Utah Admin. Code R432-101-22 - Residential Treatment Services
(1) If
offered, the licensee shall organize the residential treatment service as a
distinct part of the hospital service as either free-standing or as part of the
licensed facility.
(2) The licensee
shall ensure residential treatment services are under the direction of the
medical director or designee.
(3)
The hospital administrator shall appoint a program manager responsible for the
day-to-day operation and patient supervision.
(a) The administrator shall clearly define
the program manager's responsibilities in the job description.
(b) When the manager is absent, the
administrator shall ensure a substitute manager is
appointed.
(4) The
licensee shall ensure residential treatment staff have specialized training in
the area of psychiatric treatment and consist of:
(a) a licensed physician;
(b) a certified or licensed clinical social
worker;
(c) a licensed
psychologist;
(d) a licensed
registered nurse; and
(e) any
unlicensed staff who are trained to work with psychiatric patients and are
supervised by a health care practitioner.
(5)
(a) The
licensee shall ensure that a program that admits adolescents or children
continues their education through grade 12.
(b) The licensee shall ensure any curricula
used are approved by the Utah Office of Education.
(c) The licensee shall provide education
services that are accredited by the Utah State Board of Education or Board
Northwest Association of School and Colleges.
(d) The licensee shall ensure teachers are
certified by the Utah State Board of Education and additionally certified in
special education to supervise or carry out educational
curricula.
(6) The
licensee shall ensure an individual treatment plan:
(a) is developed by an interdisciplinary team
that encourages the patient's attendance in the interdisciplinary team
meetings;
(b) is initiated for each
patient upon admission;
(c) is
completed in writing and is placed in the patient record within seven
days;
(d) identifies the patient's
needs, as described by the comprehensive functional assessment outlined in
Subsection R432-101-22(7);
(e) includes the licensee's participation of
the patient, their responsible party, if available, and facility staff in the
planning of treatment; and
(f) sets
goals and objectives stated in terms of desirable behavior that prescribes an
integrated program of activities, therapies, and experiences necessary for the
patient to reach their goals and objectives.
(7) The licensee shall ensure the
comprehensive functional assessment considers the patient's age and the
implications for treatment and identifies:
(a) the presenting problems and disabilities
and, where possible, their cause;
(b) specific individual strengths;
(c) special behavioral management
needs;
(d) physical health status
to include:
(i) a history and physical exam
performed by a physician or nurse practitioner that includes appropriate
laboratory work-up; and
(ii) a
determination of the type and extent of special examinations, tests or
evaluations needed.
(e)
alcohol and drug history;
(f)
degree of psychological impairment and measures to be taken to relieve
treatable diseases;
(g) the
capacity for social interaction and habilitation and rehabilitation measures to
be taken; and
(h) the emotional or
behavioral status based on an assessment of:
(i) a history of previous emotional or
behavioral problems and treatment;
(ii) the patient's current level of emotional
or behavioral functioning;
(iii) an
evaluation by a psychiatrist, psychologist or qualified designee within 30-days
before admission, or within 24 hours after admission; and
(iv) if indicated, psychological testing that
includes intellectual and personality testing.
(8) The licensee shall amend the
comprehensive assessment to reflect any changes in the patient's
condition.
(9) The licensee shall
ensure an individual treatment plan is implemented that provides services:
(a) to improve the patient's condition;
and
(b) in an environment that
encompasses physical, interpersonal, cultural, therapeutic, rehabilitative, and
habilitative components.
(10) The licensee shall encourage the patient
to participate in professionally developed and supervised activities,
experiences or therapies in accordance with the individualized treatment
plan.
(11) Section
R432-101-23, Physical
Restraints, Seclusion, and Behavior Management additionally applies to a
psychiatric specialty hospital licensee.
Notes
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