Section 75-05-03-03 - Extended care services1. Community residential services. a. The regional director shall designate a community living supervisor to supervise the community residential services.b. The human service center shall provide or contract for at least two of the following services: (1) SMI group care. (a) SMI group care facilities must: [1] House no more than sixteen consumers;[2] Have the ability to house both male and female consumers while accommodating privacy for individuals;[3] Provide at least one full bathroom, consisting of at least a sink, toilet, and shower, for every four consumers;[4] Have bedrooms which are outside rooms with a window that is in good working order and may operate as a secondary exit from the room, accommodate one or two consumers, provide each consumer with a bed appropriate for the consumer's size and weight, with a clean and comfortable mattress, bedding appropriate for weather and climate, and provide other appropriate bedroom furniture;[5] Comply with the provisions of the chapter governing lodging or rooming houses as outlined in the most recent edition of the national fire protection association's life safety code; and[6] Have an annual fire and safety inspection by the state or local fire marshal's office or other accepted local authority.(b) The staff of the SMI group care facility shall:[1] Assure that the consumer's individual plan includes input from the community home counselors and the residential treatment team.[2] Maintain an inventory of the consumer's personal belongings when the consumer enters the SMI group care facility.(c) A brochure of consumers' rights according to section 75-05-01-10 must be given to all new residents of the SMI group care facility upon admission and explained in terms the resident can understand.(2) Semi-independent living arrangement. A semi-independent living arrangement is one which, through the use of intensive, in-home support services, gives a consumer the ability to reside in the consumer's own home. (a) The human service center shall develop policies and procedures which facilitate conformance with all local building and fire safety codes to encourage that safe and sanitary conditions are maintained.(b) Human service center staff shall develop policies and procedures to ensure that semi-independent living services are being provided in the consumer's residence.(c) An evaluation of the consumer's progress in semi-independent living services must be documented in the consumer's record on at least a monthly basis or in response to a significant event that has an impact on life domains.(3) Crisis residential services. (a) Human service center staff shall develop policies and procedures to assure that safe and effective crisis residential services are provided.(b) Human service center staff shall document the consumer's progress, or lack thereof, on a daily basis.2. Work skills development. a. The human service center shall either provide or contract for:(1) Methods to assess the abilities of adults diagnosed with serious mental illness as related to employment;(2) Prevocational skills development and training;b. The human service center shall document the consumer's progress in work skills development at least monthly.3. Case management and aftercare services for an adult diagnosed with serious mental illness.a. Case management services must be available to adults diagnosed with serious mental illness and a functional impairment.b. Case management for an adult diagnosed with serious mental illness must be identified on the consumer's individual plan and must be documented in the progress notes.c. Aftercare services must be available to all adults diagnosed with serious mental illness in a treatment or correctional facility who are returning to the community after discharge. The regional director shall designate one or more staff members to provide aftercare services. Services must include the following activities, pursuant to appropriately signed releases and adherence to applicable privacy provisions: (1) Regular visits or communication by aftercare staff with the treatment facility to monitor progress of those consumers who are admitted to the facility from the human service center's service area.(2) Regular visits or communication by aftercare staff with the correctional facility when contacted by the facility regarding a consumer's pending release to monitor progress of those consumers who are admitted to the facility from the human service center's service area.(3) Attendance by aftercare staff at meetings established for the purpose of improving communication and coordination between the treatment or correctional facility and the regional human service center.(4) Provision of knowledge and communicating by aftercare staff to other regional human service center staff regarding treatment or correctional facility admission and discharge procedures.d. The human service center, through case management services, shall ensure that extended services are provided for an adult diagnosed with serious mental illness who has completed the training and stabilization components of the supported employment program and continues to require ongoing support services to maintain competitive employment.e. If individual plans dictate, case management services must provide or arrange for daily living skills training in the community.4. Recovery centers. a. The human service center shall provide or contract for the operation of a recovery center.b. The recovery center shall provide services that support adults diagnosed with serious mental illness in their recovery by providing opportunities for learning appropriate socialization and leisure or recreational skills through social and recreational milieu, information and referral, and community awareness activities.c. The recovery center must be open a minimum of forty hours per week. The hours of operation for the recovery center must be determined with member participation during a regularly held and announced membership meeting. Documentation of the meeting, including a compilation of consumer comments and votes, must be maintained by the recovery center and be open for review.d. The recovery center shall employ a full-time director and part-time staff sufficient to provide services.e. The recovery center must have a mechanism for member participation in policy formation. The recovery center shall maintain documentation of this participation and the documentation must be open for review.f. The recovery center shall develop a calendar of events seven to ten days in advance which must be made available to the membership and the regional human service center.g. The regional director shall appoint a human service center staff member as a liaison between the human service center and the recovery center.N.D. Admin Code 75-05-03-03
Effective November 1, 1987; amended effective December 1, 1991; February 1, 1996; March 1, 1997; August 1, 1997; January 1, 2009.Amended by Administrative Rules Supplement 2020-377, July 2020, effective 7/1/2020.General Authority: NDCC 50-06-05.2
Law Implemented: NDCC 50-06-05.2