N.H. Admin. Code § He-M 405.12

Current through Register No. 50, December 12, 2024

Section He-M 405.12 - Services to Be Provided

(a) The following shall be basic services provided to all clients of DRFs:

(1) Psychiatric evaluation, including mental status and alcohol/substance abuse evaluations, as determined necessary by the treating psychiatrist;

(2) Administration of psychotropic medication, where appropriate;

(3) Medical monitoring, as ordered by the treating psychiatrist;

(4) Clinical supervision of clients by DRF staff, including monitoring signs and symptoms of mental illness, monitoring responses to medication and other treatment, and monitoring implementation of treatment plans;

(5) Individual and group therapeutic activity directed toward short-term stabilization of psychiatric crisis;

(6) Family support, including family education, consultation, and, when clinically indicated, therapy;

(7) For minors, family support services unless clinically contraindicated; and

(8) Case coordination, including coordination of client evaluation, treatment planning, discharge, and linkage with appropriate community services, as follows:

a. Clients who are not currently assigned to a CMHC case manager shall receive case coordination services from either CMHC or DRF staff upon admission to a DRF and continuing through discharge; and

b. Clients who are currently assigned to a CMHC case manager shall continue to receive such services, which shall include those services outlined in He-M 405.12(a)(8).

(b) In addition to the services identified in (a) above, a DRF shall provide the following rehabilitative services to clients whose lengths of admission exceed 30 days:

(1) For adults:

a. A functional assessment of each client's independent living skills; and

b. Instruction in independent living skills to prepare each client for discharge, as specified in a client treatment plan; and

(2) For minor clients:

a. A therapeutic milieu which provides behavioral management and structured activities;

b. Educational screening;

c. Educational programming which meets board of education standards; and d. Treatment and discharge planning which shall include participation of family members, guardians, teachers, and representatives of other agencies which provide services to the clients.

(c) Services shall be age and developmentally appropriate such that discrete, physically separate residential quarters and programmatically separate program areas shall be provided for minors and adults. Services shall be provided such that language barriers are overcome.

N.H. Admin. Code § He-M 405.12

#5323, eff 1-31-92; ss by #5432, eff 7-1-92; ss by #5581, eff 2-12-93, EXPIRED, 2-12-99

New. #7051, eff 6-29-99, EXPIRED: 6-29-07

New. #10389, INTERIM, eff 8-1-13, EXPIRES: 1-28-14; ss by #10516, eff 1-28-14 (from He-M 405.11 )

Amended by Volume XLII Number 2, Filed January 13, 2022, Proposed by #13299, Effective 12/2/2021, Expires 12/2/2031