Section 306.91 - Transfers(a) A CSU administrator, or administrator's designee, must facilitate an individual's transfer as soon as possible to an appropriate and available inpatient mental health facility, which may include contacting law enforcement to transfer an individual under an emergency detention who has not yet been admitted or obtaining permission from the court that issued the order of protective custody to transfer the individual, as appropriate, if: (1) a physician, or physician-delegated PA or APRN, determines the individual is at serious risk of harm to self or others in the CSU and the CSU is unable to provide an adequate assurance of safety for the individuals or others in the CSU;(2) during a 24-hour period, the individual is placed in: (A) seclusion more than twice or for more than a total of four hours; or(B) a restraint for more than 60 consecutive minutes; or(3) the individual becomes the subject of:(A) an order for temporary inpatient mental health services issued in accordance with Texas Health and Safety Code § 574.034; or(B) an order for extended inpatient mental health services issued in accordance with Texas Health and Safety Code § 574.035.(b) A CSU administrator, or administrator's designee, must immediately facilitate an individual's transfer to a general hospital or another health care entity, as appropriate, if the individual: (1) requires specialized care not available at the CSU; or(2) has a physical medical condition that is unstable and could reasonably be expected to require inpatient treatment for the condition.(c) An administrator of a CSU solely serving children and adolescents must immediately facilitate an individual's transfer to an inpatient mental health facility serving adults when the individual: (1) turns 18 years of age; and(2) does not meet criteria for discharge from CSU treatment services.26 Tex. Admin. Code § 306.91
Adopted by Texas Register, Volume 46, Number 21, May 21, 2021, TexReg 3273, eff. 5/27/2021