(A)
Partial
hospitalization
Mental health day
treatment is an intensive, structured, goal-oriented, distinct and
identifiable treatment service that utilizes multiple mental health
interventions that address the individualized mental health needs of the
client.
Partial hospitalization
Mental health day treatment services are clinically
indicated by assessment with clear admission and discharge criteria. The
environment at this level of treatment is highly structured, and there should
be an appropriate staff-to-client ratio in order to guarantee sufficient
therapeutic services and professional monitoring, control, and protection.
The purpose and intent of partial
hospitalization
mental health day
treatment is to stabilize, increase or sustain the highest level of
functioning and promote movement to the least restrictive level of care.
The outcome is for the individual to develop the capacity to
continue to work towards an improved quality of life with the support of an
appropriate level of care.
(B) In addition to the definitions found in
rule
5122-24-01 of the Administrative
Code, the following definition applies to this rule:
(1) "Partial
hospitalization
Mental health day
treatment program day" means the total amount of hours an individual
receives partial hospitalization
mental health day treatment service during a
twenty-four hour calendar day.
(C)
Partial
hospitalization
Mental health day
treatment must be an intense treatment service that consists of high
levels of face-to-face mental health interventions that address the
individualized mental health needs of the individual as identified in
his/her ISP
their
individualized treatment plan (ITP).
(D) The minimum program length of this
service shall be in accordance with the appropriate behavioral health standards
of the agency's national accrediting body(ies). Such accrediting bodies are
identified in rule
5122-25-02 of the Administrative
Code.
(E) For purposes of this
rule, a
partial hospitalization
mental health day treatment program day shall consist
of a minimum of two hours and up to a maximum of seven hours of scheduled
intensive activities that may include, but are not limited to, the following:
(1) Determination of needed mental health
interventions;
(2) Skills
development
(a) Interpersonal and social
competency as age, developmentally, and clinically appropriate, such as:
(i) Functional relationships with
adults;
(ii) Functional
relationship with peers;
(iii)
Functional relationship with the community/schools;
(iv) Functional relations with
employer/family; and
(v) Functional
relations with authority figures.
(b) Problem solving, conflict resolution, and
emotions/behavior management.
(c)
Developing positive coping mechanisms;
(3) Managing mental health and behavioral
symptoms to enhance vocational/school opportunities and/or independent living;
and
(4) Psycho-educational
interventions including individualized instruction and training of persons
served in order to increase their knowledge and understanding of their
psychiatric diagnosis(es), prognosis(es), treatment, and rehabilitation in
order to enhance their acceptance of these psychiatric disabilities, increase
their cooperation and collaboration with treatment and rehabilitation, improve
their coping skills, and favorably affect their outcomes. Such education shall
be consistent with the individual's
ISP
ITP and be provided with the knowledge and
support of the interdisciplinary/intersystem team providing treatment in
coordination with the
ISP
ITP.
(F) When an agency provides more
than one partial hospitalization service to an individual within the partial
hospitalization program day, and the length of one or more of those partial
hospitalization services consists of the daily minimum of two hours, the agency
must ensure that each service provided is separate and distinct from the
others.
(G)
(F) Providers of
partial hospitalization
mental health day treatment services shall have a
staff development plan based upon identified individual needs of
partial hospitalization
mental health day treatment program staff. Evidence
that the plan is being followed shall be maintained.
(H)
(G)
Partial hospitalization
Mental health day treatment service shall be provided
and supervised by staff who are qualified according to rule
5122-29-30 of the Administrative
Code.
Notes
Ohio Admin. Code
5122-29-06
Effective:
1/1/2018
Five Year Review (FYR) Dates:
4/14/2017 and
01/01/2023
Promulgated
Under: 119.03
Statutory
Authority: 5119.36
Rule
Amplifies: 5119.36
Prior
Effective Dates: 1/1/91, 7/15/01, 7/1/06, 8/23/07,
7/1/09
