N.J. Admin. Code § 8:111-6.3

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:111-6.3 - Standards for preadmission, admission, and retention of clients

(a) Prior to or at the time of admission to the facility, the facility staff shall conduct a preadmission interview with all clients and, in the case of an adolescent, his or her family, guardian or legally authorized representative. A summary of the interview shall be documented in the client clinical record after:

1. The orientation of the client to the facility's policies, business hours, fee schedules, services provided, client rights, criteria for admission, treatment and discharge;

2. The obtaining of informed consent from the parents or legally authorized representative of an adolescent prior to the adolescent entering treatment, except as provided for by 9:17A-4, where a minor voluntarily seeking treatment for substance abuse shall be considered confidential information; and

3. If admission to the facility is denied, the documentation of the reasons for denial and referral of the client to appropriate treatment services.

i. If a client presents for admission to a facility that does not have the capacity to support medically assisted therapy, that facility can either seek to provide the service through referral to a provider consultation or referral to another facility that can support medically assisted therapy and shall document the referral.

(b) The facility shall not admit a client to a facility in the following circumstances:

1. An individual is unconscious at the time of presentation or admission.

i. The facility shall transfer such an individual immediately to a hospital emergency room; or

2. An individual manifests such a degree of behavioral or psychiatric disorder that the individual is a danger to himself or herself or others, or whose behavior interferes with the health, safety or welfare of staff or other clients.

i. The facility shall provide assistance in referring such individuals to an appropriate treatment facility including a designated mental health screening center.

(c) A facility licensed to provide services to adolescents shall admit adolescents only to areas within the facility approved for adolescent occupancy by the Department, as part of the licensure process.

1. Areas for adolescents shall be physically separated from and have restricted access to any part of a facility occupied by or accessible to adult clients.

(d) Only facilities licensed by the Division to provide medically monitored detoxification services or hospitals providing medical detoxification services in a designated unit or facility shall admit clients requiring medically monitored detoxification.

(e) A facility shall adhere to N.J.A.C. 8:111-24.5 and comply with the Federal ADA requirements governing the provision of reasonable accommodations for persons with physical disabilities.

(f) Upon admission, the facility shall ensure that each client has received a physical examination, according to the medical standards at N.J.A.C. 8:111-7.1 and 9.1(b). In addition, a physician shall certify that the client is:

1. Free of communicable disease or, if a client had a communicable disease, that the client is treated, or, if the disease is not curable, that the client is managed to prevent transmission to other clients;

2. Physically mobile with or without assistive devices; and

3. Able to leave the building unaccompanied, except in a facility licensed to provide medically monitored detoxification services.

(g) A facility shall not involuntarily admit or retain any client.

(h) A facility shall not retain any client in treatment who is a danger to himself or herself or others, or whose behavior interferes with the health, safety and/or welfare of staff or other clients.

N.J. Admin. Code § 8:111-6.3

Amended and recodified from 10:161A-6.3 53 N.J.R. 2208(a), effective 12/20/2021