Current through September 24, 2024
A. In addition
to information contained in the agency provider's policies and procedures
manual, providers of Crisis Residential Services must develop an orientation
package which includes policies and procedures for the provision of Crisis
Residential Services. The orientation package is to be provided to the
person/parent(s)/legal representative(s) during orientation. Orientation may
need to be delayed until the person is stable enough to comprehend the
information being provided.
B. All
agency providers of Crisis Residential Services must document that each person
(and/or parent[s]/legal representative[s]) being served is provided with an
orientation as soon as it is appropriate based on the functioning of the
person.
C. The service and
site-specific orientation package must be written in a person-first,
person-friendly manner that can be readily understood by the
person/parent(s)/legal representative(s).
D. Crisis Residential Service providers must
have a written plan for providing the orientation package information in a
person's language of choice when necessary.
E. The Crisis Residential Services
orientation package must not simply be a book of rules. The orientation package
must include the expectations of Crisis Residential Services and how the person
can be successful in the service.
F. At a minimum, the Crisis Residential
Services orientation package must address the following:
1. A person-friendly, person-first definition
and description of the service being provided;
2. The philosophy, purpose and overall goals
of the service;
3. A description of
how Crisis Residential Services addresses the following items, to include but
not limited to:
(a) Visitation guidelines (as
applied to family, significant others, friends and other visitors).
(1) People's right to define their family and
support systems for visitation purposes unless clinically/socially
contraindicated.
(2) All actions
regarding visitors (restrictions, defining person and family support systems,
etc.) must be documented in the person's record.
(3) Visitation rights must not be withheld as
punishment and may not be limited in ways that unreasonably infringe on the
person's stated rights.
(b) Daily private communication (phone, mail,
email, etc.) without hindrance unless clinically contraindicated.
(1) Any restrictions on private telephone use
must be reviewed daily.
(2) All
actions regarding restrictions of outside communication must be documented in
the person's record.
(3)
Communication rights must not be withheld as punishment and may not be limited
in ways that unreasonably infringe on the person's stated rights.
(c) Dating
(d) Off-site activities
(e) Housekeeping tasks
(f) Use of alcohol, tobacco and other
drugs
(g) Respecting the rights of
other people's privacy, safety, health and choices.
4. Policy regarding the search of the
person's room, person and/or possessions to include but not limited to:
(a) Circumstances in which a search may
occur;
(b) Employees designated to
authorize searches;
(c)
Documentation of searches; and,
(d)
Consequences of discovery of prohibited items.
5. Policy regarding screening for
prohibited/illegal substances to include but not limited to:
(a) Circumstances in which screens may
occur;
(b) Employees designated to
authorize screening;
(c)
Documentation of screening;
(d)
Consequences of positive screening of prohibited substances;
(e) Consequences of refusing to submit to a
screening; and,
(f) Process for
people to report confidentially the use of prohibited substances prior to being
screened.
G.
Methods for assisting people in arranging and accessing emergency medical and
dental care:
1. Agreements with local
physicians, hospitals and dentists to provide emergency care; and,
2. Process for gaining permission from
parent(s)/legal representative(s), if necessary.
H. Description of the employee's
responsibility for implementing the protection of the person and his/her
personal property and rights.
I.
Determination of the need for and development, implementation and supervision
of behavior change/management services.
J. Description of how risks to health and
safety of people in the services are assessed and the mitigation strategies put
in place as a result of assessment.
K. Criteria for termination/discharge from
Crisis Residential Services.
L.
Providers of Crisis Residential Services must also address:
1. A description of the meals, which must be
provided at least three (3) times per day, and snacks to be provided. This must
include development of a menu that includes varied, nutritious meals and snacks
and a description of how/when meals and snacks will be prepared;
2. Personal hygiene care and grooming,
including any assistance that might be needed;
3. Medication management (including storing
and dispensing); and,
4. Prevention
of and protection from infection, including communicable diseases.
Section
41-4-7
of the Mississippi Code, 1972, as Amended
