Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services
Section 10.21.26.04 - Program Model

Universal Citation: MD Code Reg 10.21.26.04

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

A. A provider of RCS shall assure that services are:

(1) Therapeutic;

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

(3) Available:
(a) 24 hours per day, 7 days per week;

(b) On a short-term basis, as needed to resolve an immediate crisis; and

(c) At a location in the community, unless given a written exemption from the core service agency (CSA).

B. A provider of RCS shall assure that services are adequate to support one or more of the following levels of service:

(1) Inpatient admission prevention, which provides:
(a) Services to an individual who, based on the individual's history, as evaluated by a physician or a mental health professional, has a mental disorder and, without RCS, is at risk for inpatient admission or cannot be discharged from an inpatient facility; and

(b) Staff adequate to support the services under §B(1)(a) of this regulation, as outlined under Regulations .08 and .09 of this chapter;

(2) Inpatient admission alternative, which provides:
(a) Services to an individual who, based on an evaluation by a physician or a mental health professional, has a mental disorder, presents a danger to self or others, and would, without RCS, be admitted to or could not be discharged from an inpatient facility; and

(b) Staff adequate to support the services under §B(2)(a) of this regulation, as outlined under Regulations .08 and .10 of this chapter, including access to a psychiatrist 24 hours per day, 7 days per week; or

(3) Treatment foster care, which provides:
(a) Services to an individual who, based on an evaluation by a physician or mental health professional, has a mental disorder, and is in need of a high level of treatment intervention in a family setting; and

(b) Staff adequate to support services under §B(3)(a) of this regulation, as outlined under Regulations .08 and .11 of this chapter.

C. A provider of RCS shall assure that services are designed to:

(1) Avert or shorten the length of inpatient admissions;

(2) Defuse a current crisis, evaluate the nature of the crisis, stabilize the individual to the pre-crisis level of functioning, and intervene to reduce the likelihood of crisis recurrence;

(3) Assist the individual and members of the individual's natural support system to recognize and take preventive action to resolve situations that lead to crisis;

(4) Provide counseling, training, and support for crisis prevention, identification, and intervention for individuals and, if appropriate, their families;

(5) Link individuals with services and supports in the community including, but not limited to, financial, educational, social, medical, and mental health resources that will enable the individual to:
(a) Return to the individual's previous living situation; or

(b) Secure an alternative living situation; and

(6) Offer a home-like environment that provides goal-directed services to facilitate safe discharge from residential crisis services.

D. A provider of RCS shall assure that services are coordinated with, when appropriate:

(1) An individual's custodial agents;

(2) Designated psychiatric emergency facilities;

(3) Psychiatric inpatient facilities;

(4) Psychiatric rehabilitation programs;

(5) Outpatient mental health clinics;

(6) Somatic care providers;

(7) Schools;

(8) Other agencies involved with the individual, including, but not limited to:
(a) Local departments of social services;

(b) Department of Juvenile Services;

(c) The local education authority;

(d) The local coordinating council (LCC);

(e) The local management board; and

(f) Criminal justice agencies; and

(9) Other public and private providers of mental health services to an individual.

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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.