Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs
Section 10.21.18.04 - Referral and Admission
Universal Citation: MD Code Reg 10.21.18.04
Current through Register Vol. 51, No. 19, September 20, 2024
A. Referral. A therapeutic nursery may accept a referral to the therapeutic nursery from:
(1) Education, social service,
or health care agency staff;
(2)
Family members; or
(3) Other
interested individuals and agencies.
B. Eligibility. A child is eligible for therapeutic nursery services if the child:
(1) Has or is at risk for a mild to severe
mental disorder, as defined in the current Diagnostic and Statistical Manual of
Mental Disorders, or mild to severe behavioral problems, or both;
(2) Is at risk for emotional or behavioral
problems because the child:
(a) Is
experiencing substantial developmental delay or atypical development which, if
left untreated, is likely to impair severely the child's ability to function
independently, as measured by diagnostic instruments and procedures that meet
usual and customary practice standards, in one or more of the following areas:
(i) Cognitive development,
(ii) Physical development,
(iii) Language and speech
development,
(iv) Psychosocial
development, or
(v) Self-help
skills;
(b) Has
experienced psychological trauma, as identified by an evaluation by a mental
health professional;
(c) Has a
diagnosed physical or mental condition which has a high probability of
resulting in developmental delay; or
(d) Has been excluded, for developmental or
behavioral problems, from more than one preschool or day care
program;
(3) Is at risk
for emotional or behavioral problems and is a child who is being assessed or
has been assessed in a suspected child abuse or neglect investigation pursuant
to Family Law Article, §5-701 et seq., Annotated
Code of Maryland; or
(4) Is at risk
for emotional or behavioral problems because of significant family history, as
identified by an evaluation by a mental health professional.
C. Admission.
(1) A therapeutic nursery program may admit a
child:
(a) If the child is:
(i) For Program A, younger than 3 years old,
and the primary caretaker is available to participate in the treatment process,
or
(ii) For Program B, 3 years old
or older, but younger than 5 years old;
(b) Upon the written or tape-recorded consent
of the child's parent or guardian; and
(c) For whom a physician orders therapeutic
nursery services as medically necessary.
(2) A therapeutic nursery program may not
admit a child:
(a) Whose primary or sole
diagnosis or condition is:
(i) Mental
retardation,
(ii) Visual
impairment,
(iii) Hearing
impairment,
(iv) Physical disorder,
or
(v) Technology dependence;
or
(b) Who has cognitive
deficits that severely limit the ability to benefit from the treatment
modalities provided by the therapeutic nursery.
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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