor/dentist/optical appointments;(b) Transporting and accompanying people to such appointments; and(c) Conversations with the medical professional if the person gives consent.4. Transporting people to and from community activities, other places of the person's choice (within the agency provider's approved geographic region), work, and other sites as documented in the individual plan.5. If Supervised Living Services personnel were unable to participate in the development of the person's Individual Service Plan, employees must be trained regarding the person's plan prior to beginning work with the person. This training must be documented, in a manner as defined by DMH.6. Orientation of the person to Community Living Services, to include but not limited to: (a) Familiarization of the person with the living arrangement and, neighborhood;(b) Introduction to support personnel and other people (if appropriate);(c) Description of the written materials provided upon admission; and(d) Description of the process for informing people/parent(s)/legal representative(s) of their rights, responsibilities, and any service restrictions or limitations prior to or at the time of admission.D. Meals must be provided at least three (3) times per day, and snacks must be provided throughout the day. Documentation of meal planning must be available for review, and documentation must include development of a menu with input from people living in the residence that includes varied, nutritious meals and snacks and a description of how/when meals and snacks will be prepared. 1. People must have access to food at any time, unless prohibited by their individual plan.2. People must have choices of the food they eat.3. People must have choices about when and with whom they eat.E. People receiving services are prohibited from having friends, family members, etc., living with them who are not also receiving services as part of the Supervised Living Services.F. In living arrangements in which people pay rent and/or room and board to the agency provider, there must be a written financial agreement which addresses, at a minimum, the following: 1. Procedures for setting and collecting fees and/or room and board (in accordance with Chapter 10).2. A detailed description of the basic charges agreed upon (e.g., rent [if applicable], utilities, food, etc.).3. The time period covered by each charge (must be reviewed at least annually or at any time charges change).4. The service(s) for which special charge(s) are made (e.g., internet, cable, etc.).5. The written financial agreement must be explained to and reviewed with the person/legal representative(s) prior to or at the time of admission and at least annually thereafter or whenever fees are changed.6. A requirement that the person's record contains a copy of the written financial agreement which is signed and dated by the person/legal representative(s) indicating the contents of the agreement were explained to the person and the person is in agreement with the contents. A copy must also be given to the person/legal representative(s).7. The written financial agreement must include language specifying the conditions, if any, under which a person might be evicted from the living setting that ensures that the agency provider will arrange or coordinate an appropriate replacement living option to prevent the person from becoming homeless as a result of discharge/termination from the community living services.G. People must be 18 years or older to participate in Supervised Living.H. A qualified employee must be designated as responsible for the service location at all times. There must be male/female employee coverage as necessary.I. Apartment settings with an apartment manager with responsibilities related to collection of fees, maintenance, etc., must also have at least one (1) treatment/support personnel on-site in order to be considered Supervised Living.J. There must be at least one (1) employee physically on-site when people are present.K. A maximum of eight (8) people may reside in a single residence.