Current through Register Vol. 35, No. 18, September 24, 2024
A.
General scope of services: These regulations apply to crisis
triage centers (CTC) which are health facilities offering youth and adult
outpatient and residential care services. A CTC provides stabilization of
behavioral health crises as outpatient stabilization or short-term residential
stabilization in a residential rather than institutional setting, which may
provide an alternative to hospitalization or incarceration. The CTC services
may vary in array of services offered to meet the specific needs of different
communities in New Mexico. A CTC may provide limited detoxification services
but is differentiated from a detoxification center in that it does treat
individuals who require treatment beyond Level III.7-D: Medically Monitored
Inpatient Detoxification. The CTC provides emergency behavioral health triage
and evaluation. The CTC may serve individuals 14 years of age or older who meet
admission criteria. The CTC shall offer services to manage individuals at high
risk of suicide or intentional self-harm. The CTC shall not refuse service to
any individual who meets criteria for services.
B.
Type of services:
(1) a CTC structured for less than 24-hour
stays providing only outpatient withdrawal management or other stabilization
services;
(2) a CTC providing
outpatient and residential crisis stabilization services; and
(3) a CTC providing residential crisis
stabilization services.
C.
Limitations onscope of
services:
(1) the CTC may accept
voluntary admissions, individuals who are voluntarily seeking treatment,
involuntary admissions and individuals who are not voluntarily seeking
treatment;
(2) the CTC shall not
provide detoxification services beyond Level III.7-D: Medically Monitored
Inpatient Detoxification services;
(3) the CTC shall not provide medical care
not related to crisis triage intervention services beyond basic medical care of
first aid and CPR;
(4) the CTC
shall not provide residential services in excess of 14 calendar days, unless an
involuntary admission is accepted and the CTC shall comply with all hearing and
treatment provisions of Section 43-1-1 et al. NMSA;
(5) the CTC shall not provide ongoing
outpatient behavioral health treatment;
(6) the CTC shall not exceed the capacity for
which the CTC is licensed;
(7) a
CTC with both adult and youth occupants must locate youth rooms and restrooms
in a unit or wing that is physically separated from the adult
facilities;
(8) A CTC shall not
administer emergency psychotropic medications as described in Subsection M of
Section 43-115 NMSA 1978 if admitting only voluntary admissions. Any use of
emergency psychotropic medications for involuntary admissions shall only be
done in accordance with Subsection M of Section 43-1-15 NMSA 1978.
D.
License required:
(1) a CTC shall not be operated without a
license issued by the authority;
(2) any facility providing the services
described in these regulations on the effective date of these regulations,
shall apply for a CTC license within 180 days;
(3) a CTC licensed under these regulations
shall not assert, represent, offer, provide or imply that the CTC is or may
render care or services other than the services it is permitted to render under
these regulations and within the scope of all applicable professional
license(s);
(4) if an unlicensed
CTC is found to be providing services for which a license is required under
these regulations, the secretary may issue a cease-and-desist order, to protect
human health or safety or welfare. The unlicensed facility may request a
hearing that shall be held in the manner provided under these regulations and
all other applicable regulations.
