Cal. Code Regs. Tit. 22, § 77113 - Admission Policies
(a)
Each facility shall have and implement written admission and discharge policies
encompassing which licensed health professionals may admit patients, the types
of diagnoses for which patients may be admitted, limitations imposed by law or
licensure, staffing limitations, rules governing emergency admissions, policies
concerning advance deposits, rates of charge for care, charges for extra
services, limitations of services, termination of services, refund policies,
insurance agreements and other financial considerations, discharge of patients
and other relevant functions. These policies shall be made available to
patients or their agents upon admission and upon request, and shall be made
available to the public upon request.
(1)
Only persons diagnosed with major mental disorders are to be treated in
psychiatric health facilities.
(2)
Psychiatric health facilities shall not admit and treat patients with the
primary diagnosis of an eating disorder as defined in Section
1254.5(b)
of the California Health and Safety Code.
(3) Psychiatric health facilities shall not
admit and treat patients when the primary diagnosis is chemical dependency,
chemical intoxication or chemical withdrawal.
(4) Individuals with major mental disorders
shall not be admitted to a psychiatric health facility if their treatment
requires medical interventions beyond the level appropriate to a psychiatric
health facility, including:
(A)
detoxification from substance abuse,
(B) treatment for substance induced
delirium.
(b) A
facility shall accept and retain only those patients for whom it can provide
adequate care, including but not limited to the provisions of Section
77135.
(c) A minor shall not be detained in a
facility against the will of his or her parent or legal guardian. In those
cases where law permits minors to contract for or consent to the type of
medical care provided by the facility, without the consent of their parent or
guardian, they shall not be detained in the facility against their will. This
provision shall not be construed to preclude or prohibit attempts to persuade
patients to remain in the facility in their own interest, nor the temporary
detention of patients for the protection of themselves or others under the
provisions of the Lanterman-Petris-Short Act (Welfare and Institutions Code,
Section
5000
et seq.), if the facility has been designated by the county as
a treatment facility pursuant to said act, nor to prohibit minors legally
capable of contracting for or consenting to medical care from assuming
responsibility for their discharge.
(d) Within 24 hours after admission or
immediately before admission, every patient shall have a complete history and
physical examination unless a history and physical examination has been
completed within the previous 30 days and is determined by the attending
physician to be current.
(e) No
inpatient shall be transferred or discharged for purposes of effecting a
transfer, from a facility to another facility, unless arrangements have been
made in advance for admission to such health facility and the person legally
responsible for the patient has been notified or, in the case of an emergency,
documented attempts to contact such person have been made and a responsible
person cannot be reached. A transfer or discharge shall not be carried out if
in the opinion of the clinical director such transfer or discharge would be
contraindicated, unless there exists no legal basis to do so. This section
shall not be construed to prohibit the transfer or discharge of a patient
pursuant to court orders.
(f) There
shall be a method of prompt and accurate identification of each patient
admitted to the facility.
Notes
2. New subsections (a)(1)-(a)(4)(B), amendment of subsection (b) and amendment of NOTE filed 5-7-99; operative 6-6-99 (Register 99, No. 19).
Note: Authority cited: Section 1275, Health and Safety Code; and Section 4080(f)(1), Welfare and Institutions Code. Reference: Section 1275.1, Health and Safety Code; and Section 4080(f)(1), Welfare and Institutions Code.
2. New subsections (a)(1)-(a)(4)(B), amendment of subsection (b) and amendment of Note filed 5-7-99; operative 6-6-99 (Register 99, No. 19).
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