Tenn. Comp. R. & Regs. 0940-03-08-.06 - RESPONSIBILITIES OF PHYSICIAN OR PSYCHOLOGIST NOT DESIGNATED AS A MANDATORY PRE-SCREENING AGENT

(1) If a service recipient requires evaluation for emergency involuntary admission to a state-owned or operated treatment resource under T.C.A. § 33-6-404 and cannot be examined by a mandatory pre-screening agent within two (2) hours of the request to examine the person, a physician or psychologist may perform the evaluation and provide a certificate of need. The physician or psychologist then has the following responsibilities:

(a) Maintain compliance with requirements for physician under T.C.A. § 33-1-101(15) or psychologist under T.C.A. § 33-6-427(a).

(b) Pre-screen the service recipient for emergency involuntary admission under T.C.A. § 33-6-404.

(c) Determine, if possible, whether the service recipient has executed a durable power of attorney for health care or a declaration for mental health treatment and comply to the extent possible.

(d) Determine, if possible, whether the service recipient is under a mandatory outpatient treatment obligation from an inpatient provider.

(e) Before completing a certificate of need, make a determination, in consultation with a crisis response service that serves the county where the service recipient is being evaluated, that all available and appropriate less drastic alternatives to placement in a hospital or treatment resource are unsuitable to meet the needs of the person and document the consultation. A face-to-face consultation with the crisis response service is not required.

(f) Complete a certificate of need for any service recipient assessed as eligible for emergency involuntary admission under T.C.A. § 33-6-404.

(g) Determine and document level of security required and mode of transportation to the admitting hospital for service recipients eligible for emergency involuntary admission under T.C.A. § 33-6-404.

(h) For service recipients not eligible for emergency involuntary admission, notify a crisis response service that serves the county where the service recipient resides or is receiving services of the need for follow-up. Provide necessary information and document this notification.

(i) When a service recipient is referred for emergency involuntary admission or alternative services, provide at least the following information to the treatment resource:

1. The certificate of need for emergency involuntary admission;

2. Acknowledgement and copy, where possible, of a durable power of attorney for health care or a declaration for mental health treatment;

3. Existence of mandatory outpatient treatment obligation, if applicable, and discharging facility, if known;

4. Name of person at referring service provider;

5. Any known medical condition(s);

6. Current or recent prescription and/or over-the-counter medication(s), if any;

7. Current or recent use of alcohol and/or other substance use, if any;

8. Name of current or most recent community mental health provider, if known; and

9. Recommendations for services and/or supports following discharge.

Notes

Tenn. Comp. R. & Regs. 0940-03-08-.06

Original rule filed November 7, 2003; effective January 21, 2004.

Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-301, 33-1-303, 33-1-305, 33-6-102, 33-6-104, 33-6-402, 33-6-403, 33-6-404, 33-6-406, and 33-6-427.