Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 30 - Standards and Criteria For State-Operated Inpatient Services
Subchapter 9 - Role of State-Operated Inpatient Psychiatric Units
Section 450:30-9-8 - State-operated psychiatric inpatient unit treatment functions

(1) Comprehensive evaluation of each consumer prior to admission; and

(2) Crisis intervention and stabilization services, regardless of legal status but in consideration of relevant legal restrictions on providing treatment, including, but not limited to, restrictions regarding medications to individuals admitted with emergency detention status.

(1) Treatment services to provide rapid reduction and stabilization of psychiatric or acute withdrawal symptoms; and

(2) Discharge planning which shall begin at time of admission and establish ongoing treatment to be provided in the community.

(1) Continued treatment planning with the consumer and, pursuant to releases signed by the consumer, the family and the local community mental health center or alcohol or drug program. Treatment planning shall begin when the consumer is admitted to the state-operated psychiatric inpatient unit.

(2) Discharge planning, pursuant to appropriately signed releases by the consumer, which shall include a written discharge plan to address the basic needs of the consumer, including, but not limited to, housing, income maintenance and social support, as well as specific provisions for ongoing community-based mental health or substance abuse treatment needs and follow-up care services recommended by the treatment team. When treatment for co-occurring substance abuse and mental health disorders is indicated, discharge planning shall include arrangements to continue treatment for the co-occurring disorders.

(3) Regular communication and meetings with all community mental health centers and alcohol or drug programs within the state-operated psychiatric inpatient unit's service area to support the continuation of care on behalf of the consumer in post- inpatient settings, pursuant to appropriately signed releases by the consumer.

(1) The facility shall establish a Utilization Review Committee to oversee the utilization of services. The facility must establish and use criteria to determine the medical necessity of extended stays and the medical necessity of professional services.

(2) The facility shall utilize a psychiatrist not employed by the facility to complete external reviews.

(3) Within the first sixty (60) days of the treatment episode, individuals shall receive a review of their involuntary status by the Utilization Review Committee.

(4) Within the first ninety (90) days of the treatment episode, individuals shall receive an external review of their involuntary status.

(5) Individuals shall receive reviews of their involuntary status within sixty (60) and ninety (90) day intervals as indicated in (3) and (4) above for each subsequent sixty (60) and ninety (90) day treatment period.

(6) If continued care in the involuntary commitment status is indicated, the treatment team shall determine reasons the individual does not meet criteria for discharge and summarize these in a written discharge evaluation. The team's report shall indicate the exploration of alternatives for continuing care in a less restrictive setting and reasons these alternatives are not clinically indicated.

(7) All evaluations for purposes of such reviews shall be documented in the clinical record.

(8) Copies of all evaluations, including recommendations, completed pursuant to this subsection shall be provided to the ODMHSAS Office of Consumer Advocacy.