Section 541 - 24-Hour Services24-Hour Services mean services designed to provide a therapeutic environment of care and treatment within a residential setting for adults and minors. Depending on the severity of the disorder, dangerousness to self or others, and the need for related medical care, treatment is provided through one of the following service functions:
(a) State Hospital, or Developmental Center as specified in Section 4440.5 of the Welfare and Institutions Code, means a health facility licensed pursuant to Section 1250 of the Health and Safety Code and operated by the Departments of State Hospitals or Developmental Services, as defined in Welfare and Institutions Code sections 7200 and 7500, respectively, and which provides treatment services for mentally disordered and developmentally disabled individuals.(b) Local Hospital, which means an acute psychiatric hospital as defined in Section 1250 of the Health and Safety Code, or a distinct acute psychiatric part of a general hospital as defined in Section 1250 of the Health and Safety Code which is approved by the Department to provide psychiatric services.(c) Psychiatric Health Facility, which means a health facility as defined in Section 1250.2 of the Health and Safety Code, or such facility which has a waiver of licensure from the Department, which provides intensive care.(d) Intensive Skilled Nursing Facility, which means a health facility as defined in Section 1250 of the Health and Safety Code, and staffed to provide intensive psychiatric care.(e) Short-Term-Crisis Residential Service (Less than 14 Days), which means a licensed residential community care facility available for admissions 24-hours a day, 7 days a week, and staffed to provide crisis treatment as an alternative to hospitalization. Admissions are generally limited to a stay of less than 14 days for voluntary patients without medical complications requiring nursing care. Twenty-four hour capability for prescribing and supervising medication must be available for patients requiring this level of care. The prescribing capability shall be provided by written agreement.(f) Short-Term Crisis Residential Service (Less than 30 Days), which means a licensed residential community care facility available for admissions 24-hours a day, 7 days a week, and staffed to provide mental health treatment services for voluntary patients without medical complications requiring nursing care and who generally require an average stay of 14-30 days for crisis resolution or stabilization. Twenty-four hour capability for prescribing and supervising medication must be available. The prescribing capability shall be provided by written agreement. Respite care, in accordance with Welfare and Institutions Code, Chapter 5, up to a maximum of 30 days, may be provided within this definition.(g) Jail Inpatient Unit, which means a distinct unit within an adult or juvenile detention facility, designated by a County Board of Supervisors pursuant to Section 5404 of the Welfare and Institutions Code and staffed to provide intensive psychiatric treatment of inmates. Treatment services on the unit shall be under the control of the Local Mental Health Director.(h) Transitional Residential On-Site Service, which means a licensed residential community care facility, designed to provide a comprehensive program of care consisting of a therapeutic residential community plus an all-inclusive structured treatment and rehabilitation program for individuals recovering from an acute stage of illness who are expected to move towards a more independent living situation, or higher level of functioning, within a 3-to-12-month period.(i) Transitional Residential Off-Site Service, which means a licensed residential community care facility, designed to provide, for a 3-to-12-month period, a therapeutic residential community including a range of social rehabilitation activities for individuals who are in remission from an acute stage of illness, and interim support to facilitate movement towards the highest possible level of functioning. Individuals may receive day, outpatient and other treatment services outside the transitional residence.(j) Long-Term Services, which mean services provided in a variety of community facilities for individuals who require care, supervision, resocialization, rehabilitation, and life-enrichment for up to 3 years. Consistent with individual level of care needs, services shall be provided in skilled nursing facilities, intermediate care facilities, residential community care facilities, or other similar facilities.(k) Semi-Supervised Living Services, which mean services provided for persons living alone or together in small cooperative housing units, who require support in case of emergencies, as well as regular assessment and evaluation of the problems of daily living. Services may include provision of a rent subsidy. This service provides a transition to independent living or an indefinite arrangement.(l) Independent Living Services, which mean services, including psychological support and rent subsidy, if necessary, provided to persons who require only minimal support to remain in the community.Cal. Code Regs. Tit. 9, § 541
1. Amendment filed 8-23-83 as an emergency; effective upon filing (Register 83, No. 35). A Certificate of Compliance must be transmitted to OAL within 180 days or emergency language will be repealed on 2-19-84.
2. Reinstatement of section as it existed prior to emergency amendment filed 8-23-83 by operation of Government Code Section 11346.1(f) (Register 84, No. 15).
3. Amendment filed 2-27-84 as an emergency; effective upon filing (Register 84, No. 15). A Certificate of Compliance must be transmitted to OAL within 180 days or emergency language will be repealed on 8-27-84.
4. Editorial correction of HISTORY NOTE No. 3 (Register 84, No. 28).
5. Editorial correction of HISTORY NOTE No. 3 (Register 84, No. 34).
6. Certificate of Compliance including amendment transmitted to OAL 8-14-84 and filed 9-28-84 (Register 84, No. 39).
7. Change without regulatory effect amending subsections (a)-(b) and NOTE filed 8-26-2015 pursuant to section 100, title 1, California Code of Regulations (Register 2015, No. 35). Note: Authority cited: Sections 5750, 10725 and 14700, Welfare and Institutions Code. Reference: Sections 4000, 5600, 5600.4, 5600.5, 5600.6 and 5600.7, Welfare and Institutions Code.
1. Amendment filed 8-23-83 as an emergency; effective upon filing (Register 83, No. 35). A Certificate of Compliance must be transmitted to OAL within 180 days or emergency language will be repealed on 2-19-84.
2. Reinstatement of section as it existed prior to emergency amendment filed 8-23-83 by operation of Government Code Section 11346.1(f) (Register 84, No. 15).
3. Amendment filed 2-27-84 as an emergency; effective upon filing (Register 84, No. 15). A Certificate of Compliance must be transmitted to OAL within 180 days or emergency language will be repealed on 8-27-84.
4. Editorial correction of HISTORY NOTE No. 3 (Register 84, No. 28).
5. Editorial correction of HISTORY NOTE No. 3 (Register 84, No. 34).
6. Certificate of Compliance including amendment transmitted to OAL 8-14-84 and filed 9-28-84 (Register 84, No. 39).
7. Change without regulatory effect amending subsections (a)-(b) and Note filed 8-26-2015 pursuant to section 100, title 1, California Code of Regulations (Register 2015, No. 35).