N.J. Admin. Code § 8:135-1.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:135-1.5 - Level I definition, criteria, and program structure

(a) A patient who warrants supervision at Level I are those who:

1. Pose a serious risk of harm to themselves, others, or property if a lower level of supervision were to be provided;

2. Have not yet been evaluated for level of risk; or

3. Have been recently admitted.

(b) A patient who is assigned to supervision Level I shall be provided programming on-unit except for diagnostic and treatment services that are medically and therapeutically necessary and cannot be provided on-unit.

1. The treatment team shall determine and document these services in the patient's clinical record.

2. Staff shall escort a patient assigned to supervision Level I who attends off-unit services.

3. A patient assigned to supervision Level I is not permitted to have home visits or participate in off-grounds programming.

4. A patient who is assigned to supervision Level I shall have access to the outdoors and appropriate recreation unless clinically contraindicated.

(c) High risk factors present in an individual that will justify placement of Level I supervision include, but are not limited to:

1. Suicidal ideation or behavior (High Suicide Risk);

2. Homicide risk;

3. Assault risk;

4. Severe impulse control problems;

5. Imminent arson risk;

6. Severe confusion or disorientation, making adjustment to unfamiliar surroundings difficult or impossible;

7. Gross psychotic or mood disorder that causes a risk of imminent harm to self or others;

8. High elopement/walkaway risk as indicated by verbal intent and/or recent history;

9. Past history of violent or homicidal behavior;

10. Physical deterioration; or

11. The presence of acute medical problems.

(d) Staff shall provide a patient who is assigned to supervision Level I:

1. An activity level that is highly supportive and structured to facilitate the beginning of successful participation and maximizes the opportunity for successful experiences in treatment for individuals who exhibit Level I criteria; and

2. On-unit individual or small group sessions to introduce and reinforce processes that elicit information about the patient's needs, problems, and priorities of treatment and introduce expectations regarding the patient's responsibility and ability to influence the course of treatment while hospitalized.

N.J. Admin. Code § 8:135-1.5

Amended by R.1993 d.58, effective 2/1/1993.
See: 24 New Jersey Register 4232(a), 25 New Jersey Register 583(b).
In (b): added "but are not limited to" to clarify listing of medical condition criteria.
Amended by R.1998 d.62, effective 1/20/1998.
See: 29 New Jersey Register 3763(b), 30 New Jersey Register 386(a).
Inserted new (c), and recodified existing (c) and (d) as (d) and (e).
Recodified from N.J.A.C. 10:36-1.4 and amended by R.2003 d.236, effective 7/7/2003.
See: 34 New Jersey Register 4290(a), 35 New Jersey Register 2903(a).
Rewrote the section. Former N.J.A.C. 10:36-1.5, Level II definition, criteria and program structure, recodified to N.J.A.C. 10:36-1.6.

Amended and recodified from 10:36-1.5 by by 55 N.J.R. 2258(b), effective 11/9/2023