Montana Administrative Code

37.106.1735 PHYSICAL PLANT The building shall be considered an I - 2 occupancy for purpose of issuing a building permit. The building shall be classified as a New Health Care Occupancy or Existing Health Care Occupancy as found in Chapter 18 or Chapter 19 of the 2001, NFPA 101 - …

37.106.1736 COMMON USE AREAS At least two separate social spaces, one appropriate for noisy activities and one for quiet activities, shall be provided. The combined area shall be at least 25 square feet for each of the two spaces. This space may be shared by dining activities if …

37.106.1737 PATIENT TOILETS AND BATHING There must be at least one toilet available for every four patients in the facility. There must be at least one bathing unit for every six patients in the facility. A shower or tub is not required if the facility utilizes a central bathing …

37.106.1738 INFECTION CONTROL The facility must establish and maintain infection control policies and procedures sufficient to provide a safe environment and to prevent the transmission of disease. Such policies and procedures must, at a minimum, include the following: any employ…

37.106.1739 FOOD SERVICE Facilities shall comply with the regulations concerning food service establishments which are located at ARM Title 37, chapter 110, subchapter 2. Facilities shall provide for the patient's nutritional needs as prescribed by the patient's doctor. Authorizi…

37.106.1740 LAUNDRY AND HOUSEKEEPING Laundry and housekeeping services must be provided by the facility. A contracted service provider or the facility directly may provide laundry and housekeeping services. Facility administrators will ensure that provisions are made to accommoda…

37.106.1801 SPECIALTY MENTAL HEALTH FACILITY: APPLICATION OF OTHER RULES To the extent that other licensure rules in this chapter conflict with the terms of ARM 37.106.1802, 37.106.1805, 37.106.1810 through 37.106.1814, 37.106.1820, 37.106.1821, 37.106.1825 through 37.106.1829, 3…

37.106.1802 SPECIALTY MENTAL HEALTH FACILITY: DEFINITIONS As used in ARM 37.106.1801, 37.106.1802, 37.106.1805, 37.106.1810 through 37.106.1814, 37.106.1820, 37.106.1821, 37.106.1825 through 37.106.1829, 37.106.1831 through 37.106.1833, 37.106.1841 through 37.106.1845, 37.106.185…

37.106.1805 SPECIALTY MENTAL HEALTH FACILITY: MEDICAL RECORDS A specialty mental health facility must maintain a medical records system in accordance with written policies and procedures, as well as meet the following standards: Employ adequate personnel to ensure prompt and syst…

37.106.1810 SPECIALTY MENTAL HEALTH FACILITY: ORGANIZATIONAL STRUCTURE; GOVERNING BODY A specialty mental health facility must have a governing body that is legally responsible for the conduct of the facility and that: Ensures that the medical and professional staff of the facili…

37.106.1811 SPECIALTY MENTAL HEALTH FACILITY: ADMINISTRATOR A specialty mental health facility must have an administrator who has formal training and/or experience, preferably in the administration of a mental health facility, which demonstrates an ability to perform the function…

37.106.1812 SPECIALTY MENTAL HEALTH FACILITY: MEDICAL AND PROFESSIONAL STAFF A specialty mental health facility must: Have a single, organized professional staff with overall responsibility for the quality of all clinical care provided to patients and the professional practices o…

37.106.1813 SPECIALTY MENTAL HEALTH FACILITY: STAFF DEVELOPMENT A staff development program must be provided for administrative, professional, and support personnel, and must be supervised and directed by a staff committee or qualified person. Staff development programs must be o…

37.106.1814 SPECIALTY MENTAL HEALTH FACILITY: TREATMENT TEAM A specialty mental health facility must have a multi-disciplinary treatment team supervised and directed by the admitting psychiatrist, and consisting of adequate numbers of individuals licensed, registered, or certifie…

37.106.1820 SPECIALTY MENTAL HEALTH FACILITY: QUALITY ASSURANCE The governing body of the facility must ensure that there is an effective, ongoing, facility wide written quality assurance program and implementation plan in effect which ensures, monitors, and evaluates the quality…

37.106.1821 SPECIALTY MENTAL HEALTH FACILITY: UTILIZATION REVIEW A specialty mental health facility must have in effect a utilization review plan to review services furnished by the facility to patients, either through contracted services or by members of its medical staff to pat…

37.106.1825 SPECIALTY MENTAL HEALTH FACILITY: PHYSICAL PLANT Each patient room in a specialty mental health facility must meet the following standards: No more than four patients may be housed in a room. Patient room areas, exclusive of toilet rooms, closets, lockers, wardrobes, …

37.106.1826 SPECIALTY MENTAL HEALTH FACILITY: LIFE SAFETY AND BUILDING CODE A specialty mental health facility must be in compliance with the provisions of the 1994 National Fire Protection Association (NFPA) 101 Life Safety Code, chapters 22 and 23, residential occupancy. The de…

37.106.1827 SPECIALTY MENTAL HEALTH FACILITY: PHYSICAL ENVIRONMENT The facility must maintain adequate facilities for its services, the extent and complexity of facilities being determined by the services offered. The facility must be constructed, equipped, and maintained to prot…

37.106.1828 SPECIALTY MENTAL HEALTH FACILITY: ENVIRONMENTAL CONTROL A specialty mental health facility must be constructed and maintained so as to prevent entrance and harborage of rats, mice, insects, flies or other vermin. Hand cleansing soap or detergent and individual towels …

37.106.1829 SPECIALTY MENTAL HEALTH FACILITY: INFECTION CONTROL A specialty mental health facility must ensure that: the facility has an effective facility wide infection control surveillance program developed for the identification, investigation, prevention and control of nosoc…

37.106.1831 SPECIALTY MENTAL HEALTH FACILITY: EMERGENCY SERVICES The facility must ensure that patients have access to emergency services and to more intensive levels of care, including acute or inpatient psychiatric care. The facility must have an agreement with an outside sourc…

37.106.1832 SPECIALTY MENTAL HEALTH FACILITY: DISASTER PLAN A specialty mental health facility must develop a disaster plan in conjunction with other emergency services in the community which includes a procedure that will be followed in the event of a natural or man-caused disas…

37.106.1833 SPECIALTY MENTAL HEALTH FACILITY: LAUNDRY AND BEDDING If a specialty mental health facility processes its own laundry on the facility site, it must: Set aside a room for laundry and utilize it solely for that purpose. Equip the laundry with a mechanical washer and dry…

37.106.1841 SPECIALTY MENTAL HEALTH FACILITY: REQUIRED TREATMENT SERVICES A specialty mental health facility must: Provide an individually planned regimen of 24-hour evaluation, care, and treatment for each patient with mental health conditions associated with the addiction that …

37.106.1842 SPECIALTY MENTAL HEALTH FACILITY: FOOD AND NUTRITION SERVICES A specialty mental health facility must have nutrition services that are directed and staffed by adequate personnel and meet the following standards: The facility must assign an employee or contract with a …

37.106.1843 SPECIALTY MENTAL HEALTH FACILITY: NURSING SERVICES A specialty mental health facility must provide 24-hour nursing services and meet the following standards: The director of nursing services must be a licensed registered nurse and must: determine the types and numbers…

37.106.1844 SPECIALTY MENTAL HEALTH FACILITY: PHARMACEUTICAL SERVICES A specialty mental health facility must have pharmaceutical services that meet the needs of the patients and include either a pharmacy directed by a registered pharmacist or a drug storage area under the superv…

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…