Current through Register Vol. 50, No. 9, March 1, 2024
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
210.300 requires the secretary for the
cabinet to promulgate administrative regulations designating hospital districts
for the purpose of determining to which of the state institutions for the
mentally ill the persons admitted from each county shall initially be sent.
KRS
202A.201(2) authorizes the
transfer of a mentally ill inmate of any penal or correctional institution to
the state hospital service designated by the secretary for that purpose. This
administrative regulation establishes hospital district assignments.
Section 1.
(1)
(a) The
state mental hospital districts shall be the districts established in
subsections (2) through (5) of this section.
(b) Except as provided by Sections 2 through
5 of this administrative regulation, an involuntarily or voluntarily
hospitalized person shall be admitted to the state hospital serving the
district in which the person resides. In times of high patient count, a state
hospital director may send a patient to another state hospital or to another
hospital in the district.
(2) District I shall include Western State
Hospital, Hopkinsville, Kentucky, and shall serve the counties of: Allen,
Ballard, Barren, Butler, Caldwell, Calloway, Carlisle, Christian, Crittenden,
Daviess, Edmonson, Fulton, Graves, Hancock, Hart, Henderson, Hickman, Hopkins,
Livingston, Logan, Lyon, McCracken, McLean, Marshall, Metcalfe, Monroe,
Muhlenberg, Ohio, Simpson, Todd, Trigg, Union, Warren, and Webster.
(3) District II shall include Central State
Hospital, Anchorage, Kentucky, and shall serve the counties of: Bullitt,
Breckinridge, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson,
Oldham, Shelby, Spencer, Trimble and Washington.
(4) District III shall include Eastern State
Hospital, Lexington, Kentucky, and shall serve the counties of: Adair,
Anderson, Bath, Boone, Bourbon, Boyd, Boyle, Bracken, Campbell, Carroll,
Carter, Casey, Clark, Clinton, Cumberland, Elliott, Estill, Fayette, Fleming,
Franklin, Gallatin, Garrard, Grant, Green, Greenup, Harrison, Jessamine,
Kenton, Lawrence, Lewis, Lincoln, McCreary, Madison, Mason, Menifee, Mercer,
Montgomery, Morgan, Nicholas, Owen, Pendleton, Powell, Pulaski, Robertson,
Rowan, Russell, Scott, Taylor, Wayne, and Woodford.
(5) District IV shall include Appalachian
Regional Healthcare Regional Medical Center, Hazard, Kentucky, and shall serve
the counties of: Bell, Breathitt, Clay, Floyd, Harlan, Jackson, Johnson, Knott,
Knox, Laurel, Lee, Leslie, Letcher, Magoffin, Martin, Owsley, Perry, Pike,
Rockcastle, Whitley, and Wolfe.
Section 3.
(1) Individuals charged with a felony and
requiring psychiatric evaluation or treatment pursuant to KRS Chapter 504 shall
be served upon court order by a forensic psychiatric facility. Admission to the
forensic psychiatric facility shall be coordinated and scheduled through that
facility's admissions department.
(2) Individuals admitted upon court order to
the Kentucky Correctional Psychiatric Center, La Grange, Kentucky, may be
transferred to other state institutions for the mentally ill or to a
psychiatric unit in a local general hospital.
Section 4.
(1) A person may be admitted to a hospital
other than the hospital in the district of his or her residence upon verbal or
written permission of the Commissioner of the Department for Behavioral Health,
Developmental and Intellectual Disabilities or authorized designee if:
(a) A patient has specific needs or
treatments that are better addressed at another hospital;
(b) A hospital has staffing or facility
issues limiting admittance; or
(c)
Placement would cause undue hardship on affected stakeholders.
(2) If verbal permission is given,
then written confirmation shall follow within five (5) working days of the
admission.
