HEALTH CARE FACILITIES

37.106.1845 SPECIALTY MENTAL HEALTH FACILITY: OUTPATIENT SERVICES If the specialty mental health facility provides outpatient services, each outpatient must be examined by a psychiatrist licensed in Montana and the services must meet the standards contained in ARM 37.106.1008. Th…

37.106.1851 SPECIALTY MENTAL HEALTH FACILITY: ADMISSION PROCEDURES A specialty mental health facility must develop, maintain, and implement admission procedures designed to ensure that no client is admitted prior to the facility's documented determination of its ability to meet t…

37.106.1852 SPECIALTY MENTAL HEALTH FACILITY: PROHIBITIONS A specialty mental health facility may not admit as a patient any person who: does not voluntarily seek admission; requires physical or chemical restraints; is non-ambulatory or bedridden; may have impaired judgment or is…

37.106.1853 SPECIALTY MENTAL HEALTH FACILITY: TREATMENT PROGRAM Each patient must have an individual comprehensive treatment plan that must be based on an inventory of the patient's strengths and disabilities or mental impairment as defined by the mental health professionals on t…

37.106.1854 SPECIALTY MENTAL HEALTH FACILITY: PATIENT RIGHTS A specialty mental health facility shall have written policies and procedures to assure the individual patient the right to dignity, privacy, and safety, and shall support and protect the basic human, civil, and constit…

37.106.1901 MENTAL HEALTH CENTER: APPLICATION OF OTHER RULES To the extent that other licensure rules in ARM Title 37, chapter 106, subchapter 3, conflict with the terms of this subchapter, the terms of this subchapter will apply to licensed mental health centers. Authorizing sta…

37.106.1902 MENTAL HEALTH CENTER: DEFINITIONS In addition to the definitions in 50-5-101, MCA, the following definitions apply to this subchapter: "Administrator" means a designated individual having daily overall management responsibility for the operation of a mental health cen…

37.106.1906 MENTAL HEALTH CENTER: SERVICES AND LICENSURE Each applicant for licensure must submit a license application to the department requesting approval to provide the services in (3) and may request approval to provide one or more of the services in (4). Services provided b…

37.106.1907 MENTAL HEALTH CENTER: ORGANIZATIONAL STRUCTURE Each mental health center shall employ or contract with an administrator who shall: maintain daily overall responsibility for the mental health center's operations; develop and oversee the implementation of policies and p…

37.106.1908 MENTAL HEALTH CENTER: POLICIES AND PROCEDURES Each mental health center shall maintain a policy and procedure manual. The manual must be reviewed and approved, at least annually, by the medical director and administrator. The manual must contain policies and procedure…

37.106.1909 MENTAL HEALTH CENTER: CLINICAL RECORDS Each mental health center shall: collect assessment data and maintain clinical records on all clients who receive services and ensure the confidentiality of clinical records in accordance with the Uniform Health Care Information …

37.106.1915 MENTAL HEALTH CENTER: CLIENT ASSESSMENTS Each mental health center shall complete a clinical intake assessment within 12 hours after admission for crisis stabilization program services and within three contacts, or 14 days from the first contact, whichever is later, f…

37.106.1916 MENTAL HEALTH CENTER: INDIVIDUALIZED TREATMENT PLANS Based upon the findings of the assessment(s) conducted in accordance with ARM 37.106.1915, each mental health center must establish an individualized treatment plan for each client within 24 hours after admission fo…

37.106.1917 MENTAL HEALTH CENTER: CLIENT DISCHARGE Each mental health center shall prepare a discharge summary for each client no longer receiving services. The discharge summary must include: the reason for discharge; a summary of the services provided by the mental health cente…

37.106.1918 MENTAL HEALTH CENTER: PERSONNEL RECORDS For each employee or contracted individual, the mental health center shall maintain the following information on file: a current job description; if a licensed mental health professional, documentation of current licensure and c…

37.106.1919 MENTAL HEALTH CENTER: QUALITY ASSESSMENT Each mental health center shall implement and maintain an active quality assessment program using information collected to make improvements in the mental health center's policies, procedures and services. At a minimum, the pro…

37.106.1925 MENTAL HEALTH CENTER: COMPLIANCE WITH BUILDING AND FIRE CODES, FIRE EXTINGUISHERS, SMOKE DETECTORS, AND MAINTENANCE Each mental health center shall ensure that its facilities, buildings, and homes: meet all applicable state and local building and fire codes; have a wo…

37.106.1926 MENTAL HEALTH CENTER: PHYSICAL ENVIRONMENT Each mental health center providing a mental health group home or a crisis intervention stabilization facility must ensure that no more than four residents reside in a single bedroom. Each multi-bedroom must contain at least …

37.106.1927 MENTAL HEALTH CENTER: EMERGENCY PROCEDURES Each mental health center shall develop a written plan for emergency procedures. At a minimum, the plan must include: emergency evacuation procedures to be followed in the case of fire or other emergency; procedures for conta…

37.106.1935 MENTAL HEALTH CENTER: YOUTH AND ADOLESCENT AND ADULT TARGETED CASE MANAGEMENT In addition to the requirements established in this subchapter, each mental health center providing youth and adolescent and adult targeted case management services shall comply with the req…

37.106.1936 MENTAL HEALTH CENTER: CHILD AND ADOLESCENT DAY TREATMENT In addition to the requirements established in this subchapter, each mental health center providing a child and adolescent day treatment program shall comply with the requirements established in this rule. The C…

37.106.1937 MENTAL HEALTH CENTER: ADULT DAY TREATMENT In addition to the requirements established in this subchapter, each mental health center providing adult day treatment shall comply with the requirements established in this rule. The adult day treatment program shall: operat…

37.106.1938 MENTAL HEALTH CENTER: MENTAL HEALTH GROUP HOME In addition to the requirements established in this subchapter, each mental health center providing a mental health group home shall comply with the requirements established in this rule. The purpose of a mental health gr…

37.106.1945 MENTAL HEALTH CENTER: CRISIS TELEPHONE SERVICES In addition to the requirements established in this subchapter, each mental health center shall provide crisis telephone services and comply with the following requirements: ensure that crisis telephone services are avai…

37.106.1946 MENTAL HEALTH CENTER: INPATIENT CRISIS STABILIZATION PROGRAM In addition to the requirements established in this subchapter, each mental health center providing an inpatient crisis stabilization program shall comply with the requirements established in this rule. The …

37.106.1950 MENTAL HEALTH CENTER: MEDICATION MANAGEMENT SERVICES Each mental health center shall make medication management services available to the clients it serves for medications needed to treat their mental illnesses. Medication management services shall be provided by lice…

37.106.1955 MENTAL HEALTH CENTER: COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM (CSCT) ENDORSEMENT REQUIREMENTS In addition to the requirements established in this subchapter, a licensed mental health center providing a comprehensive school and community treatment program …

37.106.1956 MENTAL HEALTH CENTER: COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM (CSCT), SERVICES AND STAFFING For any youth receiving CSCT services, the CSCT program must be able to provide the following services to each youth as specified in that youth'sindividualized tre…

37.106.1960 MENTAL HEALTH CENTER: COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT (CSCT) PROGRAM, PERSONNEL TRAINING The CSCT program must be delivered by adequately trained staff. Training should be competency-based and must be documented and maintained in personnel files. All CSCT…

37.106.1961 MENTAL HEALTH CENTER: COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT (CSCT) PROGRAM, RECORD REQUIREMENTS In addition to any clinical records required in ARM 37.85.414 or elsewhere in these rules, the licensed mental health center's CSCT program must maintain the followi…

37.106.1965 MENTAL HEALTH CENTER: COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT (CSCT) PROGRAM, SPECIAL EDUCATION REQUIREMENTS The licensed mental health center's CSCT program must be coordinated with theindividualized education program (IEP) of the youth, if the youth is identifi…

37.106.1975 OUTPATIENT CRISIS RESPONSE FACILITY: APPLICATION OF OTHER RULES To the extent that other licensure rules in ARM Title 37, chapter 106, subchapter 3, conflict with the terms of this subchapter, the terms of this subchapter will apply to outpatient crisis response facil…

37.106.1976 OUTPATIENT CRISIS RESPONSE FACILITY: DEFINITIONS In addition to the definitions in 50-5-101 , MCA, the following definitions apply to this subchapter: "Inpatient crisis stabilization program" means 24-hour supervised treatment for adults with a mental illness for the …

37.106.1979 OUTPATIENT CRISIS RESPONSE FACILITY: SERVICES AND LICENSURE Each applicant for licensure shall submit a license application to the department requesting approval to provide outpatient crisis services. A licensed hospital does not have to comply with the requirements f…

37.106.1980 OUTPATIENT CRISIS RESPONSE FACILITY: ORGANIZATIONAL STRUCTURE Each crisis response facility shall employ or contract with an administrator who shall: maintain daily overall responsibility for the crisis response facility's operations; develop and oversee the implement…

37.106.1981 OUTPATIENT CRISIS RESPONSE FACILITY: STAFFING AND OPERATIONS In addition to the requirements established in this subchapter, each outpatient crisis response facility shall comply with the requirements established in this rule. The outpatient crisis response facility s…

37.106.1982 OUTPATIENT CRISIS RESPONSE FACILITY: POLICIES AND PROCEDURES Each outpatient crisis response facility shall maintain a policy and procedure manual. The manual must be reviewed and approved, at least annually, by the medical director and administrator. The manual must,…

37.106.1983 OUTPATIENT CRISIS RESPONSE FACILITY: CLINICAL RECORDS Each crisis response facility shall collect assessment data and maintain clinical records on all clients who receive services. Each facility must ensure the confidentiality of clinical records in accordance with th…

37.106.1987 OUTPATIENT CRISIS RESPONSE FACILITY: CLIENT ASSESSMENTS Each outpatient crisis response facility shall employ or contract with licensed mental health professionals to conduct clinical intake assessments which may be abbreviated assessments focusing on the crisis issue…

37.106.1989 OUTPATIENT CRISIS RESPONSE FACILITY: CLIENT DISCHARGE Each outpatient crisis response facility shall prepare a discharge summary for each client no longer receiving services. The discharge summary must include: the reason for discharge; a summary of the services provi…

37.106.1990 OUTPATIENT CRISIS RESPONSE FACILITY: MANAGEMENT OF INAPPROPRIATE CLIENT BEHAVIOR The facility must develop and implement written policies and procedures that govern the management of inappropriate client behavior only as allowed in 42 CFR 482.13(f) (1) through (6) . T…

37.106.1993 OUTPATIENT CRISIS RESPONSE FACILITY: PERSONNEL RECORDS For each employee or contracted individual, the outpatient crisis response facility shall maintain the following information on file: a current job description; if a licensed mental health professional, documentat…

37.106.1994 OUTPATIENT CRISIS RESPONSE FACILITY: QUALITY ASSESSMENT Each outpatient crisis response facility shall implement and maintain an active quality assessment program using information collected to make improvements in the facility's policies, procedures and services. At …

37.106.1995 OUTPATIENT CRISIS RESPONSE FACILITY: COMPLIANCE WITH BUILDING AND FIRE CODES, FIRE EXTINGUISHERS, SMOKE DETECTORS, AND MAINTENANCE Each outpatient crisis response facility shall ensure that its facilities, buildings, and homes: meet all applicable state and local buil…

37.106.1996 OUTPATIENT CRISIS RESPONSE FACILITY: PHYSICAL ENVIRONMENT Each outpatient crisis response facility must ensure that no more than four clients reside in a single treatment room. Each treatment room must contain at least 80 square feet per client, exclusive of toilet ro…

37.106.1997 OUTPATIENT CRISIS RESPONSE FACILITY: EMERGENCY PROCEDURES Each outpatient crisis response facility shall develop a written plan for emergency procedures. At a minimum, the plan must include: emergency evacuation procedures to be followed in the case of fire or other e…

37.106.2001 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES In addition to the requirements established in this subchapter, each mental health center providing foster care for mentally ill adults shall utilize only foster care providers licensed by the departme…

37.106.2004 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, POLICY AND PROCEDURES Each mental health center that has a foster care program endorsement shall have policy and procedures in place to make initial and periodic assessment of the foster care provider…

37.106.2005 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, RECORDS For each foster care provider, the mental health center shall maintain the following information on file: initial and annual assessments of the provider's ability to provide necessary services…

37.106.2006 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, STAFF SUPERVISION AND TRAINING A mental health center providing foster care shall employ a program supervisor who is experienced in providing services to individuals with mental illnesses. The program…