N.Y. Comp. Codes R. & Regs. tit. 14 § 587.13

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

Section 587.13 - Intensive psychiatric rehabilitation treatment programs

(a) An intensive psychiatric rehabilitation treatment program is time limited, with active psychiatric rehabilitation designed to assist persons in forming and achieving mutually agreed upon goals in living, learning, working and social environments, to intervene with psychiatric rehabilitation technologies to overcome functional disabilities, and to improve environmental supports.

(b) Eligibility for admission to an intensive psychiatric rehabilitation treatment program shall be based on:

(1) a designated mental illness diagnosis;

(2) a dysfunction due to mental illness which is likely to continue for a prolonged time;

(3) readiness to participate in a designated intensive psychiatric rehabilitation treatment program; and

(4) referral by a licensed practitioner.

(c) An intensive psychiatric rehabilitation treatment program shall provide psychiatric rehabilitation service planning and discharge planning services in accordance with section 587.17 of this Part. In addition, the program shall offer each of the following services, to be provided consistent with the recipients' conditions and needs:

(1) psychiatric rehabilitation readiness determination;

(2) psychiatric rehabilitation goal setting;

(3) psychiatric rehabilitation functional and resource assessment;

(4) psychiatric rehabilitation skills and resource development; and

(5) psychiatric rehabilitation support services.

(d) Any additional services provided by the intensive psychiatric rehabilitation treatment 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, but shall not include vocational rehabilitation or educational services to which the recipient is otherwise legally entitled. Electroconvulsive therapy and aversive conditioning therapy shall not be allowed as optional services.

(e) An intensive psychiatric rehabilitation treatment program may provide services to persons aged 15-17 years if:

(1) the provider has demonstrated its capability in providing services to adolescents; and

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

(f) An intensive psychiatric rehabilitation treatment program shall have the capacity to provide services both on-site and off-site in community settings.

(g) An intensive psychiatric rehabilitation treatment program shall provide direct supervision to a recipient engaged in skills and resource development. An intensive psychiatric rehabilitation treatment program shall provide staff support off-site to an enrolled person as needed when such person is engaged independently in the community as part of planned rehabilitation activities.

(h) The provider of service of an intensive psychiatric rehabilitation treatment 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 an intensive psychiatric rehabilitation treatment program shall occur within the first three visits. A screening and admission note must be written upon decision to admit which shall include the following:

(1) reason for referral;

(2) primary needs and rehabilitation aspirations;

(3) admission diagnosis; and

(4) results of a psychiatric rehabilitation readiness determination.

(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 provider of service shall retain written documentation of the referral for services in the case record.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 587.13

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