N.Y. Comp. Codes R. & Regs. tit. 14 § 587.9

Current through Register Vol. 46, No. 45, November 2, 2024

Section 587.9 - Clinic treatment programs serving children

(a) A clinic treatment program serving children with a diagnosis of emotional disturbance shall provide treatment designed to reduce symptoms and improve functioning while maintaining children in their natural environments, supporting family integrity and functioning, and providing ongoing support to the recipient and relevant collaterals during treatment.

(b) Clinic treatment programs serving children shall be identified into two separate categories as follows:

(1) clinic treatment programs serving children with a designated mental illness diagnosis, including V-Code 61-20 Parent-Child; or

(2) clinic treatment programs serving children with a designated mental illness diagnosis, including V-Code 61-20 Parent-Child, plus either an extended impairment in functioning due to emotional disturbance or a current impairment in functioning with severe symptoms as defined in section 587.4(a)(4) and (8) of this Part.

(c) A clinic treatment program serving children with a diagnosis of emotional disturbance shall provide assessment services to all recipients and, in addition, shall provide health screening services to all recipients receiving medication therapy services. Treatment planning and discharge planning services shall be provided in accordance with section 587.16 of this Part.

(d) A clinic treatment program serving children with a diagnosis of emotional disturbance shall offer each of the following services, to be provided consistent with the recipients' conditions and needs:

(1) verbal therapy;

(2) symptom management;

(3) health screening and referral;

(4) medication therapy;

(5) medication education; and

(6) clinical support services.

(e) A clinic treatment program serving children with a diagnosis of emotional disturbance may also provide the following additional services:

(1) case management;

(2) crisis intervention services; and

(3) family treatment services.

(f) A clinic treatment program that has been approved to be a children and family clinic plus provider shall also provide the following services:

(1) Mental health screening. Such services shall be provided in a community setting, and shall be provided with the prior written consent of the child's parent or legal guardian.

(2) Comprehensive assessment. A comprehensive assessment can be performed over the course of not more than three visits per client, and is intended to determine the presence and nature of any emotional disturbance and to develop a treatment plan where appropriate.

(3) In-home services.

(4) Evidence-based treatment.

(g) The following services may be provided by other providers of service or by other programs operated by the provider of service: case management; crisis intervention services; and health screening and referral. Additional services may be provided by other providers of service upon the prior review and approval by the Office of Mental Health.

(h) Any additional types of services provided by the clinic treatment program serving children with a diagnosis of emotional disturbance which are clinically appropriate shall be considered optional services and shall be subject to prior review and written approval by the Office of Mental Health. Electroconvulsive therapy and aversive conditioning therapy shall not be allowed as optional services.

(i) The clinic treatment program serving children with a diagnosis of emotional disturbance shall develop a plan for assuring continuity and integration of care within the mental health system and with other systems of care (e.g., social services, schools, juvenile justice). Such plan shall be subject to approval by the Office of Mental Health.

(j) Admission to a clinic treatment program serving children shall occur within the first three visits. A screening and admission note shall be written upon decision to admit which shall include the following:

(1) reason for referral;

(2) identification of collaterals interviewed;

(3) primary clinical and service-related needs and services to meet those needs; and

(4) admission diagnosis.

(k) When an admission is not indicated notation shall be made of the following:

(1) the reason for no admission;

(2) the disposition of the recipient; and

(3) any referrals made as appropriate.

(l) The clinic treatment program serving children shall develop a plan which will assure an appropriate response to recipients enrolled in the program who need assistance when the program is not in operation. Such plan shall be subject to approval by the Office of Mental Health.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 587.9

Amended, New York State Register, Volume XXXVI, Issue 22, effective 6/4/2014