Current through Register Vol. 56, No. 18, September 16, 2024
(a) Written
policies and procedures shall be developed to ensure that the screening
service/affiliated emergency service system complies with Federal and State law
(30:4-27.1 et seq.) and rules and regulations governing these services for
persons with mental illness.
(b)
Each policy and/or procedure shall be designed to ensure accessibility to
services and to ensure that consumers receive treatment in the least
restrictive, clinically appropriate setting, as close to their own community as
possible, with the achievement of wellness and recovery as its goal. Service
provision shall balance the value of liberty with the need for safety or
treatment.
1. The policy and procedures
manual shall be reviewed and revised annually, and updated as necessary. The
review and revision process shall be documented.
2. Provider policy and procedures shall
require attempts to obtain informed patient consent to receive treatment,
except where involuntary treatment is legally authorized and consistent with
State law.
3. The policy and
procedure manual shall include policies and procedures setting forth
confidentiality standards and procedures that are to be followed in all aspects
of the screening services or AES's provision of services to consumers that are
consistent with all applicable Federal and State law, including, but not
limited to, the Privacy Rule implementing the Federal Health Insurance
Portability and Accountability Act of 1996 (HIPAA), 45 CFR Parts 160 and 164,
N.J.S.A. 30:4-24.3, and
N.J.A.C.
10:37-6.79.
4. The policies shall require, to the extent
permitted under applicable confidentiality laws, contact with the consumer's
family, spouse, civil union partner, or significant other and current or
previous service providers to determine what the clinical needs of the consumer
and what services would best meet those needs in the best interest of the
consumer. Agency policy shall require that the extent of these efforts be
documented in the consumer's record.
5. The screening service shall develop
written protocols that describe the role of the screening service staff with
police at the scene of an outreach.
6. The screening service shall have written
policies and procedures for providing outreach services.
7. Written policies and procedures regarding
the provision of extended crisis evaluation services shall include, but not be
limited to, the following: admission criteria, intensive observation and
continuous monitoring of consumers, use of physical restraints, administration
and monitoring of medication, and documentation of all treatment interventions
provided to consumers while in extended crisis evaluation beds.
i. Policies and procedures for the use of
physical restraints and the administration and monitoring of medication shall
be consistent with Division and Department of Health requirements, and any
other applicable Federal and State laws.
ii. Screening services shall submit aggregate
data on restraint use to the Division on a quarterly basis.
8. The screening service shall develop and
maintain written protocol and procedures for use of various medication
techniques, including emergency stabilization regimes.
9. Interventions on behalf of the consumer
shall be documented in a clinical record.
10. The screening service shall develop and
maintain policies and procedures that address clinical supervision of screeners
possessing temporary certification in the completion of their assessment
process.
11. All duties to be
performed by psychiatrists shall be described in the screening service's
policies and procedures.
12.
Records of the certification of screeners and completion or fulfillment of
recertification requirements shall be maintained in the screening
service.