Current through February, 2024
(a) Elements of the mental health and
substance abuse System shall include, but are not limited to the following
Services and each service area shall ensure adherence to the following
Standards and availability of the specific minimum levels of Service to persons
eligible for Services in that service area.
(b) Information Services shall:
(1) Be publicized annually through brochures,
newspapers, telephone directories, and one other medium
(2) Include special efforts such as auxiliary
aids and bilingual resources to ensure that ethnic minority groups and other
special populations are provided knowledge of and easy access to the service
area center's Services.
(c) Educational Services shall:
(1) Increase understanding of the nature of
mental illness and substance abuse;
(2) Impart knowledge and skills to prevent,
treat, or ameliorate the effects of mental illness and substance
abuse;
(3) Provide knowledge to
reduce the stigma of mental illness and substance abuse;
(4) Impart knowledge to the general public
regarding problems of vulnerable, high risk persons, the need for Community
involvement in programs designed to address the problems outside of
institutional settings, and the resources available or needed to help such
programs succeed;
(5) Be provided
to lay and to professional groups at least annually and upon request and shall
include:
(A) At least one contact per year
with each public school and police Station in the service area to assess mental
health and substance abuse education needs;
(B) Offering one educational program
responsive to identified needs to each school district and police Station in
the service area;
(6) Be
provided by trained and qualified individuals.
(d) Consultation Services shall:
(1) Be announced each year to the judiciary,
health, welfare and educational agencies in each service area;
(2) Be provided at least monthly, on request,
to a judiciary agency, a health agency, a welfare agency, and to public
schools;
(3) Be provided by trained
and qualified personnel as required by the respective disciplines;
(4) Be provided by a mutually agreed upon
Consultant.
(e) Training
Services shall:
(1) Be provided for each
staff person of the service area center and contract Providers;
(2) Total at least 12 hours per year for each
staff person providing clinical Services;
(3) Include orientation for all few service
area center personnel, including volunteers and advisory board
members;
(4) Be recorded
individually for each person trained including the date of training, subject of
training, and total time involved with an outcome evaluation on the education
and training received.
(f) Outreach Services shall:
(1) Include aggressive and persistent efforts
to invoice resistant individuals in other needed Services;
(2) Provide easily understandable
Communications to individuals and target populations about the available
Services and their locations;
(3)
Identify and be systematically offered to at least one target population each
year;
(4) Involve as many
organizations, agencies, and individuals as may be in contact with the target
population, and alert relevant agencies and individuals to the importance of
early problem detection and to their role as case finders.
(g) Evaluation determination Services shall:
(1) Be performed by a professional mental
health worker;
(2) Determine
eligibility for:
(A) Crisis Services, which
are limited to 5 days after initiation of those Services;
(B) Disaster Services, which are limited to
60 days after initiation of those Services; or
(C) Continuing support, which are not limited
in duration, but may be found ineligible after resolution of qualifying
criteria;
(3) Consider
the eligible population for crisis Services for adults in need of emergent
(within 24 hours) or urgent (within 24-72 hours) Intervention who are
exhibiting Symptoms of a mental health crisis, or individuals suspected of
having a primary mental illness with an associated situational
crisis;
(4) Consider the eligible
population for disaster Services for adults who have experienced a disaster and
for whom a disaster has been officially declared by the State of Hawaii of the
AMHD chief after having received and approved a request for disaster Services
from legitimate Community leadership, such as a school administrator, State or
county official, or religious, social or business Organization;
(5) Consider the eligible population for
continuing support for adults who have been diagnosed with a qualifying
diagnosis, who have co-occurring mental and substance use disorders, and those
who are legally encumbered;
(6)
Determine eligible for crisis Services adults who:
(A) Have had a brief telephone or
face-to-face assessment to determine immediacy of needs;
(B) In the assessment are found to be
exhibiting Symptoms of significant degree of functional impairment in the areas
of self protection, impulse control, or social judgment, or high risk of harm
to self or others or both; or
(C)
In the assessment are suspected of having a primary mental illness and
exhibiting Symptoms of significant clinical distress and some degree of
functional impairment expected to worsen because of the Situation;
(7) Determine eligible for
disaster Services adults who:
(A) Have had a
Screening completed that indicates the individual is a member of the identified
and designated Community or social System that has suffered from a disaster;
and
(B) Need not have a mental
health diagnosis, but is assessed to have the presence or risk of significant
distress or dysfunction.
(8) Determine eligible for continuing support
adults who:
(A) Have participated in an
approved clinical eligibility assessment sufficient to establish a qualifying
diagnosis and severe functional impairment; and
(B) In the eligibility assessment are found
to have a qualifying diagnosis; have demonstrated the presence of the disorder
for the last 12 months, or will be expected to demonstrate the disorder for the
next 12 months; and have demonstrated functional impairment that seriously
limits the person's ability to function independently in an appropriate and
effective manner, as evidenced by a GAF score of 50 or lower at the time of the
eligibility; and
(C) In the
eligibility assessment are found to live in Hawaii and be a Citizen of, or have
permanent resident Status in the United States of America; and
(D) In the eligibility assessment are found
not to have access to mental health Services through health plan benefits, or
have financial means or resources to obtain mental health Services privately;
or
(E) Have been found to be
detained by Hawaii courts for forensic examination, or committed to certain
Psychiatric facilities under the care and custody of the director for
appropriate placement by the family courts, district courts, or circuit courts;
placed on conditional release or released on conditions by a judge in Hawaii
courts; or are involved in mental health court or a jail diversion
program.
(9) Be
conducted:
(A) At least once every two
calendar years from the initial determination of eligibility; or
(B) Upon the discovery of credible
Information that calls into question the continuing eligibility of the
person.
(h)
Referral Services shall:
(1) Be provided to
every person who has been evaluated for Services, and who has been found not to
be eligible for Services at the Service area center or contract
agencies;
(2) Include at least one
contact to determine if a service linkage has been made.
(i) Treatment shall:
(1) Be provided by, or under the supervision
of professional or certified personnel;
(2) Be provided to every person screened,
admitted, and evaluated who has been determined to be in need of treatment at
the service area center or contract agencies, unless lack of service area
center resources or the unavailability of a service needed by a consumer
prevent provision of the service.
(j) Rehabilitation shall:
(1) Be provided through activities intended
to reduce the residual effects of mental, emotional, and substance abuse
disabilities;
(2) Be provided to
every person screened, admitted, and evaluated who has been determined to be in
need of rehabilitation at the service area center or contract agencies, unless
lack of Service area center resources or the unavailability of a service needed
by a consumer prevent Provision of the service;
(3) Enhance the capacity of the consumer for
self-sufficiency and productive Community living;
(4) Provide opportunities to learn about paid
and volunteer work;
(5) Develop the
attitudes required of workers and volunteers.
(k) Case management Services shall:
(1) Be provided to every person evaluated who
has been determined to need case management Services and who has been found
eligible for crisis Services, disaster Services, or continuing
support;
(2) Be provided to enhance
the natural support System and to ensure continuity of care, continuing service
responsibility, overall coordination and Integration of all relevant Services
and linkages to applicable agencies:
(3) Be the responsibility of a professional
mental health worker or a certified individual:
(4) Be provided by non-professional staff or
non-certified personnel only under the supervision of professional or certified
personnel.