Section 164.082 - Special PopulationsLicensed and Approved Providers providing services to special populations listed in 105 CMR 164.082(A) through (E) shall make additional provisions as specified:
(A)Pregnant Women. Licensed and Approved Providers serving pregnant women shall: (1) establish in writing clinically appropriate medical protocols for pregnant women;(2) designate a hospital for emergency obstetrical and medical back-up; however, patients or residents may elect to choose their own medical providers;(3) coordinate care with obstetrical or other maternity care providers as appropriate;(4) provide for appropriate parent or legal guardian-child services directly or through a QSOA; and(5) be available to serve women in all three trimesters of pregnancy.(B)Adolescents and Transition Age Youth. Licensed and Approved Providers serving Adolescents and/or Transition Age Youth shall:(1) ensure that assessments as required in 105 CMR 164.072 include an evaluation of: (a) developmentally age-appropriate behaviors;(b) cognitive functioning;(d) existing peer and family supports, peer group and family functioning;(e) experience of trauma;(f) history of mental health diagnoses;(g) availability of and access to recovery supports;(2) determine the person's custody status if younger than 18 years old;(3) ensure that staff providing services for children and adolescents have specific training in child and teen development, including a minimum of five college credit hours in courses related to the topic;(4) ensure that services for adolescents are supervised by a Senior Clinician with at least two years post-master's experience working with adolescents with substance use disorders;(5) ensure available parent or care-giver support and education services;(6) ensure that adolescents are served in programs which are separate from programs serving adult populations; and(7) prior to providing any services to persons younger than 18 years old, inform the Department of the nature and scope of any services provided to adults in the same facility as those intended for services for adolescents. The Department shall determine whether such proximity of adult services constitutes a risk to adolescents.(C)Persons with Co-occurring Disorders. Licensed and Approved Providers serving persons with co-occurring disorders shall: (1) establish policies and procedures for referrals for specialized mental health care care; and(2) if the Licensed or Approved Provider is not also licensed or approved to provide mental health services, establish QSOAs providing for mental health interventions and coordinated care. (D)Elders. Licensed and Approved Providers serving persons 60 years of age or older shall establish QSOAs with local organizations providing services for the elderly.(E)Persons with Disabilities. Licensed and Approved Providers serving persons with disabilities shall:(1) establish policies and procedures that identify any specialized programming for persons with disabilities;(2) establish policies and procedures for referrals as appropriate to specialized services for persons with disabilities; and(3) establish QSOAs with state and local organizations providing services and/or care coordination for persons with disabilities.Amended by Mass Register Issue 1304, eff. 10/21/2015.Amended by Mass Register Issue 1305, eff. 1/29/2016.Amended by Mass Register Issue 1482, eff. 11/11/2022.