Services provided by psychiatric residential treatment facilities — Rules

Ark. Code Ann. § 20-46-404 — under Mental Health Agencies and Facilities.

Ark. Code Ann. § 20-46-404

(a) A psychiatric residential treatment facility licensed under this subchapter shall:(1) (A) Provide a range of comprehensive services to treat the psychiatric condition of residents on an inpatient basis under the direction of a physician.(B) The psychiatric residential treatment facility shall certify that:(i) Ambulatory care services available in the community do not meet the treatment needs of the resident;(ii) Proper treatment of the resident's psychiatric condition requires services on an inpatient basis under the direction of a physician; and(iii) The services can reasonably be expected to improve the resident's condition or prevent further regression so that the services will no longer be needed.(C) The certification required in subdivision (a)(1)(B) of this section shall be made by an independent team that:(i) Includes a physician;(ii) Has competence in diagnosis and treatment of mental illness, preferably in child psychiatry; and(iii) Has knowledge of the resident's situation; and(2) Provide services to a resident according to an individual plan of care that:(A) Is based on a diagnostic evaluation that includes examination of the medical, psychological, social, behavioral, and developmental aspects of the resident's situation and reflects the need for inpatient psychiatric care;(B) Is developed by a team of professionals in consultation with the resident, parents, legal guardians, or other individuals in whose care the resident will be released after discharge;(C) Describes clear and concise treatment objectives;(D) Ensures continuity of care with the resident's family, school and educational requirements, and community upon discharge;(E) Determines that services being provided are or were required on an inpatient basis; and(F) Recommends changes in the plan of care as indicated by the resident's overall adjustment as an inpatient.

(1) (A) Provide a range of comprehensive services to treat the psychiatric condition of residents on an inpatient basis under the direction of a physician.(B) The psychiatric residential treatment facility shall certify that:(i) Ambulatory care services available in the community do not meet the treatment needs of the resident;(ii) Proper treatment of the resident's psychiatric condition requires services on an inpatient basis under the direction of a physician; and(iii) The services can reasonably be expected to improve the resident's condition or prevent further regression so that the services will no longer be needed.(C) The certification required in subdivision (a)(1)(B) of this section shall be made by an independent team that:(i) Includes a physician;(ii) Has competence in diagnosis and treatment of mental illness, preferably in child psychiatry; and(iii) Has knowledge of the resident's situation; and

(A) Provide a range of comprehensive services to treat the psychiatric condition of residents on an inpatient basis under the direction of a physician.

(B) The psychiatric residential treatment facility shall certify that:(i) Ambulatory care services available in the community do not meet the treatment needs of the resident;(ii) Proper treatment of the resident's psychiatric condition requires services on an inpatient basis under the direction of a physician; and(iii) The services can reasonably be expected to improve the resident's condition or prevent further regression so that the services will no longer be needed.

(i) Ambulatory care services available in the community do not meet the treatment needs of the resident;

(ii) Proper treatment of the resident's psychiatric condition requires services on an inpatient basis under the direction of a physician; and

(iii) The services can reasonably be expected to improve the resident's condition or prevent further regression so that the services will no longer be needed.

(C) The certification required in subdivision (a)(1)(B) of this section shall be made by an independent team that:(i) Includes a physician;(ii) Has competence in diagnosis and treatment of mental illness, preferably in child psychiatry; and(iii) Has knowledge of the resident's situation; and

(i) Includes a physician;

(ii) Has competence in diagnosis and treatment of mental illness, preferably in child psychiatry; and

(iii) Has knowledge of the resident's situation; and

(2) Provide services to a resident according to an individual plan of care that:(A) Is based on a diagnostic evaluation that includes examination of the medical, psychological, social, behavioral, and developmental aspects of the resident's situation and reflects the need for inpatient psychiatric care;(B) Is developed by a team of professionals in consultation with the resident, parents, legal guardians, or other individuals in whose care the resident will be released after discharge;(C) Describes clear and concise treatment objectives;(D) Ensures continuity of care with the resident's family, school and educational requirements, and community upon discharge;(E) Determines that services being provided are or were required on an inpatient basis; and(F) Recommends changes in the plan of care as indicated by the resident's overall adjustment as an inpatient.

(A) Is based on a diagnostic evaluation that includes examination of the medical, psychological, social, behavioral, and developmental aspects of the resident's situation and reflects the need for inpatient psychiatric care;

(B) Is developed by a team of professionals in consultation with the resident, parents, legal guardians, or other individuals in whose care the resident will be released after discharge;

(C) Describes clear and concise treatment objectives;

(D) Ensures continuity of care with the resident's family, school and educational requirements, and community upon discharge;

(E) Determines that services being provided are or were required on an inpatient basis; and

(F) Recommends changes in the plan of care as indicated by the resident's overall adjustment as an inpatient.

(b) The Department of Human Services shall promulgate rules to implement this subchapter, which shall include components that ensure quality of care, health and safety of residents and psychiatric residential treatment facility staff, and compliance with all educational requirements.