Current through Register Vol. 30, No. 38, September 20, 2024
A. An
administrator shall ensure that:
1.
Behavioral health services listed in the behavioral health inpatient facility's
scope of services are provided to meet the needs of a patient;
2. When behavioral health services are:
a. Listed in the behavioral health inpatient
facility's scope of services, the behavioral health services are provided on
the behavioral health inpatient facility's premises; and
b. Provided in a setting or activity with
more than one patient participating, before a patient participates, the
diagnoses, treatment needs, developmental levels, social skills, verbal skills,
and personal histories, including any history of physical abuse or sexual
abuse, of the patients participating are reviewed to ensure that the:
i. Health and safety of each patient is
protected, and
ii. Treatment needs
of each patient participating in the setting or activity are being
met;
3. An
acuity plan is developed, documented, and implemented for each unit in the
behavioral health inpatient facility that:
a.
Includes:
i. A method that establishes the
types and numbers of personnel members that are required for each unit in the
behavioral health inpatient facility to ensure patient health and safety,
and
ii. A policy and procedure
stating the steps the behavioral health inpatient facility will take to obtain
or assign the necessary personnel members to address patient acuity;
b. Is used when making assignments
for patient treatment; and
c. Is
reviewed and updated, as necessary, at least once every 12 months;
4. A patient is assigned to a unit
in the behavioral health inpatient facility based, as applicable, on the
patient's:
a. Presenting issue,
b. Substance abuse history,
c. Behavioral health treatment
history,
d. Acuity, and
e. Treatment needs; and
5. A patient does not share any space,
participate in any activity or treatment, or verbally or physically interact
with any other patient that, based on the other patient's documented diagnosis,
treatment needs, developmental levels, social skills, verbal skills, and
personal history, may present a threat to the patient's health and
safety.
B. An
administrator shall ensure that counseling is:
1. Offered as described in the behavioral
health inpatient facility's scope of services,
2. Provided according to the frequency and
number of hours identified in the patient's treatment plan, and
3. Provided by a behavioral health
professional or a behavioral health technician.
C. An administrator shall ensure that each
counseling session is documented in a patient's medical record to include:
1. The date of the counseling
session;
2. The amount of time
spent in the counseling session;
3.
Whether the counseling was individual counseling, family counseling, or group
counseling;
4. The treatment goals
addressed in the counseling session; and
5. The signature of the personnel member who
provided the counseling and the date signed.
D. An administrator of a behavioral health
inpatient facility authorized to provide pre-petition screening shall ensure
pre-petition screening is provided according to the pre-petition screening
requirements in A.R.S. Title 36, Chapter 5.
E. An administrator of a behavioral health
inpatient facility authorized to provide court-ordered evaluation shall ensure
that court-ordered evaluation is provided according to the court-evaluation
requirements in A.R.S. Title 36, Chapter 5.
F. Except as specified in subsection (G), an
administrator is not required to comply with the following provisions in this
Chapter for a patient receiving court-ordered evaluation:
1. Admission requirements in
R9-10-307,
2. Patient assessment requirements in
R9-10-307,
3. Treatment plan requirements in
R9-10-308,
and
4. Discharge requirements in
R9-10-309.
G. For a patient receiving
court-ordered evaluation who attempts suicide or exhibits suicidal ideation, an
administrator shall ensure that the following requirements are met:
1. Patient assessment requirements in
R9-10-307(10), (11), and (12);
2.
Treatment plan requirements in R9-10-308(A)(4)(c); and
3. Discharge requirements in
R9-10-309(B),
(F)(2), and (H)(2)(b).
H. An
administrator of a behavioral health inpatient facility authorized to provide
court-ordered treatment shall ensure that court-ordered treatment is provided
according to the court-ordered treatment requirements in A.R.S. Title 36,
Chapter 5.
