Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.07 - Therapeutic Group Homes
Section 10.21.07.08 - TGH Program Model

Universal Citation: MD Code Reg 10.21.07.08

Current through Register Vol. 51, No. 19, September 20, 2024

A. A TGH provides therapeutic living services:

(1) For at least four but not more than eight children;

(2) By providing access to a combination of developmental, diagnostic, and therapeutic mental health services;

(3) When possible, in the child's community of origin; and

(4) In a home-like environment.

B. The chief executive officer of a TGH shall assure that a TGH:

(1) Provides to each child in the TGH mental health care and treatment:
(a) That can reasonably be expected to benefit the child; and

(b) By an adequate staff or, under agreement, by a provider of mental health services;

(2) Has sufficient staff to provide adequate supervision to the children in the TGH, including 24-hour supervision for each resident not participating in a program outside the TGH; and

(3) Coordinates treatment in the TGH with the appropriate public or nonpublic educational program.

C. The chief executive officer of the TGH shall assure that services are:

(1) Appropriate to the cultural and psychosocial developmental needs of the child;

(2) Provided by staff who:
(a) As determined by the program, are appropriately credentialed and privileged; and

(b) Organize and manage the therapeutic milieu to:
(i) Foster clinically appropriate social, cognitive, emotional, and physical growth;

(ii) Handle aggression in a nonpunitive manner that promotes growth and learning;

(iii) Reinforce the child's ability to function with peers in a social environment;

(iv) Model and provide opportunities for children to behave in age-appropriate ways, such as assuming responsibility for carrying out routine activities, exhibiting independence and initiative in planning their own activities, getting along with others, and demonstrating age-appropriate social skills;

(v) Facilitate the child's awareness of appropriate behavior in a predictable, constructive, and timely manner; and

(vi) Help children to make choices and to negotiate disagreements among themselves, rather than resolving conflicts for them;

(3) Provided in an environment that is:
(a) Consistent with existing standards of program design; and

(b) Organized consistent with the learning styles and developmental needs of the child; and

(4) Designed to foster positive relationships between the child and the child's parents or guardians and, if other than a parent, the child's primary caretaker, and the anticipated post-placement caretaker.

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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