Iowa Admin. Code r. 481-51.23 - Psychiatric services
(1)
General
requirements. Any hospital operating as a psychiatric hospital or
operating a psychiatric unit shall:
a. Be a
hospital or unit primarily engaged in providing, by or under the supervision of
a doctor of medicine or osteopathy, psychiatric services for the diagnosis and
treatment of persons with psychiatric illnesses/disorders;
b. Comply with the requirements of this
chapter applicable to hospitals. If medical and surgical diagnostic and
treatment services are not available within the hospital , the hospital shall
have an agreement with an outside source of these services to ensure they are
immediately available;
c. Have
policies and procedures for informing patients of their rights and
responsibilities and for ensuring the availability of a patient advocate;
and
d. Have sufficient numbers of
qualified professionals and support staff to evaluate patients, formulate
written individualized comprehensive treatment plans, provide active treatment
measures, and engage in discharge planning.
(2)
Personnel.
a.
Director of inpatient psychiatric
services. The director of inpatient psychiatric services shall be a
doctor of medicine or osteopathy qualified to meet the training and experience
requirements for examination by the American Board of Psychiatry and Neurology
or the American Osteopathic Board of Neurology and Psychiatry.
b.
Director of psychiatric nursing
services. The director of psychiatric nursing services shall:
(1) Be a registered nurse who has a master's
degree in psychiatric or mental health nursing;
(2) Be an advanced registered nurse practitioner
certified in psychiatric or mental health nursing; or
(3) Be qualified by education and two years'
experience in the care of persons with mental disorders.
c.
Psychological services.
Psychological services shall be provided or available that are in compliance
with Iowa Code chapter 154B.
d.
Social services. Social services shall provide, or have
available by contract, at least one staff member who has:
(1) A master's degree from an accredited school of
social work; or
(2) A bachelor's
degree in social work with two years' experience in the care of persons with
mental disorders.
e.
Therapeutic services. Therapeutic activities shall be provided
by qualified therapists. The activities shall be appropriate to the needs and
interests of the patients.
(3)
Individual written plan of care.
An individual written plan of care shall be developed by an interdisciplinary
team of a physician and other personnel who are employed by, or who provide
service under contract to patients in, the facility. The plan of care shall:
a. Be based on a diagnostic and psychiatric
evaluation that includes examination of the medical, psychological, social,
behavioral, and developmental aspects of the patient. The initial diagnostic
and psychiatric evaluation shall be completed within 60 hours of
admission;
b. Be developed by an
interdisciplinary team in consultation with the patient, the patient's legal
guardian, and others who are currently providing services or who will provide
care upon discharge;
c. State
treatment objectives through measurable and obtainable outcomes;
d. Prescribe an integrated program of
therapies, activities, and experiences designed to meet those
objectives;
e. Include an
appropriate post discharge plan with coordination of services to provide
continuity of care following discharge; and
f. Be reviewed as needed by the interdisciplinary team
for the continued appropriateness of the plan and for a determination of needed
changes.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.