New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES
Part 817 - Substance Use Disorder Residential Rehabilitation Services for Youth (RRSY)
Section 817.4 - Post Admission Procedures
Universal Citation: 14 NY Comp Codes Rules and Regs ยง 817.4
Current through Register Vol. 46, No. 12, March 20, 2024
(a) Post-admission.
(1) As soon
as possible after admission, for all patients, all programs must:
(i) offer viral hepatitis testing; testing
may be done on site or by referral;
(ii) offer HIV testing; testing may not be
conducted without patient written informed consent except in situations
specifically authorized by law; testing may be done on site or by referral;
individuals on a regimen of pre- or post-exposure prophylaxis, must be
permitted to continue the regimen until consultation with the prescribing
professional occurs.
(2)
If clinically indicated, all programs must:
(i) conduct an intradermal skin or
blood-based Tuberculosis test; testing may be done on site or by referral with
results as soon as possible after testing; for patients with a positive test
result, refer the patient for further tuberculosis evaluation.
(ii) offer testing for other sexually
transmitted infections; testing may be done on site or by referral;
(iii) provide or recommend any other tests
the examining physician or other medical staff member deems to be necessary
including, but not limited to, an EKG, a chest X-ray, or a pregnancy
test.
(3) As soon as
possible after testing programs must explain any blood and skin test results to
the patient.
(b) Initial evaluation.
(1) The
goal of the initial evaluation shall be to obtain information from such
sources, including family members where appropriate, as necessary to develop an
individualized patientcentered treatment/recovery plan.
(2) No later than three (3) days after
admission, staff shall complete the initial evaluation which shall include a
written report of findings and conclusions and shall include the names of any
staff participating in the evaluation and be signed by the qualified health
professional responsible for the evaluation.
(c)Initial services. The initial evaluation shall include an identification of initial services needed, and schedules of individual and group counseling to address the needed services until the development of the treatment/recovery plan. The initial services shall be based on goals the patient identifies for treatment and shall include substance use and any other priority issues identified in the admission assessment and initial evaluation.
(d) Medical history.
(1) For those patients who have not had a
physical examination or mental health history taken within one year prior to
admission, each such patient must either be assessed face-to-face by a member
of the medical staff to ascertain the need for a physical examination or
referred for a physical examination. For those patients who have had a physical
examination within one year prior to admission, or for those patients being
admitted directly to the outpatient program from another substance use disorder
service authorized by the Office, the existing medical history and physical
examination documentation may be used to comply with the requirements of this
subdivision, provided such documentation has been reviewed by a medical staff
member and determined to be current. Notwithstanding the foregoing, the
following shall be offered regardless of a documented history within the
previous twelve months: HIV and viral hepatitis testing.
(2) Patient records shall include a summary
of the results of the physical examination and shall also demonstrate that
appropriate medical care is recommended to any patient whose health status
indicates the need for such care.
(e) Referral and connection
(1) If the initial evaluation and medical
history indicates that the individual needs services beyond the capacity of the
program to provide either alone or in conjunction with another program,
referral and connection to appropriate services shall be made. Identification
of such referrals and the results of those referrals to identified program(s)
shall be documented in the patient record.
(2) If a patient is referred directly to the
program from another service provider certified by the Office or is readmitted
to the same service provider within sixty (60) days of discharge, the existing
level of care determination and initial evaluation may be used, provided that
documentation is maintained demonstrating a review and
update.
Disclaimer: These regulations may not be the most recent version. New York 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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