Montana Administrative Code

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…

37.106.201 PURPOSE OF COMMUNITY BENEFITS AND FINANCIAL ASSISTANCE RULES Each hospital, critical access hospital, or rural emergency hospital that operates as a nonprofit health care facility under section 501(c)(3) of the Internal Revenue Code, 26 U.S.C. § 501(c)(3) (referred to …

37.106.2011 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, ADULT FOSTER CARE SPECIALIST A mental health center providing foster care shall employ or contract with at least one adult foster care specialist. The adult foster care specialist shall have the knowl…

37.106.2015 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, CLIENT ADMISSION CRITERIA AND NEEDS ASSESSMENT A mental health center providing foster care shall establish admission criteria which assesses the client's needs and the appropriateness of foster care …

37.106.2016 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, TREATMENT PLAN A mental health center providing foster care shall implement a treatment plan for each client that: structures rehabilitation and treatment activities to promote increasing levels of in…

37.106.2017 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, CLIENT PLACEMENT AGREEMENTS The mental health center shall enter into an individual placement agreement which sets forth the terms of the client's placement, the responsibilities of the foster care pr…

37.106.2018 MENTAL HEALTH CENTER: FOSTER CARE FOR ADULTS WITH MENTAL ILLNESSES, CLIENT RIGHTS AND RESPONSIBILITIES Upon admission a mental health center providing foster care shall provide each client with: a written statement of the client's rights which, at a minimum, include t…

37.106.202 DEFINITIONS For the purposes of this subchapter, the following definitions apply: "Community benefit" means initiatives and activities undertaken by a nonprofit hospital, critical access hospital, or rural emergency hospital to improve health in the communities it serv…

37.106.2025 APPLICATION OF OTHER RULES In addition to the requirements established in this subchapter, each mental health center providing a secured inpatient crisis stabilization program shall comply with all the requirements established in ARM 37.106.1945 and 37.106.1946 with t…

37.106.2026 SCOPE OF THIS RULE This rule is intended to apply to all state licensed mental health centers or hospitals providing a secured crisis stabilization service as part of the crisis service continuum. Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-201…

37.106.2027 DEFINITIONS In addition to the definitions in 50-5-101, MCA, the following definitions apply to this subchapter: "Crisis plan" means an initial, brief, individualized plan that: lists client problems identified by the secured crisis stabilization facility's mental hea…

37.106.203 Community benefit and financial assistance requirements The duty of nonprofit hospitals, critical access hospitals, and rural emergency hospitals to provide community benefits and financial assistance is established in 50-5-121, MCA. To satisfy the requirements, a nonp…

37.106.2031 CONSTRUCTION REQUIREMENTS Prior to construction, floor plans for the secured in-patient crisis stabilization facility must be submitted to the Licensure Bureau of the Department of Public Health and Human Services for review, comment, and approval. Prior to occupancy,…

37.106.2032 PATIENT TOILETS AND BATHING There will be at least one toilet available for every four patients in the facility. There will 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 …

37.106.2033 SPECIAL LOCKING ARRANGEMENTS The facility must follow the provisions of the 2000 Edition of the NFPA 101, Life Safety Code, (LSC). A copy of this publication can be obtained from the Department of Public Health and Human Services, Quality Assurance Division, Licensure…

37.106.2034 SECLUSION AND RESTRAINT A SCSF must be capable of providing restraint or seclusion and must ensure that the restraint or seclusion is performed in compliance with 42 CFR 482.13(f)(1) through (7). The department adopts and incorporates by reference 42 CFR 482.13(f)(1) …

37.106.2038 ADMISSIONS PROCEDURES The facility will develop and implement a written policy outlining the admission criteria for placing a client into the secured service. Authorizing statute(s): 50-5-103, MCA Implementing statute(s): 50-5-201, MCA History: NEW, 2008 MAR p. 1993, …

37.106.2039 DISCHARGE PROCEDURES The facility shall develop and implement discharge and transfer criteria for discharging a client from the secured setting. At the end of the detention the facility must: discharge the patient; refer the patient to a licensed nonsecured inpatient …

37.106.204 REPORTING requirements Each nonprofit hospital, rural emergency hospital, or critical access hospital shall submit to the department, with the annual hospital financial report required in ARM 37.106.138, the following documents within 30 days of its filing of the appli…

37.106.2042 STAFF QUALIFICATIONS AND ORGANIZATIONAL STRUCTURE Each SCSF shall employ or contract with a site based administrator who has daily overall management responsibility for the operation of the SCSF. The administrator of the mental health center or hospital if they are si…

37.106.2046 SECURED CRISIS STABILIZATION FACILITY: CLIENT ASSESSMENTS Each SCSF shall employ or contract with licensed mental health professionals to conduct clinical intake assessments which may be abbreviated assessments focusing on the crisis issues and safety. Abbreviated int…

37.106.2047 SECURED CRISIS STABILIZATION FACILITY: CLIENT DISCHARGE Each SCSF 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 SCSF including rec…

37.106.2048 SECURED CRISIS STABILIZATION FACILITY: EMERGENCY PROCEDURES Each SCSF 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 cont…