Current through Register 1531, September 27, 2024
Licensed and Approved Providers providing services to
special populations listed in 105 CMR 164.082(A) through (E) shall make
additional provisions as specified:
(A)
Pregnant Women.
Licensed and Approved Providers serving pregnant women shall:
(1) establish in writing clinically
appropriate medical protocols for pregnant women;
(2) designate a hospital for emergency
obstetrical and medical back-up; however, patients or residents may elect to
choose their own medical providers;
(3) coordinate care with obstetrical or other
maternity care providers as appropriate;
(4) provide for appropriate parent or legal
guardian-child services directly or through a QSOA; and
(5) be available to serve women in all three
trimesters of pregnancy.
(B)
Adolescents and Transition
Age Youth. Licensed and Approved Providers serving Adolescents
and/or Transition Age Youth shall:
(1) ensure
that assessments as required in
105 CMR 164.072
include an evaluation of:
(a) developmentally
age-appropriate behaviors;
(b)
cognitive functioning;
(c) physical
maturation;
(d) existing peer and
family supports, peer group and family functioning;
(e) experience of trauma;
(f) history of mental health
diagnoses;
(g) availability of and
access to recovery supports;
(h)
social maturity; and
(i)
educational needs.
(2)
determine the person's custody status if younger than 18 years old;
(3) ensure that staff providing services for
children and adolescents have specific training in child and teen development,
including a minimum of five college credit hours in courses related to the
topic;
(4) ensure that services for
adolescents are supervised by a Senior Clinician with at least two years
post-master's experience working with adolescents with substance use
disorders;
(5) ensure available
parent or care-giver support and education services;
(6) ensure that adolescents are served in
programs which are separate from programs serving adult populations;
and
(7) prior to providing any
services to persons younger than 18 years old, inform the Department of the
nature and scope of any services provided to adults in the same facility as
those intended for services for adolescents. The Department shall determine
whether such proximity of adult services constitutes a risk to
adolescents.
(C)
Persons with Co-occurring Disorders. Licensed and
Approved Providers serving persons with co-occurring disorders shall:
(1) establish policies and procedures for
referrals for specialized mental health care care; and
(2) if the Licensed or Approved Provider is
not also licensed or approved to provide mental health services, establish
QSOAs providing for mental health interventions and coordinated care.
(D)
Elders. Licensed and Approved Providers serving
persons 60 years of age or older shall establish QSOAs with local organizations
providing services for the elderly.
(E)
Persons with
Disabilities. Licensed and Approved Providers serving persons with
disabilities shall:
(1) establish policies and
procedures that identify any specialized programming for persons with
disabilities;
(2) establish
policies and procedures for referrals as appropriate to specialized services
for persons with disabilities; and
(3) establish QSOAs with state and local
organizations providing services and/or care coordination for persons with
disabilities.
