Section 0940-03-02-.10 - GUIDELINES FOR MANDATORY PRE-SCREENING ANNUAL PLAN(1) An agency proposing to become the designated mandatory pre-screening authority must submit to the department a budget on forms supplied by department and a written plan containing the following information:(a) Category of Pre-screened Client: Legal Status - T.C.A. § 33-6-1011. Narrative description of the pre-screening an evaluation procedures that include at least: (ii) Location of service.(iii) Qualifications of the clinicians responsible for evaluations.(iv) Assurance that evaluation for referrals for T.C.A. § 33-6-101 admission will be conducted through a face-to-face contact with the client. Exceptions to this must be specified.(v) Method of fee assessment, copy of fee schedule, and assurance that clients will receive service regardless of ability to pay.2. Copy of the agreement(s) among proposed mandatory pre-screening authority, community mental health center and regional mental health institute that addresses the responsibilities of all parties to include.(i) Referral procedure by mandatory pre-screening authority to regional mental health institute.(ii) Procedures for joint treatment planning.(iii) Procedures for joint discharge planning.(iv) Procedures and responsibility of mandatory pre-screening authority , community mental health center and regional mental health institute should regional mental health institute not admit patient.3. Public notice of mandatory pre-screening authority designation to all pertinent agencies and private practitioners. (i) Description of method of initial notice and on-going communication about the process.(ii) Evidence of notification to local ancillary agencies such as: law enforcement, courts, medical societies, local hospitals, etc.(iii) Description of mandatory pre-screening authority's relationship with community mental health centers if a designated mandatory pre-screening authority covers more than one catchment area.4. Copies of affiliate agreements with agencies (including those with statewide responsibility) and private practitioners who have been the most frequent referral sources for voluntary admission. Agreements must include:(i) Responsibility of mandatory pre-screening authority, community mental health center and referral agency or private practitioner for arranging for and providing care of patient up to a point of admission to regional mental health institute.(ii) Responsibility of community mental health center, referral agency, or private practitioner for treatment planning, liaison services while patient is hospitalized, discharge planning, and after-care.5. Description of the process to be implemented for persons under 19, selecting one of the following options. (i) Mandatory pre-screening authority must evaluate and refer for admission to regional mental health institute, or (ii) Mandatory pre-screening authority must evaluate but referral for hospitalization may come from other evaluators.(b) Category of Pre-screened Client: Legal Status - T.C.A. § 33-6-1031. Narrative description of the pre-screening and evaluation procedure to be implemented by the mandatory pre-screening authority to include at least:(i) Hours: services must be available 24 hours a day, 7 days a week.(ii) Location of services during regular office hours and after hours.(iii) Qualifications of the clinicians responsible for the evaluation and certification of the patient for admission to the regional mental health institute.(iv) Method of fee assessment, copy of the fee schedule, and assurances that clients will receive services regardless of ability to pay.2. Copy of the agreement(s) among proposed mandatory pre-screening authority, community mental health center and regional mental health institute that addresses the responsibilities of all parties to include.(i) Referral procedure by the mandatory pre-screening authority to the regional mental health institute.(ii) Procedures for joint treatment planning.(iii) Procedures for joint discharge planning.(iv) Procedures and responsibility of mandatory pre-screening authority, community mental health center and regional mental health institute should regional mental health institute not admit patient.3. Public notice of mandatory pre-screening authority designation to all pertinent agencies and private practitioners.(i) Description of method of initial notice and on-going communication about the process.(ii) Evidence of notification to local ancillary agencies such as: law enforcement, courts, medical societies, local hospitals, etc.(iii) Description of mandatory pre-screening authority's relationship with local community mental health centers if a designated authority covers more than one catchment area.4. Copy of affiliate agreements with agencies (including those with statewide responsibility) and private practitioners who have been the most frequent referral sources for emergency admissions. Agreements must include:(i) Responsibility of mandatory pre-screening authority, community mental health center and referral agency or private practitioner for arranging for and providing care of patient up to point of admission to regional mental health institute.(ii) Responsibility of community mental health center and referral agency or private practitioner for treatment planning, discharge planning, and aftercare.(iii) Procedures which outline responsibilities of mandatory pre-screening authority for assessment and placement of an individual with a primary alcohol and drug problem when the designated alcohol and rug community treatment facility has no space available. These procedures must be developed with the agreement of the designated alcohol and drug residential facility.5. Description of the process to be implemented for persons under 19, selecting one of the following options. (i) Mandatory pre-screening authority must evaluate and refer for admission to regional mental health institute, or(ii) Mandatory pre-screening authority must evaluate but referral for hospitalization may come from other evaluators.(c) Category of Pre-screened Client: Legal Status - T.C.A. § 33-6-1041. Narrative description of the pre-screening and evaluation procedure to be implemented by the mandatory pre-screening authority to include at least.(ii) Location of services.(iii) Qualifications of the clinicians responsible for the evaluation and certification of the patient for admission to the regional mental health institute.(iv) Description of the method for tracking the client from time of the certification, through the court proceedings, to admission to the regional mental health institute.(v) Method of fee assessment, copy of fee schedule, and assurance that clients will receive service regardless of ability to pay.2. Copy of the agreement(s) among proposed mandatory prescreening authority, community mental health center and regional mental health institute that addresses the responsibilities of all parties to include: (i) Referral procedure by the mandatory pre-screening authority to the regional mental health institute.(ii) Procedures for joint treatment planning.(iii) Procedures for joint discharge planning.(iv) Procedures and responsibility of mandatory pre-screening authority, community mental health center and regional mental health institute should regional mental health institute not admit patient.3. Public notice of mandatory pre-screening authority designation to all pertinent agencies and private practitioners. (i) Description of method of initial notice and on-going communications about the process.(ii) Evidence of notification to local ancillary agencies such as: law enforcement, courts, medical societies, local hospitals, etc.(iii) Description of mandatory pre-screening authority's relationship with local community mental health centers if a designated authority covers more than one catchment area.4. Copy of affiliate agreements with agencies (including those with statewide responsibility) and private practitioners who have been the most frequent referral sources for involuntary admission. Agreements must include: (i) Responsibility of mandatory pre-screening authority, community mental health center, referral agency, or private practitioner for arranging for and providing care of patient up to point of admission to regional mental health institute.(ii) Responsibility of community mental health center, referral agency, or private practitioner for treatment planning, liaison services while patient is hospitalized, discharge planning, and aftercare.(iii) Responsibility of the appropriate catchment area community mental health center to provide an assessment of less restrictive alternatives in a report to the regional mental health institute prior to probable cause hearing when individual is already hospitalized.(iv) Responsibility of the appropriate community mental health center to first endorse a conversion by the regional mental health institute form T.C.A. § 33-6-103 status to T.C.A. § 33-6-101 status before the conversion takes place.5. Description of the process to be implemented for persons under 19, selecting one of the following options: (i) Mandatory pre-screening authority must evaluate and refer for admission to regional mental health institute, or(ii) Mandatory pre-screening authority must evaluate but referral for hospitalization may come from other evaluators.(2) The department will evaluate the mandatory pre-screening plan based on the following: (a) Submission of all information specified under 1. of this section.(b) Adequacy of plan for implementation.(c) Adequacy of resources for implementation of plan.(d) Assessment of cost effectiveness of plan.Tenn. Comp. R. & Regs. 0940-03-02-.10
Original rule filed October 17, 1978; effective December 1, 1978. Repeal by Public Chapter 969; effective July 1, 1984. New rule filed November 27, 1985; effective December 31, 1985.Authority: T.C.A. § 33-1-203, 33-1-204 and 32-2-602.