Current through all regulations passed and filed through September 16, 2024
(A) Community
psychiatric supportive treatment (CPST) service provides an array of services
delivered by community based, mobile individuals or multidisciplinary teams of
professionals and trained others. Services address the individualized mental
health needs of the client. They are directed towards adults, children,
adolescents and families and will vary with respect to hours, type and
intensity of services, depending on the changing needs of each individual. The
purpose/intent of CPST services is to provide specific, measurable, and
individualized services to each person served. CPST services should be focused
on the individual's ability to succeed in the community; to identify and access
needed services; and to show improvement in school, work and family and
integration and contributions within the community.
(B) Activities of the CPST service shall
consist of one or more of the following:
(1)
Ongoing assessment of needs;
(2)
Assistance in achieving personal independence in managing basic needs as
identified by the individual and/or parent or guardian;
(3) Facilitation of further development of
daily living skills, if identified by the individual and/or parent or
guardian;
(4) Coordination of the
ISP, including:
(a) Services identified in
the ISP;
(b) Assistance with
accessing natural support systems in the community; and
(c) Linkages to formal community
service/systems;
(5)
Symptom monitoring;
(6)
Coordination and/or assistance in crisis management and stabilization as
needed;
(7) Advocacy and
outreach;
(8) As appropriate to the
care provided to individuals, and when appropriate, to the family, education
and training specific to the individual's assessed needs, abilities and
readiness to learn;
(9) Mental
health interventions that address symptoms, behaviors, thought processes, etc.,
that assist an individual in eliminating barriers to seeking or maintaining
education and employment; and
(10)
Activities that increase the individual's capacity to positively impact his/her
own environment.
(C) The
methods of CPST service delivery shall consist of:
(1) Service delivery to the person served
and/or any other individual who will assist in the person's mental health
treatment.
(a) Service delivery may be
face-to-face, by telephone, and/or by video conferencing; and
(b) Service delivery may be to individuals or
groups.
(2) CPST
services are not site specific. However, they must be provided in locations
that meet the needs of the persons served. When a person served is enrolled in
a residential treatment or residential support facility setting, CPST services
must be provided by staff that are organized and distinct and separate from the
residential service as evidenced by staff job descriptions, time allocation or
schedules, and development of service rates.
(D) There must be one CPST staff who is
clearly responsible for case coordination. This staff person must be an
employee of an agency that is certified by ODMH to provide CPST services. This
person may delegate CPST services to eligible providers internal and/or
external to the certified agency as long as the following requirements and/or
conditions are met:
(1) All delegated CPST
activities are consistent with this rule in its entirety;
(2) The delegated CPST services may be
provided by an entity not certified by ODMH to provide CPST services as long as
there is written agreement between the certified agency and the non-certified
entity that defines the service expectations, qualifications of staff, program
and financial accountability, health and safety requirements, and required
documentation; and
(3) An entity
that is not certified by ODMH for CPST service may only seek reimbursement for
CPST services through a certified agency and with a written agreement as
required in this paragraph.
(E) Providers of CPST service shall have a
staff development plan based upon identified individual needs of CPST staff.
Evidence that the plan is being followed shall be maintained. The plan shall
address, at a minimum, the following:
(1) An
understanding of systems of care, such as natural support systems, entitlements
and benefits, inter- and intra-agency systems of care, crisis response systems
and their purpose, and the intent and activities of CPST;
(2) Characteristics of the population to be
served, such as psychiatric symptoms, medications, culture, and age/gender
development; and
(3) Knowledge of
CPST purpose, intent and activities.
(F) Community psychiatric supportive
treatment (CPST) service shall be provided and supervised by staff who are
qualified according to rule
5122-29-30
of the Administrative Code.
