Utah Admin. Code 432-101-21

Current through Bulletin 2024-12, June 15, 2024
Section R432-101-21 - Adolescent or Child Treatment Program
(a) A licensee that admits adolescents or children for care and treatment shall ensure it is organized with staff and space to meet the specialized needs of this specific group of patients.
(b) The licensee shall consider children between ages 5-12 and adolescents between the ages of 13 - 18.
(c) If a child is considered for admission to an adolescent program, the licensee shall assess and document that the child's developmental growth is appropriate for the adolescent program.
(d) The licensee may permit an adolescent patient who reaches their eighteenth birthday while residing in the program to complete the treatment program.
(2) A mental health professional with training in adolescent or child psychiatry, or adolescent or child psychology, as appropriate, shall be responsible for the treatment program.
(3) The licensee shall ensure adolescent or child nursing care is under the direction of a registered nurse qualified by training, experience, and ability to effectively direct the nursing staff.
(4) The licensee shall ensure each nursing staff is trained in the special needs of adolescents or children.
(5) The licensee shall provide education to any school age patients who are in the hospital for over one month.
(6) The licensee may admit an adolescent to an adult unit when specifically ordered by the attending member of the medical staff, but may not permit them to remain there more than three days, unless the clinical director approves an order for the adolescent to remain on the adult unit.
(7) The licensee shall ensure specialized programs for adolescents or children are flexible enough to meet the needs of the population being served.
(8) The licensee shall maintain the following in writing:
(a) a statement of philosophy, purposes and program orientation including short-term and long-term goals;
(b) the types of services provided and the characteristics of the adolescent or child population being served that is available to the public on request;
(c) description of the program's overall approach to family involvement in the care of patients;
(d) a policy regarding visiting and other forms of patient communication with family, friends and significant others;
(e) a plan of basic daily routines that is available to all staff and revised as necessary;
(f) a complaint process for adolescents or children in clear and simple language that identifies how to make a complaint without fear of retaliation; and
(g) a comprehensive guide of preventive, routine, and emergency medical care for any adolescent or child in the program, including policies and procedures regarding the use and administration of psychotropic and other medication.
(9) The licensee shall maintain a complete health record for each adolescent or child including:
(a) immunizations;
(b) medications;
(c) medical examination;
(d) vision and dental examination, if indicated by the medical examination;
(e) a complete record of treatment for each specific illness or medical emergency;
(f) documents related to the referral of the child to the program;
(g) documentation of the adolescent or child's current parental custody status or legal guardianship status;
(h) the adolescent or child's court status, if applicable;
(i) cumulative health records, where possible; and
(j) education records and reports.
(10) The licensee shall ensure the use of emergency medication is specifically ordered by a physician or other person licensed to prescribe and is related to a documented medical need.
(11) The licensee shall ensure adolescent or children's programs within a secure, locked treatment facility maintain:
(a) a statement in the adolescent or child's record identifying the specific security measures employed and demonstrating that these measures are necessary to provide appropriate services to the adolescent or child;
(b) evidence that the staff and the adolescent or child are aware of the hospital's emergency procedures and the location of emergency exits;
(c) a method for unlocking the rooms simultaneously from a central point or upon activation of a fire alarm system if adolescents or children are locked in their rooms during sleeping hours; and
(d) a recreational program offering a wide variety of activities suited to the interests and abilities of the adolescents or children in care.

Utah Admin. Code R432-101-21

Amended by Utah State Bulletin Number 2023-22, effective 11/1/2023