Mississippi Administrative Code
Title 24 - Mental Health
Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers
Chapter 24 - Day Programs and Employment Related Services for Adults with Serious Mental Illness
Rule 24-2-24.2 - Senior Psychosocial Rehabilitation Services

Universal Citation: MS Code of Rules 24-2-24.2

Current through September 24, 2024

A. Senior Psychosocial Rehabilitation Services (Senior PSR) are structured activities designed to support and enhance the ability of the elderly to function at the highest possible level of independence in the most integrated setting appropriate to their needs. The activities target the specific needs and concerns of the elderly, while aiming to improve reality orientation, social adaptation, physical coordination, daily living skills, time and resource management, task completion and other areas of competence that promote independence in daily life. Activities in the service are designed to alleviate such psychiatric symptoms as confusion, anxiety, disorientation, distraction, preoccupation, isolation, withdrawal, and feelings of low self-worth.

B. Senior Psychosocial Rehabilitation Services must be designed to serve elderly people with serious mental illness who need assistance in socialization, training for daily living skills, use of leisure time activities, or other structured assistance in activities of life.

C. No person under fifty (50) years of age can be considered for Senior Psychosocial Rehabilitation Services.

D. Senior Psychosocial Rehabilitation Services must have an average daily attendance of at least five (5) people.

E. Each Senior Psychosocial Rehabilitation Service must have a written schedule of daily activities on file, which must include group therapy, socialization activities, activities of daily living, and recreational activities.

F. Senior Psychosocial Rehabilitation Services must have activities and physical surroundings that are age appropriate.

G. The service location must have sufficient space to accommodate the full range of service activities and services and must provide at least fifty (50) square feet of usable space for each person.

H. Employees must be assigned full-time to Senior Psychosocial Rehabilitation Services.

I. There must be a full-time supervisor at each location (see qualifications, Rule 11.3) . A director or Mental Health Therapist (see qualifications section) with the responsibility of therapeutic oversight must be on-site a minimum of five (5) hours per week. The Service Director (see qualifications, Rule 11.3) or Mental Health Therapist must plan, develop and oversee the use of systematic curriculum based interventions implemented to address the needs of people receiving Psychosocial Rehabilitation Services. In addition to the minimum of five (5) hours of on-site supervision, the director or Mental Health Therapist must also participate in clinical staffing and/or Treatment Plan review for the people in the service(s) that he/she directs.

J. In addition to Rule 24.2.I, Senior Psychosocial Rehabilitation Services located in a Community Mental Health Center operated facility must meet the following:

1. There must be at least one (1) employee with minimum of a Bachelor's degree in a mental health or intellectual/developmental disabilities-related field who must be on-site and be actively engaged in service activities during all programmatic hours; this employee can be the on-site supervisor.

2. The employee with a Bachelor's degree (who must be on-site and actively engaged in service activities during all programmatic hours and who may or may not be the on-site supervisor) is required for eight (8) or fewer people.

3. When the service is certified for nine (9) or more people, there must be another employee for every eight (8) people for which the service location is certified to serve.

4. Develop and implement plans to involve people participating in Senior Psychosocial Rehabilitation Services in community activities to the maximum extent possible.

5. Senior Psychosocial Rehabilitation Services must be provided in each service location a minimum of three (3) days per week for a minimum of four (4) hours per day, excluding travel time.

K. In addition to Rule 24.2.I, Senior Psychosocial Rehabilitation Services located in a Licensed Nursing Facility must meet the following:

1. There must be at least one (1) employee with minimum of a Bachelor's degree in a mental health or intellectual/developmental disabilities-related field who must be on-site and be actively engaged in service activities during all programmatic hours; this employee can be the on-site supervisor.

2. The employee with a Bachelor's degree (who must be on-site and actively engaged in service activities during all programmatic hours and who may or may not be the on-site supervisor) is required for eight (8) or fewer people.

3. When the service location is certified for nine (9) or more people, there must be another employee for every eight (8) people for which the service location is certified to serve.

4. DMH will accept verification of licensure from the MS State Department of Health as evidence that service locations are addressing and meeting requirements for environment and safety.

5. Senior Psychosocial Rehabilitation Services must be provided in each service location a minimum of three (3) days per week for a minimum of two (2) hours per day, excluding travel time.

6. People receiving Senior Psychosocial Rehabilitation Services who are also Medicaid beneficiaries must also be authorized through the Pre-admission Screening and Resident Review (PASRR) Rules.

Section 41-4-7 of the Mississippi Code, 1972, as Amended

Disclaimer: These regulations may not be the most recent version. Mississippi 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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