N.Y. Comp. Codes R. & Regs. tit. 14 § 587.12

Current through Register Vol. 46, No. 45, November 2, 2024

Section 587.12 - Partial hospitalization programs

(a) A partial hospitalization program shall provide active treatment designed to stabilize and ameliorate acute symptoms, to serve as an alternative to inpatient hospitalization, or to reduce the length of a hospital stay within a medically supervised program.

(b) Eligibility for admission to a partial hospitalization program shall be based on a designated mental illness diagnosis which has resulted in dysfunction due to acute symptomatology which requires medically supervised intervention to achieve stabilization and which, but for the availability of a partial hospitalization program, would necessitate admission to or continued stay in an inpatient hospital. At least one-third of annual admissions shall come from clinically appropriate referrals from 9.39 approved hospitals, comprehensive psychiatric emergency programs, State operated facilities, and Comprehensive Outpatient Program providers. In order to assure that this referral process best meets the needs of the local mental health system, a partial hospitalization program shall develop admission referral and linkage agreements with providers designated by the Office of Mental Health in consultation with the appropriate local government unit. These agreements shall be approved in writing by the local government unit and the Office of Mental Health.

(c) A partial hospitalization program shall provide assessment and health screening services to all recipients. Treatment planning and discharge planning services shall be provided in accordance with section 587.16 of this Part.

(d) A partial hospitalization program shall offer each of the following services, to be provided consistent with recipients' conditions and needs:

(1) health referral;

(2) symptom management;

(3) medication therapy;

(4) medication education;

(5) verbal therapy;

(6) case management;

(7) psychiatric rehabilitation readiness determination and referral;

(8) crisis intervention services;

(9) activity therapy; and

(10) clinical support services.

(e) The following services may be provided by other providers of service or by other programs operated by the provider of service: case management; crisis intervention services; health screening and referral; and psychiatric rehabilitation readiness determination and referral. Additional services may be provided by other providers of service upon the prior review and approval by the Office of Mental Health.

(f) Any additional services provided by the partial hospitalization program which are clinically appropriate shall be considered optional services and shall be subject to prior review and written approval by the Office of Mental Health. Aversive conditioning therapy shall not be allowed as an optional service.

(g) A partial hospitalization program may provide services to children if:

(1) the provider has demonstrated its capability in providing services to children, or is otherwise affiliated with an inpatient facility; and

(2) services to children are separate from those provided to adults enrolled in the program.

(h) The provider of service of a partial hospitalization program shall develop a plan for assuring continuity of care within the mental health system and other service systems (e.g., social services, health care, local correctional systems). Such plan shall be subject to approval by the Office of Mental Health.

(i) Admission to a partial hospitalization program shall occur within the first three visits. A screening and admission note shall be written upon a decision to admit which shall include the following:

(1) reason for referral;

(2) primary clinical and service-related needs and services to meet those needs; and

(3) admission diagnosis.

(j) When an admission is not indicated notation shall be made of the following:

(1) the reason for no admission;

(2) the disposition of the recipient; and

(3) any referrals made as appropriate.

(k) The partial hospitalization program shall develop a plan which will assure an appropriate response to persons enrolled in the program who need assistance when the program is not in operation. Such plan shall be subject to Office of Mental Health approval.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 587.12

Amended, New York State Register, Volume XXXVI, Issue 22, effective 6/4/2014