Section 0940-05-01-.04 - DEFINITION OF DISTINCT CATEGORIES OF MENTAL HEALTH FACILITIES(1) Crisis Stabilization Unit - A crisis stabilization unit (CSU) is specifically designed for service recipients eighteen (18) years of age and older in need of short-term stabilization (up to 96 hours), who do not meet the criteria for other treatment resources, other less restrictive treatment resources are not available, or the service recipient is agreeable to receive services voluntarily at the CSU and meet admission criteria. If necessary, in order to assure that the adequate arrangements are in place to allow for the safe discharge of the service recipient, the length of stay may be extended by up to 24 hours.(2) Mental Health Day Program Facility - A non-residential facility that provides a treatment and/or rehabilitation program of at least three (3) hours duration per program day for persons with mental disorders. The program may be provided during the day, evening, or weekend hours. The program may be structured and offer community living skills training, vocational training, assistance with interpersonal relationships and be geared toward moving the person on to a more independent and normal life style. The program might also be unstructured and provide socialization and maintenance to persons who might not move on to more independence.(3) Mental Health Hospital Facility - An inpatient facility that is held out to the public as a hospital and, in connection with the services of a physician, offers diagnosis, treatment, and care to mentally ill individuals on a comprehensive inpatient basis.(4) Mental Health Outpatient Facility - A non-residential, clinic facility that provides services designed to provide mental health care for non-hospitalized individuals experiencing acute or ongoing psychiatric distress. Periodic contacts are of short duration. Services include, but are not limited to, diagnostic assessments, collateral services, individual therapy, crisis intervention, medication, and follow up.(5) Mental Health Residential Treatment Facility - A community-based facility that offers twenty-four (24) hour residential care as well as a treatment and rehabilitation component. The focus of the program may be on short-term crisis stabilization or on long-term rehabilitation that includes training in community living skills, vocational skills, and/or socialization. The staff includes direct-care staff as well as treatment staff. Treatment staff may be present full time or only during times when program activities or interventions are occurring. Access to medical services, social services, and mental health services are insured and are usually provided off site.(6) Mental Health Supportive Living Facility - A residential facility which provides room, board, and personal care services to two (2) or more individuals unrelated to the owner or operator of the facility who have been diagnosed with a mental illness by a mental health professional using the current Diagnostic and Statistical Manual (DSM) criteria.(7) Psychosocial Rehabilitation Program Facility - A non-residential facility which provides a program of rehabilitation and recreation for persons with mental disorders. The program may be provided during the day, evening, or weekend hours. The focus of the program is on mental health, strengths and abilities, rather than mental illness, symptoms and problems. Service recipients are typically members and not patients and frequently are responsible for most of the content and format of the program. The degree of structure may vary but will generally offer interpersonal skill training, daily living skills training, educational development, recreational/social activities, self-help groups, and family involvement. However, a major focus of the program is on vocational rehabilitation. Members may participate in the program with varying intensity for an indefinite period of time.(8) Mental Health Intensive Day Treatment Program For Children and Adolescent Facility - A program equal in length to a school day or after school program which includes a variety of treatment activities including, but not limited to, individual, family, and/or group therapy, vocational training, social skills training, etc.; and an educational component.(9) Therapeutic Nursery Program Facility - A non-residential facility program lasting a minimum of (3) hours per day designed specifically for pre-school children who are experiencing serious emotional disturbance which is a result of severe environmental trauma, especially child abuse or neglect. A variety of treatment activities are provided which may include individual therapy, therapeutic group instruction and socialization, and a variety of activities to address developmental deficits resulting from environmental trauma.Tenn. Comp. R. & Regs. 0940-05-01-.04
Original rule filed November 16, 1978; effective January 1, 1979. Amendment filed May 22, 1979; effective July 10, 1979. Amendment filed December 8, 1980; effective January 22, 1981. Repeal and new rule filed November 30, 1983; effective December 30, 1983. Repeal and new rule filed May 26, 1988; effective July 11, 1988. Repeal and new rule filed June 29, 2004; effective September 12, 2004. Amendment filed May 6, 2008; effective September 26, 2008. Amendment filed August 27, 2008; effective December 29, 2008.Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-101, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302 and 33-2-404.