Subpart 1.
Service initiation
policy.
A license holder must have a written service initiation policy
containing service initiation preferences which comply with this rule and Code
of Federal Regulations, title 45, part 96.131, and specific service initiation
criteria. The license holder must not initiate services for individuals who do
not meet the service initiation criteria. The service initiation criteria must
be either posted in the area of the facility where services for clients are
initiated, or given to all interested persons upon request. Titles of all staff
members authorized to initiate services for clients must be listed in the
services initiation and termination policies. A license holder that serves
intravenous drug abusers must have a written policy that provides service
initiation preference as required by Code of Federal Regulations, title 45,
part 96.131.
Subp. 2.
License holder responsibilities; terminating or denying services.
A license holder has specific responsibilities when terminating
services or denying treatment service initiation to clients for reasons of
health, behavior, or criminal activity.
A. The license holder must have and comply
with a written protocol for assisting clients in need of care not provided by
the license holder, and for clients who pose a substantial likelihood of harm
to themselves or others, if the behavior is beyond the behavior management
capabilities of the staff. All service terminations and denials of service
initiation which pose an immediate threat to the health of any individual or
require immediate medical intervention must be referred to a medical facility
capable of admitting the individual.
B. All service termination policies and
denials of service initiation that involve the commission of a crime against a
license holder's staff member or on a license holder's property, as provided
under Code of Federal Regulations, title 42, section 2.12(c)(5), and Code of
Federal Regulations, title 45, parts 160 to 164, must be reported to a law
enforcement agency with proper jurisdiction.
Subp. 3.
Service termination and
transfer policies.
A license holder must have a written policy specifying the
conditions under which clients must be discharged. The policy must
include:
A. procedures for individuals
whose services have been terminated under subpart
2;
B. a description of client behavior that
constitutes reason for a staff-requested service termination and a process for
providing this information to clients;
C. procedures consistent with Minnesota
Statutes, section
253B.16,
subdivision 2, that staff must follow when a client admitted under Minnesota
Statutes, chapter 253B, is to have services terminated;
D. procedures staff must follow when a client
leaves against staff or medical advice and when the client may be dangerous to
self or others;
E. procedures for
communicating staff-approved service termination criteria to clients, including
the expectations in the client's individual treatment plan according to part
9530.6425; and
F. titles of staff members authorized to
terminate client services must be listed in the service initiation and
termination policies.
