Ala. Admin. Code r. 580-2-9-.19 - Designated Mental Health Facility
(1) To be a Designated Mental Health Facility
(DMHF) for outpatient commitment purposes, an agency must meet the requirements
to be certified as a Community Mental Health Center, apply for designation, and
be approved by the Department of Mental Health.
(2) For a hospital to be a Designated Mental
Health Facility for purposes of inpatient commitment and/or detaining a person
in accordance with the Community Mental Health Officer Act, it must operate
psychiatric beds that have the ability to receive persons for evaluation,
examination, admission, detention, or treatment pursuant to the provisions of
the Commitment Law and meet the following criteria:
(a) Be accredited for psychiatric inpatient
services by the Joint Commission on Accreditation of Healthcare Organizations
or be certified by Medicare.
(b)
Apply for designation.
(c) Be
approved.
(d) Agree to forward
reports of renewals of Joint Commission or Medicare accreditation immediately
upon receipt as well as copies of any other Joint Commission or Medicare action
that affects their accreditation status in any way.
(3) To be a non-hospital Designated Mental
Health Facility for purposes of inpatient commitment and/or detaining a person
in accordance with the Community Mental Health Officer Act, an agency must meet
the following criteria.
(a) Be certified as a
Community Mental Health Center.
(b)
The location of the DMHF must be an adult residential program that is certified
under 580-2-9-.18 (except for a
Residential Care Home).
(c) Have
the ability to receive persons for evaluation, examination, admission,
detention, or treatment pursuant to the provisions of the Commitment
Law.
(d) Have a staff member who is
a licensed psychologist, licensed certified social worker, licensed
professional counselor, or a nurse with a master's degree in psychiatric
nursing with ready access to the Clinical Director or a consulting psychiatrist
to perform an evaluation of the respondent and, at a minimum, address the
following areas in writing.
1. The manner in
which the security available in a residential program will meet the security
needs of the respondent.
2. A
determination that the respondent meets the admission criteria of the
residential program.
3. The manner
in which the treatment services available through the residential program will
meet the identified treatment needs of the respondent.
4. The manner in which the respondent's need
for nursing services can be met in the residential program.
5. The estimated need for seclusion and
restraint.
(e) Have a
representative who is required to report to the Probate Judge that the
respondent can be appropriately served in the residential program.
(f) Have the community mental health center
psychiatrist approve the admission to the residential program in writing if a
person is committed to the residential facility following the final
hearing.
(g) Be able to quickly
transfer an involuntarily committed individual to a more secure/intensive
environment by transfer to either a local or state hospital.
(h) Be able to bring in supplemental staff in
cases where a consumer is awaiting transfer or otherwise needs additional
supervision.
(i) Notify the
Admission Office of the respective state hospital of the admission or transfer
of a person who is involuntarily committed.
(j) Notify the committing Probate Court
whenever an involuntarily committed individual is transferred from the
designated mental health facility to another location.
(k) Be certified as a crisis residential
program as set forth in section
580-2-9-.18(35)
and conform to rule
580-2-9-.24 if seclusion and
restraint are used.
Notes
Author: Division of Mental Illness, DMH
Statutory Authority: Code of Ala. 1975, ยง 22-50-11.
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