N.J. Admin. Code § 10:37A-2.2

Current through Register Vol. 56, No. 9, May 6, 2024

Section 10:37A-2.2 - Content of the manual

(a) The PA's policies and procedures shall set forth the required parameters and processes in sufficient detail to guide staff in the performance of their duties and to give clear notice to consumers, families, and other interested parties as to the services, rights, and responsibilities expected in the residential program.

(b) Participation criteria. The manual shall have a section dedicated to inclusionary and exclusionary criteria to be used by the PA in determining whether a particular consumer could benefit from living in a supervised residence. The participation criteria shall:

1. Comply with the standards set forth in 10:37A-3.1 and in affiliation agreements or contracts with the Division; and

2. Specify intake procedures that are consistent with 10:37A-4.1.

(c) Medication. The manual shall a have a section that delineates medication procedures consistent with 10:37A-6.4 and that:

1. Requires medication education to consumers as specified in each consumer's IRP and to staff annually;

2. Contains procedures for facilitating proper medication administration and self-administration techniques and for responding to medication errors;

3. Requires that, unless a consumer self-administers his or her own medication without staff assistance, staff shall document the type, dose, date, and time a specific medication is administered or self-administered; the name and title of the person administering or assisting in self-administering the medication; any medication that was refused by the consumer; and any medication errors;

4. Provides procedures for the storage of medication for consumers who are unable to store their own medication;

5. Establishes specific requirements regarding securing medications that are controlled by staff, including the maintenance and use of the keys to such stored medications.

6. Provides procedures for removal and destruction of discontinued and outdated medication; and

7. Provides procedures to avoid interruptions in a consumer's medication regimen and to note any deviation from regular administration in the consumer's record;

(d) Confidentiality. The manual shall have a section setting forth confidentiality standards and procedures that are to be followed in all aspects of the PA's supervised residential program and that are consistent with all applicable Federal and State law, including, but not limited to, the Privacy Rule implementing the Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164, 30:4-24.3 and N.J.A.C. 10:37-6.79.

1. The confidentiality standards and procedures shall encourage family participation in developing the assessments, rehabilitation plan, and revisions to the extent disclosures to family members are permitted under the applicable Federal and State confidentiality laws.

(e) Consumer rights. The manual shall have a section delineating consumer rights consistent with N.J.A.C. 10:37-4.5 that requires that consumers be given notice of their right to appeal any decision of the PA in accordance with N.J.A.C. 10:37-4.6, Client complaint/agency ombudsperson procedure and that creates procedures to implement additional consumer rights regarding discharge that reflect the requirements of N.J.A.C. 10:37A-11.

(f) Staff training and responsibilities. The manual shall have a section delineating staff training requirements and responsibilities, consistent with 10:37A-7.3, 10:37D-2.14, and 10:77A-2.4.

(g) Safety. The manual shall set forth rules and procedures that will promote and assure the safety of consumers, staff, visitors, and the general public, including, but not limited to:

1. Measures that will respond appropriately to violence and expressions of suicidal thoughts or threats of any kind;

2. Providing, as needed, emergency response services in accordance with 10:37A-6.3(a)9, and/or crisis intervention in accordance with 10:37A-6.3(a)7; and

3. Appropriate responses to the presence or possession of contraband or weapons.

(h) Healthcare. The manual shall set forth procedures for monitoring a consumer's healthcare and for accessing needed healthcare services.

(i) Principles. The manual shall state that staff shall provide services consistent with the principles of wellness and recovery and of supportive housing, as set forth at N.J.A.C. 10:37A Appendix B.

(j) Advance directives. The manual shall include a section on advance directives for mental health care.

(k) End-of-life concerns. The manual shall specify procedures to respond to a consumer's end-of-life concerns.

(l) Clinical support. The manual shall contain policies and procedures for providing ongoing on-call clinical support to direct care staff and for conducting emergency and routine case conferences.

N.J. Admin. Code § 10:37A-2.2

Adopted by 48 N.J.R. 1636(a), effective 8/15/2016