N.H. Admin. Code § He-M 403.06

Current through Register No. 50, December 12, 2024

Section He-M 403.06 - CMHP Services and Programs

(a) A CMHP shall provide the following, either directly or through a contractual relationship:

(1) Intake assessment which shall address substance abuse history and at risk behaviors and determination of eligibility pursuant to He-M 401;

(2) Case management pursuant to He-M 426.15;

(3) Individual service plan development and monitoring pursuant to He-M 401.10-He-M 401.13;

(4) Discrete employment services for adults with mental illness which shall include, but not be limited to, evidence-based supported employment;

(5) Protection of consumers' rights pursuant to He-M 204 and He-M 309;

(6) Mobile, psychiatric emergency services which shall:

a. Be available 7 days per week, 24 hours per day;

b. Include clinical/psychiatric evaluation and treatment, medication services, and referral to inpatient treatment; and

c. Be available at the CMHP and other community locations including hospitals, homeless shelters, police stations, and residences;

(7) Planning, coordination, and implementation of a regional mental health disaster response plan which shall specify responsibilities and procedures for:

a. Coordination with other local and regional agencies that provide emergency management services including relief from a disaster;

b. Identification of members of the community at large who are vulnerable to behavioral health crises during times of disaster;

c. Provision of on site crisis assessment and diagnostic and counseling services; and

d. Addressing the acute psychiatric treatment needs of community members and assuring the availability of community support and treatment services to consumers of the state mental health system who are vulnerable during times of disaster due to the nature of their mental illness;

(8) Outreach to persons with mental illness who are homeless for the purpose of engaging such persons in the service system and providing non-office-based diagnostic and treatment services;

(9) Services to emergency shelters and providers of services to homeless persons, including:

a. Liaison services to ensure service coordination and problem solving;

b. Education and training of staff in topics regarding mental illness, psychiatric medications, available treatments and services, and other relevant topics through inclusion in related and appropriate CMHP staff development activities; and

c. Consultation regarding specific individuals with mental illness;

(10) Collaboration with state and local housing agencies and providers to promote access to existing housing and the development of housing for persons with mental illness, including home ownership and rental options;

(11) Individual, group, and family psychotherapy;

(12) Medication services, including psychiatric and nursing assessment, medication prescription and monitoring, oral and intravenous administration, and education;

(13) Consultation, as requested, and support to consumer-operated programs to promote the development of consumer self-help/peer support;

(14) Evidence-based illness management and recovery services pursuant to He-M 426, including those services provided in community settings such as residences and places of employment;

(15) NHH census management services, including a staff liaison who has NHH privileges and participates in NHH treatment and discharge planning meetings on a regular basis; and

(16) Specialized treatment services to eligible persons with mental illness and a concomitant alcohol and/or substance use disorder, including assessment of alcohol/substance use disorders, as part of the clinical evaluation process and provision of treatment for both the substance use disorder and the mental illness, as necessary.

(b) In addition to those services identified above, a CMHP shall provide developmentally appropriate services to children who are eligible for services pursuant to He-M 401.08 through He-M 401.09 and elderly persons residing in community settings who are eligible for services pursuant to He-M 401.05 through He-M 401.07 and shall give priority to children connected to the division for children, youth and families when there is an inability to serve all applicants at a given time.

(c) Services provided to eligible children and elderly persons shall be community-based.

(d) Services provided to children shall include the following:

(1) Family support and education, including designation of a family liaison;

(2) Psychiatric diagnostic and medication services;

(3) Case management, including appropriate interagency involvement;

(4) Individual, family, and group therapy;

(5) Intake and assessment;

(6) Crisis intervention;

(7) Outreach support to children and their families, both in their homes and in community settings;

(8) Functional support services;

(9) Sexual offender assessments and treatment; and

(10) Specialty services for the treatment of attachment disorder.

(e) Services provided to elderly persons residing in community settings shall include:

(1) Intake and assessment;

(2) Psychiatric diagnosis and treatment;

(3) Case management;

(4) Consultation and education to families, community agencies, and the general public;

(5) Outreach support to elders and their families, both in their homes and in community settings;

(6) PASARR evaluations, coordinated with nursing homes, hospitals, and the bureau, as needed; and

(7) Referral Education Assistance and Prevention Program.

(f) A CMHP shall make services available to persons who have both a mental illness pursuant to He-M 401 and a developmental disability pursuant to He-M 503.

(g) A CMHP shall participate in regular interagency team meetings with representatives of the other agencies serving mutual clients.

(h) A CMHP shall conduct community education activities, including the provision of education and consultation to members of the community at large, with the goal of increasing the acceptance of persons with mental illness. Activities shall include working with the media, public speaking and information dissemination.

(i) A CMHP shall perform active monitoring of services through a comprehensive quality assurance program that:

(1) Is based on a written quality assurance plan which includes outcome indicators and incorporates input from consumers and family members;

(2) Includes the following activities:

a. Utilization review;

b. Peer review;

c. Evaluation of clinical services;

d. Consumer satisfaction surveys;

e. Validation of staff credentials to practice;

f. Complaints review; and

g. Reporting and assessment of serious incidents; and

(3) Results in an annual report.

(j) A CMHP shall strive to provide all services within the least restrictive environment in each consumer's own community, and in a manner which promotes the personal self-sufficiency, dignity, and maximum community participation of each consumer.

(k) A CMHP shall provide services that are responsive to the particular needs of members of minority communities within the region.

(l) The services and programs for which a CMHP is responsible may be administered directly by the CMHP, or the CMHP may enter into agreement(s) with individuals and organizations for the provision of designated services or programs.

(m) A CMHP shall be responsible and accountable for all CMHP services and programs, whether administered directly by the CMHP or provided under contracts with individuals or organizations.

(n) A CMHP shall ensure that services and programs shall be operated in compliance with rules and contract requirements established by the department.

(o) In order to ensure the best possible coordination and continuity of services for clients and their families, a CMHP shall establish working relationships with other human service agencies in the region who serve consumers, including but not limited to:

(1) Independent peer support programs, which shall include coordination with and referral to consumer operated peer support programs such as telephone support lines where available;

(2) Homeless shelters;

(3) The division of vocational rehabilitation of the department of education;

(4) Area agencies;

(5) Criminal justice agencies;

(6) The division for children, youth, and families; and

(7) Local interagency family assistance teams that are made up of:

a. The division for children youth, and families;

b. Local school districts; and

c. Other child-serving agencies.

N.H. Admin. Code § He-M 403.06

#4195, eff 1-1-87, EXPIRED: 1-1-93

New. #6816, eff 7-25-98, EXPIRED: 7-25-06

New. #8716, INTERIM, eff 9-6-06, EXPIRED: 3-5-07

New. #9533, eff 9-1-09

Amended by Volume XXXVII Number 41, Filed October 12, 2017, Proposed by #12388, Effective 9/23/2017, Expires 3/22/2018.

The amended version of this section by New Hampshire Register Volume 38, Number 19, eff.4/30/2018 is not yet available.